Flexibility markets to procure system services. CoordiNet project

The article describes the objectives of the CoordiNet project, the proposed coordination schemes and architecture to allow TSOs and DSOs to procure systems services in a coordinated manner, and the platforms being developed in the three demonstrators of the project (Spain, Sweden, Greece).The efficiency and reliability of electricity systems depend, among other aspects, on an efficient collaboration between the different market participants, which require updating the roles of all agents involved. The CoordiNet project, co-funded by the EU, intends to demonstrate how TSOs and DSOs can act in a coordinated manner, to purchase and activate system services, promote the cooperation of all actors and eliminate barriers for the active participation of DERs in the market. The results of the project will help to design scalable tools and methodologies for system operators and third parties to safely connect, manage and coordinate flexibility providers. This paper describes the developments in CoordiNet to ensure the interoperability of the different markets and platforms developed by TSOs and DSOs across Europe.European Commissions' H2020 under grant agreement No 824414

Patient and Provider Perspectives on How Trust Influences Maternal Vaccine Acceptance Among Pregnant Women in Kenya

Background Pregnant women and newborns are at high risk for infectious diseases. Altered immunity status during pregnancy and challenges fully vaccinating newborns contribute to this medical reality. Maternal immunization is a strategy to protect pregnant women and their newborns. This study aimed to find out how patient-provider relationships affect maternal vaccine uptake, particularly in the context of a lower middle- income country where limited research in this area exists. Methods We conducted semi-structured, in-depth narrative interviews of both providers and pregnant women from four sites in Kenya: Siaya, Nairobi, Mombasa, and Marsabit. Interviews were conducted in either English or one of the local regional languages. Results We found that patient trust in health care providers (HCPs) is integral to vaccine acceptance among pregnant women in Kenya. The HCP-patient relationship is a fiduciary one, whereby the patients’ trusts is primarily rooted in the provider’s social position as a person who is highly educated in matters of health. Furthermore, patient health education and provider attitudes are crucial for reinstating and fostering that trust, especially in cases where trust was impeded by rumors, community myths and misperceptions, and religious and cultural factors. Conclusion Patient trust in providers is a strong facilitator contributing to vaccine acceptance among pregnant women in Kenya. To maintain and increase immunization trust, providers have a critical role in cultivating a positive environment that allows for favorable interactions and patient health education. This includes educating providers on maternal immunizations and enhancing knowledge of effective risk communication tactics in clinical encounters

La Imagen y la Narrativa como Herramientas para el Abordaje Psicosocial en Escenarios de Violencia Departamentos de Nariño y Putumayo

El siguiente documento se presenta después de hacer un análisis de diferentes relatos cuyos protagonistas cuentan sus experiencias de violencia a causa del conflicto armado y del abandono del estado al que se han visto sometidos, esto ha ocasionado que se produzcan múltiples afectaciones psicosociales tanto a nivel personal, individual como colectivo dividiendo comunidades y acabando con sus culturas y tradiciones, por tal razón, se requiere la implementación de estrategias que atiendan dichas problemáticas a través de un acompañamiento psicosocial que dé cuenta de intervenciones individuales, familiares y comunitarias con el fin de empezar a reestructurar aquellos aspectos que se vieron afectados y quebrantados como la libertad de expresión, de emociones y de sentimientos, de igual manera el restablecimiento de derechos vulnerados como el derecho a vivir dignamente, a tener una alimentación, una familia, etc. Se busca que las víctimas encuentren nuevamente el camino a través de la resiliencia en medio de los hechos traumáticos que han tenido que padecer. Una de las herramientas más efectivas que se puede usar es la de la narrativa explorándola desde interrogantes estratégicos, circulares y reflexivos que permiten recopilar la información necesaria para entablar acciones psicosociales que se puedan trabajar en pro de la comunidad. La herramienta foto voz es utilizada para dar a conocer los diferentes hechos de violencia a los que han tenido que someterse las distintas regiones del país, evidencia la cantidad de problemáticas que han quedo a su paso, a través de esta técnica, es posible enmarcar estas experiencias teniendo siempre presente la memoria de los pueblos y comunidades a través de la narrativa y la subjetividad.The following document is presented after making an analysis of different stories whose protagonists tell their experiences of violence due to the armed conflict and the abandonment of the state to which they have been subjected, this has caused multiple psychosocial effects both on a personal level , individual as a collective dividing communities and ending their cultures and traditions, for this reason, it is necessary to implement strategies that address these problems through psychosocial support that accounts for individual, family and community interventions in order to start restructure those aspects that were affected and violated, such as freedom of expression, emotions and feelings, in the same way, the restoration of violated rights such as the right to live with dignity, to have food, a family, etc. It seeks that the victims find their way again through resilience in the midst of the traumatic events they have had to endure. One of the most effective tools that can be used is that of the narrative, exploring it from strategic, circular and reflective questions that allow the gathering of the necessary information to initiate psychosocial actions that can be worked on in favor of the community. The photo voice tool is used to publicize the different acts of violence to which the different regions of the country have had to submit, it shows the amount of problems that have remained in their wake, through this technique, it is possible to frame these experiences always keeping in mind the memory of peoples and communities through narrative and subjectivity

TSO-DSO-Customer coordination for purchasing flexibility system services: Challenges and lessons learned from a demonstration in Sweden

This paper presents a real-word implementation of a TSO-DSO-customer coordination framework for the use of flexibility to support system operation. First, we describe the general requirements for TSO-DSO-customer coordination, including potential coordination schemes, actors and roles and the required architecture. Then, we particularise those general requirements for a real-world demonstration in Sweden, aiming to avoid congestions in the grid during the high-demand winter season. In the light of current congestion management rules and existing markets in Sweden, we describe an integration path to newly defined flexibility markets in support of new tools that we developed for this application. The results show that the use of flexibility can reduce the congestion costs while enhancing the secure operation of the system. Additionally, we discuss challenges and lessons learned from the demonstration, including the importance of the engagement between stakeholders, the role of availability remuneration, and the paramount importance of defining appropriate technical requirements and market timings.This work has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement nº 824414

Zentyal Server – Instalación y configuración para implementación de servicios

Se realiza cinco temáticas expuestas, la cual se implementará servicios de infraestructura IT con el uso de la plataforma Zentyal Server como suministrador de herramientas para gestionar diversos recursos en seguridad y control. Zentyal server apoya al administrador de infraestructura con una interfaz gráfica desde web que permitirá la configuración adecuado a los escenarios que el mismo administrador enfrenta para una buena gestión de recursos de TI. En el desarrollo del trabajo colaborativo se ve reflejado la importancia de conocer los beneficios de conocer las diferentes formas de manejar la herramienta Zentyal ya que es un aplicativo de código abierto que permite administrar los dominios, cortafuegos, DNS server, entre otros.Zentyal server is a web platform based on Linux, council or council to be deformed, real or virtual, exclusively. That is why it will not be able to in other services. Installation and configuration is manual. Thanks to its graphical network, the configuration of services applied to security and control, allows the infrastructure administrator to make adjustments to scenarios that are in the organization to offer a lower functioning in their production processes. Throughout the course we have gone through to deepen the knowledge of the Linux operating system, with commands, handling tools complementary to the operating system that allows to perform administrations in a safe and reliable way, with well-positioned platforms for users and miles of manuals that indicates the passage of handling of each of them. Each of us reinforced the basic knowledge and Linux where he implemented IT management

The positive circadian regulators CLOCK and BMAL1 control G2/M cell cycle transition through Cyclin B1

We previously identified a tight bidirectional phase coupling between the circadian clock and the cell cycle. To understand the role of the CLOCK/BMAL1 complex, representing the main positive regulator of the circadian oscillator, we knocked down Bmal1 or Clock in NIH3T33C mouse fibroblasts (carrying fluorescent reporters for clock and cell cycle phase) and analyzed timing of cell division in individual cells and cell populations. Inactivation of Bmal1 resulted in a loss of circadian rhythmicity and a lengthening of the cell cycle, originating from delayed G2/M transition. Subsequent molecular analysis revealed reduced levels of Cyclin B1, an important G2/M regulator, upon suppression of Bmal1 gene expression. In complete agreement with these experimental observations, simulation of Bmal1 knockdown in a computational model for coupled mammalian circadian clock and cell cycle oscillators (now incorporating Cyclin B1 induction by BMAL1) revealed a lengthening of the cell cycle. Similar data were obtained upon knockdown of Clock gene expression. In conclusion, the CLOCK/BMAL1 complex controls cell cycle progression at the level of G2/M transition through regulation of Cyclin B1 expression

Circadian variation in tamoxifen pharmacokinetics in mice and breast cancer patients

The anti-estrogen tamoxifen is characterized by a large variability in response, partly due to pharmacokinetic differences. We examined circadian variation in tamoxifen pharmacokinetics in mice and breast cancer patients. Pharmacokinetic analysis was performed in mice, dosed at six different times (24-h period). Tissue samples were used for mRNA expression analysis of drug-metabolizing enzymes. In patients, a cross-over study was performed. During three 24-h periods, after tamoxifen dosing at 8 a.m., 1 p.m., and 8 p.m., for at least 4 weeks, blood samples were collected for pharmacokinetic measurements. Differences in tamoxifen pharmacokinetics between administration times were assessed. The mRNA expression of drug-metabolizing enzymes showed circadian variation in mouse tissues. Tamoxifen exposure seemed to be highest after administration at midnight. In humans, marginal differences were observed in pharmacokinetic parameters between morning and evening administration. Tamoxifen Cmax and area under the curve (AUC)0–8 h were 20 % higher (P max was shorter (2.1 vs. 8.1 h; P = 0.001), indicating variation in absorption. Systemic exposure (AUC0–24 h) to endoxifen was 15 % higher (P < 0.001) following morning administration. The results suggest that dosing time is of marginal influence on tamoxifen pharmacokinetics. Our study was not designed to detect potential changes in clinical outcome or toxicity, based on a difference in the time of administration. Circadian rhythm may be one of the many determinants of the interpatient and intrapatient pharmacokinetic variability of tamoxifen

Elevated Humoral Immune Response to SARS-CoV-2 at High Altitudes Revealed by an Anti-RBD “In-House” ELISA

The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has caused a global pandemic with dramatic health and socioeconomic consequences. The Coronavirus Disease 2019 (COVID-19) challenges health systems to quickly respond by developing new diagnostic strategies that contribute to identify infected individuals, monitor infections, perform contact-tracing, and limit the spread of the virus. In this brief report, we developed a highly sensitive, specific, and precise “In-House” ELISA to correctly discriminate previously SARS-CoV-2-infected and non-infected individuals and study population seroprevalence. Among 758 individuals evaluated for anti-SARS-CoV-2 serology in the province of Tucumán, Argentina, we found a weak correlation between antibodies elicited against the RBD, the receptor-binding domain of the Spike protein, and the nucleocapsid (N) antigens of this virus. Additionally, we detected mild levels of anti-RBD IgG antibodies in 33.6% of individuals diagnosed with COVID-19, while only 19% showed sufficient antibody titers to be considered as plasma donors. No differences in IgG anti-RBD titers were found between women and men, neither in between different age groups ranging from 18 to 60. Surprisingly, individuals from a high altitude village displayed elevated and longer lasting anti-RBD titers compared to those from a lower altitude city. To our knowledge, this is the first report correlating altitude with increased humoral immune response against SARS-CoV-2 infection.Fil: Tomas Grau, Rodrigo Hernán. Universidad Nacional de Tucumán. Instituto de Investigaciones En Medicina Molecular y Celular Aplicada del Bicentenario. - Gobierno de la Provincia de Tucumán. Ministerio de Salud. Sistema Provincial de Salud. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet Noa Sur. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario; ArgentinaFil: Ploper, Diego. Universidad Nacional de Tucumán. Instituto de Investigaciones En Medicina Molecular y Celular Aplicada del Bicentenario. - Gobierno de la Provincia de Tucumán. Ministerio de Salud. Sistema Provincial de Salud. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet Noa Sur. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario; ArgentinaFil: Avila, Cesar Luis. Universidad Nacional de Tucumán. Instituto de Investigaciones En Medicina Molecular y Celular Aplicada del Bicentenario. - Gobierno de la Provincia de Tucumán. Ministerio de Salud. Sistema Provincial de Salud. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet Noa Sur. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario; ArgentinaFil: Vera Pingitore, Esteban. Universidad Nacional de Tucumán. Instituto de Investigaciones En Medicina Molecular y Celular Aplicada del Bicentenario. - Gobierno de la Provincia de Tucumán. Ministerio de Salud. Sistema Provincial de Salud. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet Noa Sur. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario; ArgentinaFil: Maldonado Galdeano, María Carolina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Centro de Referencia para Lactobacilos; ArgentinaFil: Chaves, Analia Silvina. Universidad Nacional de Tucumán. Instituto de Investigaciones En Medicina Molecular y Celular Aplicada del Bicentenario. - Gobierno de la Provincia de Tucumán. Ministerio de Salud. Sistema Provincial de Salud. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet Noa Sur. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario; ArgentinaFil: Socias, Sergio Benjamin. Universidad Nacional de Tucumán. Instituto de Investigaciones En Medicina Molecular y Celular Aplicada del Bicentenario. - Gobierno de la Provincia de Tucumán. Ministerio de Salud. Sistema Provincial de Salud. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet Noa Sur. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario; ArgentinaFil: Stagnetto, Agustín. Universidad Nacional de Tucumán. Instituto de Investigaciones En Medicina Molecular y Celular Aplicada del Bicentenario. - Gobierno de la Provincia de Tucumán. Ministerio de Salud. Sistema Provincial de Salud. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet Noa Sur. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario; ArgentinaFil: Navarro, Silvia Adriana. Universidad Nacional de Tucumán. Instituto de Investigaciones En Medicina Molecular y Celular Aplicada del Bicentenario. - Gobierno de la Provincia de Tucumán. Ministerio de Salud. Sistema Provincial de Salud. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet Noa Sur. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario; ArgentinaFil: Chahla, Rossana Elena. Gobierno de la Provincia de Tucumán. Ministerio de Salud; ArgentinaFil: Aguilar López, Mónica. Gobierno de la Provincia de Tucuman. Hospital de Dia Presidente Nestor Carlos Kirchner; ArgentinaFil: Llapur, Conrado Juan. Gobierno de la Provincia de Tucumán. Ministerio de Salud; ArgentinaFil: Aznar, Patricia. Gobierno de la Provincia de Tucuman. Hospital de Dia Presidente Nestor Carlos Kirchner; ArgentinaFil: Alcorta, María Elena. Gobierno de la Provincia de Tucuman. Hospital de Dia Presidente Nestor Carlos Kirchner; ArgentinaFil: Costas, Dardo. Gobierno de la Provincia de Tucuman. Hospital de Dia Presidente Nestor Carlos Kirchner; ArgentinaFil: Flores, Isolina. Gobierno de la Provincia de Tucuman. Hospital de Dia Presidente Nestor Carlos Kirchner; ArgentinaFil: Heinze, Dar. University of Boston. School of Medicine; Estados UnidosFil: Apfelbaum, Gabriela. Universidad Nacional de Tucumán; ArgentinaFil: Mostoslavsky, Raul. Harvard Medical School; Estados UnidosFil: Mostoslavsky, Gustavo. Harvard Medical School; Estados UnidosFil: Cazorla, Silvia Ines. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Centro de Referencia para Lactobacilos; ArgentinaFil: Perdigon, Gabriela del Valle. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Centro de Referencia para Lactobacilos; ArgentinaFil: Chehin, Rosana Nieves. Universidad Nacional de Tucumán. Instituto de Investigaciones En Medicina Molecular y Celular Aplicada del Bicentenario. - Gobierno de la Provincia de Tucumán. Ministerio de Salud. Sistema Provincial de Salud. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario. - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet Noa Sur. Instituto de Investigaciones en Medicina Molecular y Celular Aplicada del Bicentenario; Argentin

Relationship Between Sunitinib Pharmacokinetics and Administration Time: Preclinical and Clinical Evidence

Background and Objective: Circadian rhythms may influence the pharmacokinetics of drugs. This study aimed to elucidate whether the pharmacokinetics of the orally administered drug sunitinib are subject to circadian variation. Methods: We performed studies in male FVB-mice aged 8–12 weeks, treated with single-dose sunitinib at six dosing times. Plasma and tissue samples were obtained for pharmacokinetic analysis and to monitor messenger RNA (mRNA) expression of metabolizing enzymes and drug transporters. A prospective randomized crossover study was performed in which patients took sunitinib once daily at 8 a.m., 1 p.m., and 6 p.m at three subsequent courses. Patients were blindly randomized into two groups, which determined the sequence of the sunitinib dosing time. The primary endpoint in both studies was the difference in plasma area under the concentration–time curve (AUC) of sunitinib and its active metabolite SU12662 between dosing times. Results: Sunitinib and SU12662 plasma AUC in mice followed an ~12-h rhythm as a function of administration time (p ≤ 0.04). The combined AUC from time zero to 10 h (AUC10) was 14–27 % higher when sunitinib was administered at 4 a.m. and 4 p.m. than at 8 a.m. and 8 p.m. Twenty-four-hour rhythms were seen in the mRNA levels of drug transporters and metabolizing enzymes. In 12 patients, sunitinib trough concentrations (Ctrough) were higher when the drug was taken at 1 p.m. or 6 p.m. than when taken at 8 a.m. (Ctrough-1 p.m. 66.0 ng/mL; Ctrough-6 p.m. 58.9 ng/mL; Ctrough-8 a.m. 50.7 ng/mL; p = 0.006). The AUC was not significantly different between dosing times. Conclusions: Our results indicate that sunitinib pharmacokinetics follow an ~12-h rhythm in mice. In humans, morning dosing resulted in lower Ctrough values, probably resulting from differences in elimination. This can have implications fo

Quality control of B-lines analysis in stress Echo 2020

Background The effectiveness trial “Stress echo (SE) 2020” evaluates novel applications of SE in and beyond coronary artery disease. The core protocol also includes 4-site simplified scan of B-lines by lung ultrasound, useful to assess pulmonary congestion. Purpose To provide web-based upstream quality control and harmonization of B-lines reading criteria. Methods 60 readers (all previously accredited for regional wall motion, 53 B-lines naive) from 52 centers of 16 countries of SE 2020 network read a set of 20 lung ultrasound video-clips selected by the Pisa lab serving as reference standard, after taking an obligatory web-based learning 2-h module ( http://se2020.altervista.org ). Each test clip was scored for B-lines from 0 (black lung, A-lines, no B-lines) to 10 (white lung, coalescing B-lines). The diagnostic gold standard was the concordant assessment of two experienced readers of the Pisa lab. The answer of the reader was considered correct if concordant with reference standard reading ±1 (for instance, reference standard reading of 5 B-lines; correct answer 4, 5, or 6). The a priori determined pass threshold was 18/20 (≥ 90%) with R value (intra-class correlation coefficient) between reference standard and recruiting center) > 0.90. Inter-observer agreement was assessed with intra-class correlation coefficient statistics. Results All 60 readers were successfully accredited: 26 (43%) on first, 24 (40%) on second, and 10 (17%) on third attempt. The average diagnostic accuracy of the 60 accredited readers was 95%, with R value of 0.95 compared to reference standard reading. The 53 B-lines naive scored similarly to the 7 B-lines expert on first attempt (90 versus 95%, p = NS). Compared to the step-1 of quality control for regional wall motion abnormalities, the mean reading time per attempt was shorter (17 ± 3 vs 29 ± 12 min, p < .01), the first attempt success rate was higher (43 vs 28%, p < 0.01), and the drop-out of readers smaller (0 vs 28%, p < .01). Conclusions Web-based learning is highly effective for teaching and harmonizing B-lines reading. Echocardiographers without previous experience with B-lines learn quickly.info:eu-repo/semantics/publishedVersio