Optimized Fundamental Signal Processing Operations for Energy Minimization on Heterogeneous Mobile Devices

[EN] Numerous signal processing applications are emerging on both mobile and high-performance computing systems. These applications are subject to responsiveness constraints for user interactivity and, at the same time, must be optimized for energy efficiency. The increasingly heterogeneous power-versus-performance profile of modern hardware introduces new opportunities for energy savings as well as challenges. In this line, recent systems-on-chip (SoC) composed of low-power multicore processors, combined with a small graphics accelerator (or GPU), yield a notable increment of the computational capacity while partially retaining the appealing low power consumption of embedded systems. This paper analyzes the potential of these new hardware systems to accelerate applications that involve a large number of floating-point arithmetic operations mainly in the form of convolutions. To assess the performance, a headphone-based spatial audio application for mobile devices based on a Samsung Exynos 5422 SoC has been developed. We discuss different implementations and analyze the tradeoffs between performance and energy efficiency for different scenarios and configurations. Our experimental results reveal that we can extend the battery lifetime of a device featuring such an architecture by a 238% by properly configuring and leveraging the computational resources.This work was supported by the Spanish Ministerio de Economia y Competitividad projects under Grant TIN2014-53495-R and Grant TEC2015-67387-C4-1-R, in part by the University Project UJI-B2016-20, in part by the Project PROMETEOII/2014/003. The work of J. A. Belloch was supported by the GVA Post-Doctoral Contract under Grant APOSTD/2016/069. This paper was recommended by Associate Editor Y. Ha.Belloch Rodríguez, JA.; Badia Contelles, JM.; Igual Peña, FD.; Gonzalez, A.; Quintana Ortí, ES. (2017). Optimized Fundamental Signal Processing Operations for Energy Minimization on Heterogeneous Mobile Devices. IEEE Transactions on Circuits and Systems I Regular Papers. 65(5):1614-1627. https://doi.org/10.1109/TCSI.2017.2761909S1614162765

Valorización de Enel Distribución S.A.A.

En este trabajo de investigación realizado para optar por el grado académico de magíster, buscamos valorizar la empresa Enel Distribución Perú S. A. (en adelante, Enel, Enel Distribución, la empresa o la compañía), una entidad jurídica que opera en el Perú. La empresa se dedica principalmente a la distribución de energía eléctrica. Tiene una concesión para distribuir energía eléctrica en 52 distritos en Lima

On the performance of a GPU-based SoC in a distributed spatial audio system

[EN] Many current system-on-chip (SoC) devices are composed of low-power multicore processors combined with a small graphics accelerator (or GPU) offering a trade-off between computational capacity and low-power consumption. In this context, spatial audio methods such as wave field synthesis (WFS) can benefit from a distributed system composed of several SoCs that collaborate to tackle the high computational cost of rendering virtual sound sources. This paper aims at evaluating important aspects dealing with a distributed WFS implementation that runs over a network of Jetson Nano boards composed of embedded GPU-based SoCs: computational performance, energy efficiency, and synchronization issues. Our results show that the maximum efficiency is obtained when the WFS system operates the GPU frequency at 691.2 MHz, achieving 11 sources-per-Watt. Synchronization experiments using the NTP protocol show that the maximum initial delay of 10 ms between nodes does not prevent us from achieving high spatial sound quality.This work has been supported by the Spanish Government through TIN2017-82972-R, ESP2015-68245-C4-1-P, the Valencian Regional Government through PROMETEO/2019/109 and the Universitat Jaume I through UJI-B2019-36.Belloch, JA.; Badía, JM.; Larios, DF.; Personal, E.; Ferrer Contreras, M.; Fuster Criado, L.; Lupoiu, M.... (2021). On the performance of a GPU-based SoC in a distributed spatial audio system. The Journal of Supercomputing (Online). 77(7):6920-6935. https://doi.org/10.1007/s11227-020-03577-46920693577

Co-option of Neutrophil Fates by Tissue Environments.

Classically considered short-lived and purely defensive leukocytes, neutrophils are unique in their fast and moldable response to stimulation. This plastic behavior may underlie variable and even antagonistic functions during inflammation or cancer, yet the full spectrum of neutrophil properties as they enter healthy tissues remains unexplored. Using a new model to track neutrophil fates, we found short but variable lifetimes across multiple tissues. Through analysis of the receptor, transcriptional, and chromatin accessibility landscapes, we identify varying neutrophil states and assign non-canonical functions, including vascular repair and hematopoietic homeostasis. Accordingly, depletion of neutrophils compromised angiogenesis during early age, genotoxic injury, and viral infection, and impaired hematopoietic recovery after irradiation. Neutrophils acquired these properties in target tissues, a process that, in the lungs, occurred in CXCL12-rich areas and relied on CXCR4. Our results reveal that tissues co-opt neutrophils en route for elimination to induce programs that support their physiological demands.This study was supported byIntramural grants from the Severo Ochoa program (IGP-SO), a grant from Fundacio la Marato de TV3 (120/C/2015-20153032), grant SAF2015-65607-R fromMinisterio de Ciencia e Innovacion (MICINN) with co-funding by Fondo Eu-ropeo de Desarrollo Regional (FEDER), RTI2018-095497-B-I00 from MICINN,HR17_00527 from Fundacion La Caixa, and Transatlantic Network of Excel-lence (TNE-18CVD04) from the Leducq Foundation to A.H. I.B. is supportedby fellowship MSCA-IF-EF-748381 and EMBO short-term fellowship 8261.A.R.-P. is supported by a fellowship (BES-2016-076635) and J.A.N.-A. byfellowship SVP-2014-068595 from MICINN. R.O. is supported by ERC startinggrant 759532, Italian Telethon Foundation SR-Tiget grant award F04, ItalianMoH grant GR-201602362156, AIRC MFAG 20247, Cariplo Foundation grant2015-0990, and the EU Infect-ERA 126. C.S. is supported by the SFB 1123,project A07, as well as by the DZHK (German Centre for Cardiovascular Research) and the BMBF (German Ministry of Education and Research) grant81Z0600204. L.G.N. is supported by SIgN core funding from A*STAR. The CNIC is supported by the MICINN and the Pro-CNIC Foundation and is a Severo Ochoa Center of Excellence (MICINN award SEV-2015-0505). G.F.-C. issupported by the Spanish Ministerio de Ciencia e Innovacio ́n (grantPID2019-110895RB-100) and Junta de Comunidades de Castilla-La Mancha(grant SBPLY/19/180501/000211). C.R. received funding from the BoehingerIngelheim Foundation (consortium grant ‘‘Novel and Neglected CardiovascularRisk Factors’’) and German Federal Ministry of Education and Research(BMBF 01EO1503) and is a Fellow of the Gutenberg Research College (GFK)at the Johannes Gutenberg-University MainzS

Higher COVID-19 pneumonia risk associated with anti-IFN-α than with anti-IFN-ω auto-Abs in children

We found that 19 (10.4%) of 183 unvaccinated children hospitalized for COVID-19 pneumonia had autoantibodies (auto-Abs) neutralizing type I IFNs (IFN-alpha 2 in 10 patients: IFN-alpha 2 only in three, IFN-alpha 2 plus IFN-omega in five, and IFN-alpha 2, IFN-omega plus IFN-beta in two; IFN-omega only in nine patients). Seven children (3.8%) had Abs neutralizing at least 10 ng/ml of one IFN, whereas the other 12 (6.6%) had Abs neutralizing only 100 pg/ml. The auto-Abs neutralized both unglycosylated and glycosylated IFNs. We also detected auto-Abs neutralizing 100 pg/ml IFN-alpha 2 in 4 of 2,267 uninfected children (0.2%) and auto-Abs neutralizing IFN-omega in 45 children (2%). The odds ratios (ORs) for life-threatening COVID-19 pneumonia were, therefore, higher for auto-Abs neutralizing IFN-alpha 2 only (OR [95% CI] = 67.6 [5.7-9,196.6]) than for auto-Abs neutralizing IFN-. only (OR [95% CI] = 2.6 [1.2-5.3]). ORs were also higher for auto-Abs neutralizing high concentrations (OR [95% CI] = 12.9 [4.6-35.9]) than for those neutralizing low concentrations (OR [95% CI] = 5.5 [3.1-9.6]) of IFN-omega and/or IFN-alpha 2

CIBERER : Spanish national network for research on rare diseases: A highly productive collaborative initiative

Altres ajuts: Instituto de Salud Carlos III (ISCIII); Ministerio de Ciencia e Innovación.CIBER (Center for Biomedical Network Research; Centro de Investigación Biomédica En Red) is a public national consortium created in 2006 under the umbrella of the Spanish National Institute of Health Carlos III (ISCIII). This innovative research structure comprises 11 different specific areas dedicated to the main public health priorities in the National Health System. CIBERER, the thematic area of CIBER focused on rare diseases (RDs) currently consists of 75 research groups belonging to universities, research centers, and hospitals of the entire country. CIBERER's mission is to be a center prioritizing and favoring collaboration and cooperation between biomedical and clinical research groups, with special emphasis on the aspects of genetic, molecular, biochemical, and cellular research of RDs. This research is the basis for providing new tools for the diagnosis and therapy of low-prevalence diseases, in line with the International Rare Diseases Research Consortium (IRDiRC) objectives, thus favoring translational research between the scientific environment of the laboratory and the clinical setting of health centers. In this article, we intend to review CIBERER's 15-year journey and summarize the main results obtained in terms of internationalization, scientific production, contributions toward the discovery of new therapies and novel genes associated to diseases, cooperation with patients' associations and many other topics related to RD research

May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension

Aims Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. Methods and results Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. Conclusion May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk

Global variations in diabetes mellitus based on fasting glucose and haemogloblin A1c

Fasting plasma glucose (FPG) and haemoglobin A1c (HbA1c) are both used to diagnose diabetes, but may identify different people as having diabetes. We used data from 117 population-based studies and quantified, in different world regions, the prevalence of diagnosed diabetes, and whether those who were previously undiagnosed and detected as having diabetes in survey screening had elevated FPG, HbA1c, or both. We developed prediction equations for estimating the probability that a person without previously diagnosed diabetes, and at a specific level of FPG, had elevated HbA1c, and vice versa. The age-standardised proportion of diabetes that was previously undiagnosed, and detected in survey screening, ranged from 30% in the high-income western region to 66% in south Asia. Among those with screen-detected diabetes with either test, the agestandardised proportion who had elevated levels of both FPG and HbA1c was 29-39% across regions; the remainder had discordant elevation of FPG or HbA1c. In most low- and middle-income regions, isolated elevated HbA1c more common than isolated elevated FPG. In these regions, the use of FPG alone may delay diabetes diagnosis and underestimate diabetes prevalence. Our prediction equations help allocate finite resources for measuring HbA1c to reduce the global gap in diabetes diagnosis and surveillance.peer-reviewe

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Factores de riesgo asociados a mortalidad en pacientes adultos con neumonía por SARS- CoV-2 en un hospital público de Lima, Perú

ABSTRACT Objective: this study aimed to describe the main factors associated to mortality in a cohort of patients hospitalized with SARS-CoV-2 pneumonia in a public hospital in Lima, Peru. Materials and methods: this was a retrospective cohort study, with a non-random convenience sampling. Adult patients with confirmed/suspicious SARS-CoV-2 pneumonia with rapid and/ or molecular tests were included. Demographic, clinical, laboratory, tomographic and treatment variables were identified. Descriptive statistics, bivariate analysis, and Poisson regression techniques were used to determine the adjusted relative risk (aRR). Results: 122 patients were included, 70.5% were male, with a mean age of 55.8 years, with a history of obesity (25.4%) and high blood pressure (HBP, 13.1%). The multivariate analysis of clinical factors identified that age (aRR 1.03; 95% CI: 1,00- 1.06; p=0.021), body mass index (BMI; aRR 1.03; 95% CI: 1.01-1.05; p=0.006), HBP (aRR 1.68; 95% CI: 1.09-2.56; p=0.017), PaO2/FiO2 index (aRR 0.99; 95% CI: 0.99-1.00; p<0.001), exposure to lopinavir/ritonavir (LPV/r; aRR 0.83; 95% CI: 0.76-0.91; p <0.001), and systemic corticosteroids (aRR 1.18; 95% CI: 1.09-1.27; p<0.001) were significantly associated with mortality. Conclusions : Age, BMI, HBP, PaO2/FiO2 index, and exposure to corticosteroids and LPV/r were associated with mortality in our cohort of patients hospitalized with SARS-CoV-2 pneumonia.RESUMEN Objetivo: describir los principales factores asociados a la mortalidad en una cohorte de pacientes hospitalizados por neumonía por SARS-CoV-2 en un hospital público de Lima, Perú. Materiales y métodos: estudio de cohorte retrospectivo con muestreo no aleatorio por conveniencia. Se incluyó pacientes adultos con sospecha clínica o confirmados para SARS-CoV-2 con pruebas rápidas y/o moleculares. Se identificaron variables demográficas, clínicas, de laboratorio, tomográficas y de tratamiento. Se emplearon técnicas de estadística descriptiva, análisis bivariado y de regresión de Poisson para determinar el riesgo relativo (RR) ajustado. Resultados: se incluyó 122 pacientes, 70,5% del sexo masculino, edad promedio de 55,8 años, con antecedentes de obesidad (25,4%) e hipertensión arterial (HTA 13,1%). El análisis multivariado de los factores clínicos identificó que la edad (RR ajustado [RRa] 1,03; IC 95%: 1,00-1,06, p=0,021), el índice de masa corporal (IMC, RRa 1,03; IC 95%: 1,01-1,05; p=0,006), la HTA (RRa 1,68; IC 95%: 1,09-2,56; p=0,017), el índice de PaO2/FiO2 (RRa 0,99; IC 95%: 0,99-1,00; p<0,001), la exposición a lopinavir/ritonavir (RRa 0,83; IC 95%: 0,76-0,91; p<0,001), y corticoides sistémicos (RRa 1,18; IC 95%: 1,09-1,27; p<0,001) estuvieron asociados a la mortalidad de manera significativa. Conclusiones: la edad, IMC, HTA, índice PaO2/FiO2, y la exposición a corticoides y LPV/r estuvieron asociadas a la mortalidad en pacientes hospitalizados por neumonía por SARS-CoV-2