105 research outputs found
Anomaly detection and virtual reality visualisation in supercomputers
Anomaly detection is the identification of events or observations that deviate from the expected behaviour of a given set of data. Its main application is the prediction of possible technical failures. In particular, anomaly detection on supercomputers is a difficult problem to solve due to the large scale of the systems and the large number of components. Most research works in this field employ machine learning methods and regression models in a supervised fashion, which implies the need for a large amount of labelled data to train such systems. This work proposes the use of autoencoder models, allowing the problem to be approached with semi-supervised learning techniques. Two different model training approaches are compared. The former is a model trained with data from all the nodes of a supercomputer. In the latter approach, observing significant differences between nodes, one model is trained for each node. The results are analysed by evaluating the positive and negative aspects of each approach. On the other hand, a replica of the Marconi 100 supercomputer is developed in a virtual reality environment that allows the data from each node to be visualised at the same time.Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. We would like to thank “A way of making Europe” European Regional Development Fund (ERDF) and MCIN/AEI/10.13039/501100011033 for supporting this work under the MoDeaAS project (grant PID2019-104818RB-I00). Furthermore, we would like to thank the University of Skövde and to ASSAR Innovation Arena for their support to develop this work
Percepción de los adolescentes y profesores sobre la educación sexual en Chile 2011 - 2021
Objective: To analyze the perceptions of the main actors on sexuality education in Chile 2011-2021.
Methodology: A narrative review was conducted in databases such as Ebsco Host, Dialnet plus, Scielo, Lilacs. A total of 23 articles met the inclusion criteria.
Results: Adolescents claim that the sex education they receive in schools is very basic and focused on biological and genital aspects, and that it also leaves out aspects that are fundamental for them. Teachers indicate that they do not feel optimally prepared to educate on sexuality, highlighting a very basic training, and state that one of the needs is to work on sex education from the first grades with the students.
Conclusion: It is necessary to implement a specific law on comprehensive sexuality education, with a biopsychosocial approach, which takes into account the needs of the main actors. Furthermore, it should be provided from preschool to high school in order to avoid the violation of sexual and reproductive rights, which represent a fundamental human right.Objetivo: Analizar las percepciones de los principales actores sobre la educación sexual en Chile 2011-2021.
Metodología: Se realizó una revisión de tipo narrativa en bases de datos como Ebsco Host, Dialnet plus, Scielo, Lilacs. En total 23 artículos fueron los que cumplieron con los criterios de inclusión.
Resultados: Los adolescentes, sostienen que la educación sexual que reciben en las escuelas es muy básica y centrada en aspectos biológicos y genitales y que además deja fuera aspectos que para ellos son fundamentales. Los docentes indican que no se sienten óptimamente preparados para educar en sexualidad, destacando una formación muy básica y se manifiesta que una de las necesidades es la de trabajar la educación sexual desde los primeros cursos con los estudiantes.
Conclusión: Es necesario implementar una ley específica sobre educación sexual integral, con enfoque biopsicosocial, que contemple las necesidades de los principales actores. Además, esta debería impartirse desde etapas preescolares hasta la enseñanza media para evitar la vulneración de los Derechos Sexuales y Reproductivos que representan un Derecho Humano fundamental
Effect of a single nutritional intervention previous to a critical period of fat gain in university students with overweight and obesity: A randomized controlled trial
Indexación: ScopusBackground: the present study aimed to investigate the effects of a single nutritional preventive session previous to a critical period linked to fat gain in university students with overweightness and obesity, emulating a nutritional session of a public health system. Methods: In this single-blind randomized controlled trial, 23 students met all the criteria to be included (20.91 ± 2.52-year-old; 52.2% women) who were divided into two groups: intervention group (IG) and control group (CG). Fat mass (FM) by dual-energy X-ray absorptiometry (DXA), physical activity by accelerometry, feeding evaluation through three questionnaires, and a set of healthy lifestyle recommendations were evaluated before and after the national holidays (NH). Results: Our findings showed that FM increased significantly in the CG, but not in the IG (CG = 428.1g; IG = 321.9g; ∆ = 106.2g; p = 0.654 [95% CI = −379.57, 591.92]). However, no differences were found during the NH between them (Hedges’ g effect size = 0.19; p = 0.654). In addition, no statistical differences were observed between groups in feeding evaluations, the set of recommendations performed, and physical activity. Conclusion: a single preventive session before a critical period, using a similar counselling approach as used in the public health system, might not be enough to promote changes in eating and physical activity patterns and preventing fat gain in overweight/obese university students. Long-term interventions are a must. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.https://www.mdpi.com/1660-4601/17/14/514
Effectiveness and safety of obeticholic acid in a Southern European multicenter cohort of patients with primary biliary cholangitis and suboptimal response to ursodeoxycholic acid
Background
Obeticholic acid (OCA) was recently approved as the only on-label alternative for patients with primary biliary cholangitis (PBC) with intolerance or suboptimal response to ursodeoxycholic acid (UDCA). However, few data are available outside clinical trials.
Aim
To assess the effectiveness and safety of OCA in a real-world cohort of patients with non-effective UDCA therapy.
Methods
Open-label, prospective, real-world, multicentre study, enrolling consecutive patients who did not meet Paris II criteria, from 18 institutions in Spain and Portugal. Effectiveness was assessed by the changes in GLOBE and UK-PBC scores from baseline. POISE and Paris II criteria were evaluated after 12 months of OCA . Liver fibrosis was evaluated by FIB-4 and AST to platelet ratio index (APRI).
Results
One hundred and twenty patients were eligible, median time since PBC diagnosis 9.3 (4.0-13.8) years, 21.7% had cirrhosis, and 26.7% received had previous or concomitant treatment with fibrates. Seventy-eight patients completed at least 1 year of OCA. The Globe-PBC score decreased to 0.17 (95% CI 0.05 to 0.28; P = 0.005) and the UK-PBC score decreased to 0.81 (95% CI -0.19 to 1.80; P = 0.11). There was a significant decrease in alkaline phosphatase of 81.3 U/L (95% CI 42.5 to 120; P < 0.001), ALT 22.1 U/L (95% CI 10.4 to 33.8; P < 0.001) and bilirubin 0.12 mg/dL (95% CI 0 to 0.24; P = 0.044). FIB-4 and APRI remained stable. According to the POISE criteria, 29.5% (23 out of 78) achieved response. The adverse events rate was 35%; 11.67% discontinued (8.3% due to pruritus).
Conclusions
This study supports data from phase III trials with significant improvement of PBC-Globe continuous prognostic marker score among OCA-treated patients with good tolerability
Evaluación de la implantación transversal de 2º del grado en Ingeniería Multimedia
En el curso docente 2010-2011 se inició la implantación del grado en Ingeniería Multimedia, título próximo a la Ingeniería Informática, pero enfocada a formar a profesionales capaces de gestionar proyectos Multimedia tanto en el ámbito del ocio como en el de la gestión de contenidos en redes de información. Esta implantación ha sido progresiva, de manera que cada año se iniciaba un curso nuevo de esta titulación, motivo por el cual este año, 2014-2015, es el primer año en el que el título está completamente implantado desde el inicio del curso. Esto nos ha llevado a plantearnos realizar un estudio sobre como están interconectadas las asignaturas en los distintos cursos. Este estudio ha tenido como objetivo averiguar los problemas o carencias de conocimientos que, por un lado tienen los alumnos en 2º curso, y por otro los que se pueden encontrar en 3º, así como establecer las posibles vías de solución a estos problemas, con la finalidad de mejorar el rendimiento en el aprendizaje de los alumnos. También se ha realizado un seguimiento sobre la evaluación de los alumnos realizada en las asignaturas de 2º para contrastar su adecuación al sistema de evaluación continua promovido por el Plan Bolonia
Estudio y planificación de contenidos, materiales y metodologías docentes según el EEES: Segundo Curso de Ingeniería Multimedia
En esta memoria se describe el proyecto llevado para establecer los mecanismos y procedimientos para el seguimiento y control de calidad de las asignaturas del segundo curso del Grado en Ingeniería Multimedia, curso 2013/2014. En concreto, los mecanismos de control se centran en la planificación de las sesiones docentes y las actividades de evaluación llevadas a cabo en cada una de dichas asignaturas
Development and Validation of Hepamet Fibrosis Scoring System-a Simple, Non-invasive Test to Identify Patients With Nonalcoholic Fatty liver Disease With Advanced Fibrosis
BACKGROUND & AIMS: Fibrosis affects prognoses for patients with nonalcoholic fatty liver disease (NAFLD). Several non-invasive scoring systems have aimed to identify patients at risk for advanced fibrosis, but inconclusive results and variations in features of patients (diabetes, obesity and older age) reduce their diagnostic accuracy. We sought to develop a scoring system based on serum markers to identify patients with NAFLD at risk for advanced fibrosis.
METHODS: We collected data from 2452 patients with NAFLD at medical centers in Italy, France, Cuba, and China. We developed the Hepamet fibrosis scoring system using demographic, anthropometric, and laboratory test data, collected at time of liver biopsy, from a training cohort of patients from Spain (n=768) and validated the system using patients from Cuba (n=344), Italy (n=288), France (n=830), and China (n=232). Hepamet fibrosis score (HFS) were compared with those of previously developed fibrosis scoring systems (the NAFLD fibrosis score [NFS] and FIB-4). The diagnostic accuracy of the Hepamet fibrosis scoring system was assessed based on area under the receiver operating characteristic (AUROC) curve, sensitivity, specificity, diagnostic odds ratio, and positive and negative predictive values and likelihood ratios.
RESULTS: Variables used to determine HFS were patient sex, age, homeostatic model assessment score, presence of diabetes, levels of aspartate aminotransferase, and albumin, and platelet counts; these were independently associated with advanced fibrosis. HFS discriminated between patients with and without advanced fibrosis with an AUROC curve value of 0.85 whereas NFS or FIB-4 did so with AUROC values of 0.80 (P=.0001). In the validation set, cut-off HFS of 0.12 and 0.47 identified patients with and without advanced fibrosis with 97.2% specificity, 74% sensitivity, a 92% negative predictive value, a 76.3% positive predictive value, a 13.22 positive likelihood ratio, and a 0.31 negative likelihood ratio. HFS were not affected by patient age, body mass index, hypertransaminasemia, or diabetes. The Hepamet fibrosis scoring system had the greatest net benefit in identifying patients who should undergo liver biopsy analysis and led to significant improvements in reclassification, reducing the number of patients with undetermined results to 20% from 30% for the FIB-4 and NFS systems (P<.05).
CONCLUSIONS: Using clinical and laboratory data from patients with NAFLD, we developed and validated the Hepamet fibrosis scoring system, which identified patients with advanced fibrosis with greater accuracy than the FIB-4 and NFS systems. the Hepamet system provides a greater net benefit for the decision-making process to identify patients who should undergo liver biopsy analysis
Effectiveness and safety of first-generation protease inhibitors in clinical practice: Hepatitis C virus patients with advanced fibrosis
AIM: To evaluates the effectiveness and safety of the first generation, NS3/4A protease inhibitors (PIs) in clinical practice against chronic C virus, especially in patients with advanced fibrosis.
METHODS: Prospective study and non-experimental analysis of a multicentre cohort of 38 Spanish hospitals that includes patients with chronic hepatitis C genotype 1, treatment-nai¨ve (TN) or treatment-experienced (TE),
who underwent triple therapy with the first generation NS3/4A protease inhibitors, boceprevir (BOC) and telaprevir (TVR), in combination with pegylated interferon and ribavirin. The patients were treatment in routine practice settings. Data on the study population and on adverse clinical and virologic effects were compiled during the treatment period and during follow up.
RESULTS: One thousand and fifty seven patients were included, 405 (38%) were treated with BOC and 652 (62%) with TVR. Of this total, 30% (n = 319) were TN and the remaining were TE: 28% (n = 298) relapsers, 12% (n = 123) partial responders (PR), 25% (n = 260) null-responders (NR) and for 5% (n = 57) with prior response unknown. The rate of sustained virologic response (SVR) by intention-to-treatment (ITT) was greater in those treated with TVR (65%) than in those treated with BOC (52%) (P < 0.0001), whereas by modified intention-to-treatment (mITT) no were found significant differences. By degree of fibrosis, 56% of patients were F4 and the highest SVR rates were recorded in the non-F4 patients, both TN and TE. In the analysis by groups, the TN patients treated with TVR by ITT showed a higher SVR (P = 0.005). However, by mITT there were no significant differences between BOC and TVR. In the multivariate analysis by mITT, the significant SVR factors were relapsers, IL28B CC and non-F4; the type of treatment (BOC or TVR) was not significant. The lowest SVR values were presented by the F4-NR patients, treated with BOC (46%) or with TVR (45%). 28% of the patients interrupted the treatment, mainly by non-viral response (51%): this outcome was more frequent in the TE than in the TN patients (57% vs 40%, P = 0.01). With respect to severe haematological disorders, neutropaenia was more likely to affect the patients treated with BOC (33% vs 20%, P = 0.0001), and thrombocytopaenia and anaemia, the F4 patients (P = 0.000, P = 0.025, respectively).
CONCLUSION: In a real clinical practice setting with a high proportion of patients with advanced fibrosis, effectiveness of first-generation PIs was high except for NR patients, with similar SVR rates being achieved by BOC and TVR
Toward sustainable environmental quality: Identifying priority research questions for Latin America
The Global Horizon Scanning Project (GHSP) is an innovative initiative that aims to identify important global environmental quality research needs. Here we report 20 key research questionsfrom LatinAmerica (LA).Members of the Society of Environmental Toxicology and Chemistry (SETAC) LA and other scientistsfrom LA were asked to submit research questions that would represent priority needs to address in the region. One hundred questions were received, then partitioned among categories, examined, and some rearranged during a workshop in Buenos Aires,Argentina. Twenty priority research questions were subsequently identified. These research questions included developing, improving, and harmonizing across LA countries methods for 1) identifying contaminants and degradation products in complex matrices (including biota); 2) advancing prediction of contaminant risks and effects in ecosystems, addressing lab-to-field extrapolation challenges, and understanding complexities of multiple stressors (including chemicals and climate change); and 3) improving management and regulatory tools toward achieving sustainable development. Whereas environmental contaminants frequently identified in these key questions were pesticides, pharmaceuticals, endocrine disruptors or modulators, plastics, and nanomaterials, commonly identified environmental challenges were related to agriculture, urban effluents, solid wastes, pulp and paper mills, and natural extraction activities. Several interesting research topics included assessing and preventing pollution impacts on conservation protected areas, integrating environment and health assessments, and developing strategiesfor identification, substitution, and design of less hazardous chemicals (e.g., green chemistry). Finally, a recurrent research need included developing an understanding of differential sensitivity of regional species and ecosystems to environmental contaminants and other stressors. Addressing these critical questions will support development of long-term strategic research efforts to advance more sustainable environmental quality and protect public health and the environment in LA.Centro de Investigaciones del Medioambient
Immunity and vaccine development efforts against Trypanosoma cruzi
Artículo de revisión especializadoTrypanosoma cruzi (T. cruzi) is the causative agent for Chagas disease (CD). There is a critical lack of methods for prevention of infection or treatment of acute infection and chronic disease. Studies in experimental models have suggested that the protective immunity against T. cruzi infection requires the elicitation of Th1 cytokines, lytic antibodies and the concerted activities of macrophages, T helper cells, and cytotoxic T lymphocytes (CTLs). In this review, we summarize the research efforts in vaccine development to date and the challenges faced in achieving an efficient prophylactic or therapeutic vaccine against human CD.UTM
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