Distribuição de serviço docente : back e front office web

Mestrado em Engenharia de Computadores e TelemáticaA evolução social conduziu a um forte desenvolvimento de novos conceitos e à necessidade de aquisição de conhecimento, reflectindo-se essencialmente no aumento da informação e na necessidade de formação individual. Assim, o número de alunos nas instituições universitárias aumentou consideravelmente, surgindo mais cursos e consequentemente a necessidade de mais docentes. Neste contexto, a complexidade e o número de tarefas necessárias para organizar as instituições universitárias também cresceu, tornando mais complicada a realização de todos os procedimentos internos sem o auxílio de ferramentas informáticas. O DETI (Departamento de Electrónica, Telecomunicações e Informática da Universidade de Aveiro) não foi excepção e começou a desenvolver aplicações capazes de suportar a sua organização interna. No entanto, a alta descentralização e a incoerência dos dados são factores presentes, tornando-se essencial o desenvolvimento de uma ferramenta capaz de centralizar e lidar com grande parte das tarefas executadas no departamento, auxiliando a distribuição de serviço docente. Este documento começa com o estudo detalhado do contexto onde a ferramenta desenvolvida será utilizada, definindo a base tecnológica mais apropriada. Posteriormente, é realizada uma análise cuidadosa de todas as tarefas que farão parte da aplicação, permitindo a definição do modelo do domínio, a base estrutural de toda a plataforma. Para permitir a interacção com os utilizadores, foram desenvolvidas interfaces Web inteligentes que tornam a execução dos procedimentos mais dinâmica e fácil. As soluções da plataforma foram testadas em serviço com utilizadores reais e processos reais realizados no DETI. Como consequência, a manutenção também foi um factor a tomar em conta. Toda a plataforma foi desenvolvida a pensar em futuras evoluções. Através da centralização de informação e da suportada extensibilidade das suas funcionalidades, abre as portas para a elaboração de um conjunto de tarefas que prometem trazer valor acrescentado à organização interna dos departamentos universitários. ABSTRACT: The social evolution conducted to a strong development of new concepts and knowledge requirements, which was mainly reflected in increased information and educational needs. So, the number of students on the educational institutions as grown, emerging more majors and consequently the need of more professors. In this context, the complexity and the number of tasks needed to organize the educational institutions increased, becoming very hard its arrangement without the support of informatic tools. DETI (Department of Electronics, Telecommunications and Informatics of University of Aveiro) was not an exception and started to develop applications capable of supporting organization. However, the high decentralization and incoherence of data are still present factors. Thus, the need to develop a platform capable of centralizing and dealing with most of the running tasks inside a department of a university appeared, helping the teaching distribution service. The work begins with a detailed study about the context where the developed tool will be used by defining the more appropriate technological base architecture. Furthermore, it is performed a careful analysis of all the tasks that will be part of the application in order to enable the definition of the domain model, the structural base of the whole platform. To allow the interactions with the users, intelligent Web interfaces were developed making the execution of procedures more dynamic and easy. The platform solutions were tested in-service with real users and timelines of processes running at DETI. As a consequence, the maintenance was also taken into account. The platform was developed keeping future evolutions in mind. Due to the centralization and supported extensibility of its functionalities, it opens the doors to the elaboration of a set of tasks that promise added value to the internal organization of the departments in a university

Mineração de informação biomédica a partir de literatura científica

Doutoramento conjunto MAP-iThe rapid evolution and proliferation of a world-wide computerized network, the Internet, resulted in an overwhelming and constantly growing amount of publicly available data and information, a fact that was also verified in biomedicine. However, the lack of structure of textual data inhibits its direct processing by computational solutions. Information extraction is the task of text mining that intends to automatically collect information from unstructured text data sources. The goal of the work described in this thesis was to build innovative solutions for biomedical information extraction from scientific literature, through the development of simple software artifacts for developers and biocurators, delivering more accurate, usable and faster results. We started by tackling named entity recognition - a crucial initial task - with the development of Gimli, a machine-learning-based solution that follows an incremental approach to optimize extracted linguistic characteristics for each concept type. Afterwards, Totum was built to harmonize concept names provided by heterogeneous systems, delivering a robust solution with improved performance results. Such approach takes advantage of heterogenous corpora to deliver cross-corpus harmonization that is not constrained to specific characteristics. Since previous solutions do not provide links to knowledge bases, Neji was built to streamline the development of complex and custom solutions for biomedical concept name recognition and normalization. This was achieved through a modular and flexible framework focused on speed and performance, integrating a large amount of processing modules optimized for the biomedical domain. To offer on-demand heterogenous biomedical concept identification, we developed BeCAS, a web application, service and widget. We also tackled relation mining by developing TrigNER, a machine-learning-based solution for biomedical event trigger recognition, which applies an automatic algorithm to obtain the best linguistic features and model parameters for each event type. Finally, in order to assist biocurators, Egas was developed to support rapid, interactive and real-time collaborative curation of biomedical documents, through manual and automatic in-line annotation of concepts and relations. Overall, the research work presented in this thesis contributed to a more accurate update of current biomedical knowledge bases, towards improved hypothesis generation and knowledge discovery.A rápida evolução e proliferação de uma rede mundial de computadores, a Internet, resultou num esmagador e constante crescimento na quantidade de dados e informação publicamente disponíveis, o que também se verificou na biomedicina. No entanto, a inexistência de estrutura em dados textuais inibe o seu processamento direto por parte de soluções informatizadas. Extração de informação é a tarefa de mineração de texto que pretende extrair automaticamente informação de fontes de dados de texto não estruturados. O objetivo do trabalho descrito nesta tese foi essencialmente focado em construir soluções inovadoras para extração de informação biomédica a partir da literatura científica, através do desenvolvimento de aplicações simples de usar por programadores e bio-curadores, capazes de fornecer resultados mais precisos, usáveis e de forma mais rápida. Começámos por abordar o reconhecimento de nomes de conceitos - uma tarefa inicial e fundamental - com o desenvolvimento de Gimli, uma solução baseada em inteligência artificial que aplica uma estratégia incremental para otimizar as características linguísticas extraídas do texto para cada tipo de conceito. Posteriormente, Totum foi implementado para harmonizar nomes de conceitos provenientes de sistemas heterogéneos, oferecendo uma solução mais robusta e com melhores resultados. Esta aproximação recorre a informação contida em corpora heterogéneos para disponibilizar uma solução não restrita às característica de um único corpus. Uma vez que as soluções anteriores não oferecem ligação dos nomes a bases de conhecimento, Neji foi construído para facilitar o desenvolvimento de soluções complexas e personalizadas para o reconhecimento de conceitos nomeados e respectiva normalização. Isto foi conseguido através de uma plataforma modular e flexível focada em rapidez e desempenho, integrando um vasto conjunto de módulos de processamento optimizados para o domínio biomédico. De forma a disponibilizar identificação de conceitos biomédicos em tempo real, BeCAS foi desenvolvido para oferecer um serviço, aplicação e widget Web. A extracção de relações entre conceitos também foi abordada através do desenvolvimento de TrigNER, uma solução baseada em inteligência artificial para o reconhecimento de palavras que desencadeiam a ocorrência de eventos biomédicos. Esta ferramenta aplica um algoritmo automático para encontrar as melhores características linguísticas e parâmetros para cada tipo de evento. Finalmente, de forma a auxiliar o trabalho de bio-curadores, Egas foi desenvolvido para suportar a anotação rápida, interactiva e colaborativa em tempo real de documentos biomédicos, através da anotação manual e automática de conceitos e relações de forma contextualizada. Resumindo, este trabalho contribuiu para a actualização mais precisa das actuais bases de conhecimento, auxiliando a formulação de hipóteses e a descoberta de novo conhecimento

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Impact of the COVID-19 pandemic on patients with paediatric cancer in low-income, middle-income and high-income countries: a multicentre, international, observational cohort study

OBJECTIVES: Paediatric cancer is a leading cause of death for children. Children in low-income and middle-income countries (LMICs) were four times more likely to die than children in high-income countries (HICs). This study aimed to test the hypothesis that the COVID-19 pandemic had affected the delivery of healthcare services worldwide, and exacerbated the disparity in paediatric cancer outcomes between LMICs and HICs. DESIGN: A multicentre, international, collaborative cohort study. SETTING: 91 hospitals and cancer centres in 39 countries providing cancer treatment to paediatric patients between March and December 2020. PARTICIPANTS: Patients were included if they were under the age of 18 years, and newly diagnosed with or undergoing active cancer treatment for Acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, Wilms' tumour, sarcoma, retinoblastoma, gliomas, medulloblastomas or neuroblastomas, in keeping with the WHO Global Initiative for Childhood Cancer. MAIN OUTCOME MEASURE: All-cause mortality at 30 days and 90 days. RESULTS: 1660 patients were recruited. 219 children had changes to their treatment due to the pandemic. Patients in LMICs were primarily affected (n=182/219, 83.1%). Relative to patients with paediatric cancer in HICs, patients with paediatric cancer in LMICs had 12.1 (95% CI 2.93 to 50.3) and 7.9 (95% CI 3.2 to 19.7) times the odds of death at 30 days and 90 days, respectively, after presentation during the COVID-19 pandemic (p<0.001). After adjusting for confounders, patients with paediatric cancer in LMICs had 15.6 (95% CI 3.7 to 65.8) times the odds of death at 30 days (p<0.001). CONCLUSIONS: The COVID-19 pandemic has affected paediatric oncology service provision. It has disproportionately affected patients in LMICs, highlighting and compounding existing disparities in healthcare systems globally that need addressing urgently. However, many patients with paediatric cancer continued to receive their normal standard of care. This speaks to the adaptability and resilience of healthcare systems and healthcare workers globally

Management of coronary disease in patients with advanced kidney disease

BACKGROUND Clinical trials that have assessed the effect of revascularization in patients with stable coronary disease have routinely excluded those with advanced chronic kidney disease. METHODS We randomly assigned 777 patients with advanced kidney disease and moderate or severe ischemia on stress testing to be treated with an initial invasive strategy consisting of coronary angiography and revascularization (if appropriate) added to medical therapy or an initial conservative strategy consisting of medical therapy alone and angiography reserved for those in whom medical therapy had failed. The primary outcome was a composite of death or nonfatal myocardial infarction. A key secondary outcome was a composite of death, nonfatal myocardial infarction, or hospitalization for unstable angina, heart failure, or resuscitated cardiac arrest. RESULTS At a median follow-up of 2.2 years, a primary outcome event had occurred in 123 patients in the invasive-strategy group and in 129 patients in the conservative-strategy group (estimated 3-year event rate, 36.4% vs. 36.7%; adjusted hazard ratio, 1.01; 95% confidence interval [CI], 0.79 to 1.29; P=0.95). Results for the key secondary outcome were similar (38.5% vs. 39.7%; hazard ratio, 1.01; 95% CI, 0.79 to 1.29). The invasive strategy was associated with a higher incidence of stroke than the conservative strategy (hazard ratio, 3.76; 95% CI, 1.52 to 9.32; P=0.004) and with a higher incidence of death or initiation of dialysis (hazard ratio, 1.48; 95% CI, 1.04 to 2.11; P=0.03). CONCLUSIONS Among patients with stable coronary disease, advanced chronic kidney disease, and moderate or severe ischemia, we did not find evidence that an initial invasive strategy, as compared with an initial conservative strategy, reduced the risk of death or nonfatal myocardial infarction

Health status after invasive or conservative care in coronary and advanced kidney disease

BACKGROUND In the ISCHEMIA-CKD trial, the primary analysis showed no significant difference in the risk of death or myocardial infarction with initial angiography and revascularization plus guideline-based medical therapy (invasive strategy) as compared with guideline-based medical therapy alone (conservative strategy) in participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease (an estimated glomerular filtration rate of &lt;30 ml per minute per 1.73 m2 or receipt of dialysis). A secondary objective of the trial was to assess angina-related health status. METHODS We assessed health status with the Seattle Angina Questionnaire (SAQ) before randomization and at 1.5, 3, and 6 months and every 6 months thereafter. The primary outcome of this analysis was the SAQ Summary score (ranging from 0 to 100, with higher scores indicating less frequent angina and better function and quality of life). Mixed-effects cumulative probability models within a Bayesian framework were used to estimate the treatment effect with the invasive strategy. RESULTS Health status was assessed in 705 of 777 participants. Nearly half the participants (49%) had had no angina during the month before randomization. At 3 months, the estimated mean difference between the invasive-strategy group and the conservative-strategy group in the SAQ Summary score was 2.1 points (95% credible interval, 120.4 to 4.6), a result that favored the invasive strategy. The mean difference in score at 3 months was largest among participants with daily or weekly angina at baseline (10.1 points; 95% credible interval, 0.0 to 19.9), smaller among those with monthly angina at baseline (2.2 points; 95% credible interval, 122.0 to 6.2), and nearly absent among those without angina at baseline (0.6 points; 95% credible interval, 121.9 to 3.3). By 6 months, the between-group difference in the overall trial population was attenuated (0.5 points; 95% credible interval, 122.2 to 3.4). CONCLUSIONS Participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease did not have substantial or sustained benefits with regard to angina-related health status with an initially invasive strategy as compared with a conservative strategy

The risk of COVID-19 death is much greater and age dependent with type I IFN autoantibodies

International audienceSignificance There is growing evidence that preexisting autoantibodies neutralizing type I interferons (IFNs) are strong determinants of life-threatening COVID-19 pneumonia. It is important to estimate their quantitative impact on COVID-19 mortality upon SARS-CoV-2 infection, by age and sex, as both the prevalence of these autoantibodies and the risk of COVID-19 death increase with age and are higher in men. Using an unvaccinated sample of 1,261 deceased patients and 34,159 individuals from the general population, we found that autoantibodies against type I IFNs strongly increased the SARS-CoV-2 infection fatality rate at all ages, in both men and women. Autoantibodies against type I IFNs are strong and common predictors of life-threatening COVID-19. Testing for these autoantibodies should be considered in the general population

The risk of COVID-19 death is much greater and age dependent with type I IFN autoantibodies

International audienceSignificance There is growing evidence that preexisting autoantibodies neutralizing type I interferons (IFNs) are strong determinants of life-threatening COVID-19 pneumonia. It is important to estimate their quantitative impact on COVID-19 mortality upon SARS-CoV-2 infection, by age and sex, as both the prevalence of these autoantibodies and the risk of COVID-19 death increase with age and are higher in men. Using an unvaccinated sample of 1,261 deceased patients and 34,159 individuals from the general population, we found that autoantibodies against type I IFNs strongly increased the SARS-CoV-2 infection fatality rate at all ages, in both men and women. Autoantibodies against type I IFNs are strong and common predictors of life-threatening COVID-19. Testing for these autoantibodies should be considered in the general population