Feature subset selection using support-vector machines by averaging over probabilistic genotype data

Despite the grand promises of the postgenomic era, such as personalized prevention, diagnosis, drugs, and treatments, the landscape of biomedicine looks more and more complex. The fullfillment of these promises for diseases significant in public health requires new approaches to induction for statistical and causal inferences from observations and interventions. Within the biomedical world an important response to this challenge is the mapping and relatively cheap measuring of the genetic variations, such as single nucleotide polymorphisms (SNPs). The recent mapping of the genetic variations has opened a new dimension in the postgenomic research at all phenotypic levels, such as genomic, proteomic, and clinical, and it has sparked a series of Genetic Association Studies (GAS), based on the application of machine learning and data mining techniques. To overcome such problems, different strategies are being investigated within the research community. The aim of this thesis work is to contribute to the progress in this field giving a step forward towards the solution. I have investigated the suitable machine learning and data mining algorithms for this task and the state of the art of the currently available implementations of them intended for biomedical research applications. As a result I have proposed a solution strategy, and chosen and extended the functionality of the Java-ML library, an open source machine learning library written in Java, implementing some missing algorithms and functionality that necessary for the proposed approach. This thesis work is structured into three main blocks. Section 3 “An approach to the use of machine learning techniques with genotype data” addresses the faced problem and the proposed solution. It begins with the definition of some introductory GAS concepts and the description of the solution strategy and elaborates in subsequent subsections on the description of the theoretical underpinnings of the algorithms setting up the solution. Specifically, the first subsection, “The feature selection problem in the bioinformatics domain”, justifies the necessity of reducing the dimensionality of data sets in order to allow for acceptable performance in the application of machine learning techniques to the broader field of bioinformatics implications and establishes a comparative taxonomy of the currently available techniques. In the second subsection, entitled “Feature selection using support-vector machines”, the idea behind support-vector machines classifiers and their application to feature subset selection is defined while the third subsection, “Ranking fusion as averaging technique: Markov chain based algorithms”, describes the ranking fusion algorithms which implementation has been chosen for the combination of the feature subsets obtained from different data sets. Section 4 “Analysis of available tools for experimental design” analyses the available suitable tools for experimental design in GAS based on machine learning techniques. In this sense in the first subsection, “Advantages of high level languages for machine learning algorithms”, the convenience of using high level languages for the kind of applications we are working in is discussed. In the second subsection, “Machine learning algorithms implementations in Java”, the election of the Java language is justified followed by an analysis of the currently available implementations of machine learning algorithms in this language that are worthwhile to be considered for our purposes, namely WEKA, RapidMiner and Java-ML. In Section 5 “Implemented extensions to the Java-ML library” a description of the functionalities that have been added to enable a framework suitable for the design of GAS experiments in order to test the proposed approach is provided. The “Missing values imputation: the dataset.tools package” subsection focuses on data sets handling functionalities while the “Averaging through ranking fusion: rankingfusion and rankingfusion.scoring package” subsection details the ranking fusion algorithms implementations. Finally the “How to use the code” subsection is a tutorial on how to use both the library and its extension for the development of applications. In addition to these main blocks, a final section called “Future Work” reflects how the developed work can be used by GAS domain experts to evaluate the usefulness of the proposed technique.Ingeniería de Telecomunicació

Cyber risk as a threat to financial stability

Information systems play a critical role in the functioning of financial institutions. While supporting their services and enabling their strategies, underlying vulnerabilities could pose an important source of risk: cyber risk. This may impair financial institutions’ operational capabilities and even threaten their viability. Furthermore, the high level of interconnection and interdependence between the elements of the financial system allows for the contagion of cyber risk among them. Consequently, the materialization of cyber risk in its most extreme form could threaten the stability of the financial system. To address this topic, the article first introduces cyber incidents and their estimated costs, focusing on the financial system. Cyber risk is then considered, together with the main vulnerabilities and threats to cyber security affecting financial institutions. This is followed by a justification of the potential systemic effect of cyber risk on the financial system, supported by the use of theoretical models. Moreover, highlights of the current regulatory framework on cyber risk for financial institutions operating in Spain are also presented. Finally, recommended future lines of work for the improvement of the management of cyber risk in the financial system are discussed

Ampicillin plus ceftriaxone combined therapy for enterococcus faecalis infective endocarditis in opat

Ampicillin plus ceftriaxone (AC) is a well-recognized inpatient regimen for Enterococcus faecalis infective endocarditis (IE). In this regimen, ceftriaxone is usually administered 2 g every 2 h (AC12). The administration of AC in outpatient parenteral antibiotic treatment (OPAT) programs is challenging because multiple daily doses are required. AC regimens useful for OPAT programs include once-daily high-dose administration of ceftriaxone (AC24) or AC co-diluted and jointly administered in bolus every 4 h (ACjoined). In this retrospective analysis of prospectively collected cases, we aimed to assess the clinical effectivity and safety of three AC regimens for the treatment of E. faecalis IE. Fifty-nine patients were treated with AC combinations (AC12 n = 32, AC24 n = 17, and ACjoined n = 10). Six relapses occurred in the whole cohort: five (29.4%) treated with AC24 regimen and one (10.0%) with ACjoined. Patients were cured in 30 (93.3%), 16 (94.1%), and eight (80.0%) cases in the AC12, AC24 and ACjoined groups, respectively. Unplanned readmission occurred in eight (25.0%), six (35.3%), and two (20.0%) patients in the AC12, AC24 and ACjoined groups, respectively. The outcome of patients with E. faecalis IE treated with AC in OPAT programs relies on an optimization of the delivery of the combination. AC24 exhibit an unexpected rate of failures, however, ACjoined might be an effective alternative which clinical results should corroborate in further studies

Ampicillin Plus Ceftriaxone Combined Therapy for Enterococcus faecalis Infective Endocarditis in OPAT

Cardiovascular Infectious Study Group of the Andalusian Society of Infectious Diseases.Ampicillin plus ceftriaxone (AC) is a well-recognized inpatient regimen for Enterococcus faecalis infective endocarditis (IE). In this regimen, ceftriaxone is usually administered 2 g every 2 h (AC12). The administration of AC in outpatient parenteral antibiotic treatment (OPAT) programs is challenging because multiple daily doses are required. AC regimens useful for OPAT programs include once-daily high-dose administration of ceftriaxone (AC24) or AC co-diluted and jointly administered in bolus every 4 h (ACjoined). In this retrospective analysis of prospectively collected cases, we aimed to assess the clinical effectivity and safety of three AC regimens for the treatment of E. faecalis IE. Fifty-nine patients were treated with AC combinations (AC12 n = 32, AC24 n = 17, and ACjoined n = 10). Six relapses occurred in the whole cohort: five (29.4%) treated with AC24 regimen and one (10.0%) with ACjoined. Patients were cured in 30 (93.3%), 16 (94.1%), and eight (80.0%) cases in the AC12, AC24 and ACjoined groups, respectively. Unplanned readmission occurred in eight (25.0%), six (35.3%), and two (20.0%) patients in the AC12, AC24 and ACjoined groups, respectively. The outcome of patients with E. faecalis IE treated with AC in OPAT programs relies on an optimization of the delivery of the combination. AC24 exhibit an unexpected rate of failures, however, ACjoined might be an effective alternative which clinical results should corroborate in further studies.The authors received no financial support for the research, authorship, and/or publication of this article. GVA was supported by the Instituto de Salud Carlos III, cofinanced by the European Development Regional Fund (“A way to achieve Europe”), Subprograma Miguel Servet (grant CP19/00159). HHL was supported by the Instituto de Salud Carlos III, Subprograma Rio Hortega (grant CM19/00152)

El abrigo y la cueva de Benzú en la Prehistoria de Ceuta. Aproximación al estudio de las sociedades cazadoras-recolectoras y tribales comunitarias en el ámbito norteafricano del Estrecho de Gibraltar.

Extensa obra sobre los métodos, antecedentes y objetivos; observaciones preliminares y estudios anteriores, excavación y análisis de los resultados del Proyecto Benzú.Consejería de Educación, Cultura y Deporte de la Ciudad Autónoma de Ceuta. Universidad Española de Educación a Distancia. Universidad de Cádiz.419 página

Deliverable D2.1 - Ecosystem analysis and 6G-SANDBOX facility design

This document provides a comprehensive overview of the core aspects of the 6G-SANDBOX project. It outlines the project's vision, objectives, and the Key Performance Indicators (KPIs) and Key Value Indicators (KVIs) targeted for achievement. The functional and non-functional requirements of the 6G-SANDBOX Facility are extensively presented, based on a proposed reference blueprint. A detailed description of the updated reference architecture of the facility is provided, considering the requirements outlined. The document explores the experimentation framework, including the lifecycle of experiments and the methodology for validating KPIs and KVIs. It presents the key technologies and use case enablers towards 6G that will be offered within the trial networks. Each of the platforms constituting the 6G-SANDBOX Facility is described, along with the necessary enhancements to align them with the project's vision in terms of hardware, software updates, and functional improvements

Manual de simulación clínica en especialidades médicas

Manual sobre técnicas y modos de simulación clínica en diversas especialidades médicas.La enseñanza y formación en medicina necesita el uso de la simulación. Existen evidencias de su uso desde hace cientos de años, pero, en los últimos años se ha incrementado y diseminado. La simulación clínica está validada científicamente en múltiples contextos médicos y de otras áreas profesionales de la salud. Y es considerada de gran importancia como proceso de entrenamiento y de mejora de las competencias y adquisición de habilidades médicas en campos que incluye desde la historia clínica, comunicación con el paciente, exploración, diagnóstico terapéutica médica-farmacológica y quirúrgica y seguridad al tratar al paciente. Hoy en día, para muchas técnicas y situaciones clínicas es inaceptable llegar junto a los pacientes sin un dominio adquirido en simulación. La simulación puede ocurrir sin el uso de recursos adicionales, solo las personas, o utilizando pocos o muchos recursos de baja hasta alta tecnología y se puede adaptar a los recursos disponibles, abarcando todas las áreas de conocimiento, y dentro de ellas competencias técnicas o actitudes, solas o en conjunto. El uso racional y basado en evidencia de la simulación es de la mayor importancia por la necesidad de una mayor efectividad y eficiencia en la transformación de los profesionales de la salud para que puedan mejorar su capacidad de atender a los pacientes. La simulación es también una buena herramienta de evaluación de competencias y habilidades en Medicina y otras disciplinas de las Ciencias de la Salud Este manual incluye técnicas y modos de simulación clínica en diversas especialidades médicas, útiles, para quien busque un manual práctico y actualizado.Cátedra de Mecenazgo de la Universidad de Málaga. Cátedra de Terapias Avanzadas en Patología Cardiovascular Cátedra de Mecenazgo de la Universidad de Málaga. Cátedra de Investigación Biomédica Quirón Salu

VIII Encuentro de Docentes e Investigadores en Historia del Diseño, la Arquitectura y la Ciudad

Acta de congresoLa conmemoración de los cien años de la Reforma Universitaria de 1918 se presentó como una ocasión propicia para debatir el rol de la historia, la teoría y la crítica en la formación y en la práctica profesional de diseñadores, arquitectos y urbanistas. En ese marco el VIII Encuentro de Docentes e Investigadores en Historia del Diseño, la Arquitectura y la Ciudad constituyó un espacio de intercambio y reflexión cuya realización ha sido posible gracias a la colaboración entre Facultades de Arquitectura, Urbanismo y Diseño de la Universidad Nacional y la Facultad de Arquitectura de la Universidad Católica de Córdoba, contando además con la activa participación de mayoría de las Facultades, Centros e Institutos de Historia de la Arquitectura del país y la región. Orientado en su convocatoria tanto a docentes como a estudiantes de Arquitectura y Diseño Industrial de todos los niveles de la FAUD-UNC promovió el debate de ideas a partir de experiencias concretas en instancias tales como mesas temáticas de carácter interdisciplinario, que adoptaron la modalidad de presentación de ponencias, entre otras actividades. En el ámbito de VIII Encuentro, desarrollado en la sede Ciudad Universitaria de Córdoba, se desplegaron numerosas posiciones sobre la enseñanza, la investigación y la formación en historia, teoría y crítica del diseño, la arquitectura y la ciudad; sumándose el aporte realizado a través de sus respectivas conferencias de Ana Clarisa Agüero, Bibiana Cicutti, Fernando Aliata y Alberto Petrina. El conjunto de ponencias que se publican en este Repositorio de la UNC son el resultado de dos intensas jornadas de exposiciones, cuyos contenidos han posibilitado actualizar viejos dilemas y promover nuevos debates. El evento recibió el apoyo de las autoridades de la FAUD-UNC, en especial de la Secretaría de Investigación y de la Biblioteca de nuestra casa, como así también de la Facultad de Arquitectura de la UCC; va para todos ellos un especial agradecimiento

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat