Who cares what it means? Practical reasons for using the word resilience with critical infrastructure operators

Resilience: a highly debated term, with what seems to be an endless amount of slightly varied definitions depending on the sector, domain, or researcher who is addressing the topic, mainly boils down to rebounding after a crisis. For critical infrastructure (CI), the EU-funded H2020 IMPROVER project used the following definition: “the ability of a CI system exposed to hazards to resist, absorb, accommodate to and recover from the effects of a hazard in a timely and efficient manner, for the preservation and restoration of essential societal services.” This was the starting point for much of the work done within that project, however, through six interactive workshops with infrastructure operators organized by the IMPROVER project, what has become apparent is that the definition of resilience isn't what matters; what does matter is the way resilience changes the outlook of operators. This paper presents the results of a critical thematic analysis carried out on the discussions held at these workshops. The findings reflect the practitioners’ views on resilience and are in strong agreement with much of the current academic literature, in particular with literature on resilience engineering. One of the main findings is that resilience as a concept is operationalisable and that a lack of a consensus on details of a definition is no obstacle to using the term or striving to operationalise it. Indeed, resilience is an optimistic approach when compared to current risk management practices, allowing operators to be actors in responding to crisis as opposed to simply being subjects exposed to risks. While many aspects of resilience are also found in risk management, the ability to learn how to respond to unexpected events appears to empower operators. Furthermore, the change in perspective from risk to resilience better deals with another change critical infrastructure operators are going through: from protecting assets from hazards to being able to continuously provide a minimum level of essential services to the public

Inflammation and Aortic Stiffness: An Individual Participant Data Meta-Analysis in Patients With Inflammatory Bowel Disease.

BACKGROUND: The recent finding that aortic pulse wave velocity (aPWV) is increased in patients with inflammatory bowel disease may explain why the cardiovascular risk is increased despite the low prevalence of traditional cardiovascular risk factors. We aimed to test whether inflammation is associated with aortic stiffening in this setting after adjustment for major confounders and to perform subgroup analyses. METHODS AND RESULTS: A systematic literature search for aPWV in inflammatory bowel disease was performed using PubMed, Scopus, Web of Science, and Google Scholar databases (last accessed May 7, 2017). Inclusion criterion was peer-reviewed publications on clinical studies reporting original data. This study followed the Preferred Reporting Items for Systematic Review and Meta-Analyses of individual participant data 2015 guidelines. Data were provided for 4 cohorts in 3 countries (151 participants with ulcerative colitis, 159 with Crohn's disease, and 227 control patients). Using aPWV, cohort-specific z scores were calculated after loge-transform and combined in meta-analysis to form pooled effects using a random-effects model. Compared with controls, aPWV was increased in patients with Crohn's disease (mean difference 0.78 z score; 95% confidence interval, 0.56-1.00 z score [P<0.001]) and ulcerative colitis (mean difference 0.75 z score; 95% confidence interval, 0.52-0.97 z score [P<0.001]). In an outlier-robust multivariate linear regression model adjusted for prespecified confounders, aPWV was associated with disease duration (years, β=0.05 z score; 95% confidence interval, 0.02-0.08 z score [P<0.001]) and white blood cell count (billion cells/L, β=0.07 z score; 95% confidence interval, 0.02-0.11 z score [P=0.002]) but not with markers of acute inflammation (C-reactive protein and erythrocyte sedimentation rate), cardiovascular risk factors, and therapy. CONCLUSIONS: The increased aPWV reported in patients with inflammatory bowel disease is associated with inflammation

Effective Cell Growth Potential of Mg-Based Bioceramic Scaffolds towards Targeted Dentin Regeneration

New emerging approaches in tissue engineering include incorporation of metal ions involved in various metabolic processes, such as Cu, Zn, Si into bioceramic scaffolds for enhanced cell growth and differentiation of specific cell types. The aim of the present work was to investigate the attachment, morphology, growth and mineralized tissue formation potential of Dental Pulp Stem Cells (DPSCs) seeded into Mg-based glassceramic scaffolds with incorporated Zn and Cu ions. Bioceramic scaffolds containing Si 60%, Ca 30%, Mg 7.5% and either Zn or Cu 2.5%, sintered at different temperatures were synthesized by the foam replica technique and seeded with DPSCs for up to 21 days. Scanning Electron Microscopy with associated Energy Dispersive Spectroscopy (SEM-EDS) was used to evaluate their ability to support the DPSCs’s attachment and proliferation, while the structure of the seeded scaffolds was investigated by X-Ray Diffraction Analysis (XRD). Zn-doped bioceramic scaffolds promoted the attachment and growth of human DPSCs, while identically fabricated scaffolds doped with Cu showed a cytotoxic behaviour, irrespective of the sintering temperature. A mineralized tissue with apatite-like structure was formed on both Cu-doped scaffolds and only on those Zn-doped scaffolds heat-treated at lower temperatures. Sol-gel derived Zn-doped scaffolds sintered at 890oC support DPSC growth and apatite-like tissue formation, which renders them as promising candidates towards dental tissue regeneration

Sol–gel synthesis and characterization of ysz nanofillers for dental cements at different temperatures

Background: Yttria-stabilized zirconia nanoparticles can be applied as fillers to improve the mechanical and antibacterial properties of luting cement. The aim of this study was to synthesize yttria-stabilized zirconia nanoparticles by the sol–gel method and to investigate their composition, structure, morphology and biological properties. Methods: Nanopowders of ZrO2 7 wt% Y2O3 (nY-ZrO) were synthesized by the sol–gel method and were sintered at three different tempera-tures: 800, 1000 and 1200◦C, and their composition, size and morphology were investigated. The biocompatibility was investigated with human gingival fibroblasts (hGFs), while reactive oxygen species (ROS) production was evaluated through fluorescence analysis. Results: All synthesized materials were composed of tetragonal zirconia, while nanopowders sintered at 800◦C and 1000◦C additionally contained 5 and 20 wt% of the cubic phase. By increasing the calcination temperature, the crystalline size of the nanoparticles increased from 12.1 nm for nY-ZrO800 to 47.2 nm for nY-ZrO1200. Nano-sized particles with good dispersion and low agglomeration were received. Cell culture studies with human gingival fibroblasts verified the nanopowders’ biocompatibility and their ROS scavenging activity. Conclusions: the obtained sol–gel derived nanopowders showed suitable properties to be potentially used as nanofillers for dental luting cement. © 2021 by the authors. Licensee MDPI, Basel, Switzerland

International Survey

No abstract available

Improver International Survey

In recent years, the concept of resilience started to dominate strategic, operational as well as political domains of modern societies. Living in highly interconnected environment, where layers of infrastructures, people and economic interests interact creating both opportunities and vulnerabilities, different countries around the world turned towards resilience practices to reduce vulnerability of their critical infrastructures and societies. However, how can one implement resilience concepts without a comprehensive understanding of the concept itself? Focusing on the concept and practice of critical infrastructure resilience, this report provides a comprehensive overview of the existing scientific literature regarding the concept of resilience in general. It discusses the development of the concept of resilience and its application in societal, economic, ecological, organisational and critical infrastructure domains. The report provides an extensive discussion on the definition of resilience concepts, as well as information on scientific endeavours to implement and measure concepts of resilience. The report also contains detailed information on the definitions and implementation of the concepts of resilience in different continents, namely Europe, Africa, Asia, Oceania, North America and South America. Focusing on the concept of critical infrastructure resilience, it provides an overview of the existing official concepts of resilience, implementation tools, and general practices aimed at increasing organisational, societal, economic and technical resilience in different countries. To collect all the information, the IMPROVER consortium performed an extensive literature review on the use of resilience concepts. We also held a workshop with the associate partners, and conducted a set of personal interviews with critical infrastructure operators and resilience experts around the Europe. While conducting a number of case studies in different continents, we analysed existing region and state-level documents, and reports