Constructing runtime models with bigraphs to address ubiquitous computing service composition volatility

In this thesis, we explore the appropriateness of the language abstractions provided by Bigraphs to construct a model at runtime to tackle the problem of volatility in a service composition running on a mobile device. Our contributions to knowledge are as follows: 1) We have shown that Bigraphs (Milner, 2009) are suitable for expressing models at runtime. 2) We have offered Bigraph language abstractions as an appropriate solution to some of the research problems posed by the models at runtime community (Aßmann et al., 2012). 3) We have discussed the general lessons learnt from using Bigraphs for a practical application such as a model at runtime. 4) We have discussed the general lessons learnt from our experiences of designing models at runtime. 5) We have implemented the model at runtime using the BPL Tool (ITU, 2011) and have experimentally studied the response times of our Bigraphical model. We have suggested appropriate enhancements for the tool based on our experiences. We present techniques to parameterize the reaction rules so that the matching algorithm of the BPL Tool returns a single match giving us the ability to dynamically program the model at runtime. We also show how to query the Bigraph structure

Mining conflicts around the world: Common grounds from an Environmental Justice perspective

Abstract. This report aims at exploring contemporary mining conflicts in the context of the sustainable development and environmental justice movement. This is done based on 24 real case studies from 18 different countries which are described by local activists and scholars. While 17 of the reported cases focus on conflicts related to metal mining (e.g. gold, silver, copper, zinc, and lead), four address uranium mining and one refers to coal mining. As an example of a new frontier in the industry, a sand mining conflict from India is also reported. All of these cases are directly chosen and reported, either in factsheet or in-depth study format, by EJOs, as part of a knowledge sharing activity well-established in EJOLT between EJOs and the academic community. Although the cases covered here are all quite unique and diverse in terms of type of conflict and geographical setting, they all share a common frame of analysis. First, the project and type of conflict are characterized in a nutshell, with some basic factual background that describe the companies involved, and the communities and locations affected. The roots of the conflicts are explored next, as well as relevant socioeconomic, cultural, health, and ecological impacts and related community claims. Where relevant, means of resistance are also specified with their influence on the project and/or the outcome of the conflict. The report then offers a synthesis of the described mining cases, review their commonalities, link gained insights with research needs and discuss some policy recommendations that might follow from this analysis. Despite its limitations, compiling such a diverse set of mining conflicts that builds on EJO knowledge promotes mutual learning and collaboration among stakeholders, EJOs and academia, which is one of the key objectives of EJOLT

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to <90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], >300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Tracheal intubation in traumatic brain injury

Background: We aimed to study the associations between pre- and in-hospital tracheal intubation and outcomes in traumatic brain injury (TBI), and whether the association varied according to injury severity. Methods: Data from the international prospective pan-European cohort study, Collaborative European NeuroTrauma Effectiveness Research for TBI (CENTER-TBI), were used (n=4509). For prehospital intubation, we excluded self-presenters. For in-hospital intubation, patients whose tracheas were intubated on-scene were excluded. The association between intubation and outcome was analysed with ordinal regression with adjustment for the International Mission for Prognosis and Analysis of Clinical Trials in TBI variables and extracranial injury. We assessed whether the effect of intubation varied by injury severity by testing the added value of an interaction term with likelihood ratio tests. Results: In the prehospital analysis, 890/3736 (24%) patients had their tracheas intubated at scene. In the in-hospital analysis, 460/2930 (16%) patients had their tracheas intubated in the emergency department. There was no adjusted overall effect on functional outcome of prehospital intubation (odds ratio=1.01; 95% confidence interval, 0.79–1.28; P=0.96), and the adjusted overall effect of in-hospital intubation was not significant (odds ratio=0.86; 95% confidence interval, 0.65–1.13; P=0.28). However, prehospital intubation was associated with better functional outcome in patients with higher thorax and abdominal Abbreviated Injury Scale scores (P=0.009 and P=0.02, respectively), whereas in-hospital intubation was associated with better outcome in patients with lower Glasgow Coma Scale scores (P=0.01): in-hospital intubation was associated with better functional outcome in patients with Glasgow Coma Scale scores of 10 or lower. Conclusion: The benefits and harms of tracheal intubation should be carefully evaluated in patients with TBI to optimise benefit. This study suggests that extracranial injury should influence the decision in the prehospital setting, and level of consciousness in the in-hospital setting. Clinical trial registration: NCT02210221

Barbarians at the British Museum: Anglo-Saxon Art, Race and Religion

A critical historiographical overview of art historical approaches to early medieval material culture, with a focus on the British Museum collections and their connections to religion

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

Exploring the Potential of Audio-Tactile Messaging for Remote Interpersonal Communication

*L. Brown now works for Vodafone Shake2Talk is a mobile messaging system that allows users to send sounds and tactile sensations to one another via their mobile phones. Messages are created through gestures and then sent to the receiver’s phone where they play upon arrival. This paper reports a study of the Shake2Talk system in use by six couples, and begins to uncover the types of messaging practices that occur, and the values and meanings that users ascribe to these messages. Author Keywords audio, haptics, mobile phones, messagin

Kuckuck - Exploring Ways of Sensing and Displaying Energy Consumption Information in the Home

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