A Self-Provisioning Mechanism in OpenStack for IoT Devices.

The aim of this paper is to introduce a plug-and-play mechanism for an Internet of Things (IoT) device to instantiate a Software as a Service (SaaS) application in a private cloud, built up with OpenStack. The SaaS application is the digital avatar of a physical object connected to Internet. As a proof of concept, a Vending Machine is retrofitted and connected to Internet with and Arduino Open Hardware device. Once the self-configuration mechanism is completed, it is possible to order a product from a mobile communication device.

The use of quadripolar left ventricular leads improves the hemodynamic response to cardiac resynchronization therapy.

BACKGROUND: The objective of the present study was to evaluate the usefulness of a left ventricle (LV) quadripolar lead in improving the hemodynamic response to cardiac resynchronization therapy (CRT). METHODS AND RESULTS: We included 27 consecutive patients implanted with a CRT device with an LV quadripolar lead. Hemodynamic parameters were evaluated at 3-month follow-up by using impedance cardiography. We assessed the highest cardiac output and the highest stroke volume (SV) obtained after atrioventricular and interventricular optimization with pacing from each of the four electrodes of the LV lead. Each patient was evaluated according to three different pacing configurations: unipolar-simulated, bipolar, and quadripolar. Biventricular pacing improved hemodynamics in comparison to the nonpaced measurements: cardiac index (CI): 2.69 L/min/m(2) versus 2.17 L/min/m(2) (P = 0.001). The hemodynamic response was highest in the quadripolar in comparison to unipolar-simulated and bipolar configurations, with an increase of 29%, 23%, and 27%, respectively, in relation to the reference CI and with an increase of 22%, 11%, and 18%, respectively, in relation to the reference indexed SV (P < 0.05, for the comparison between unipolar-simulated and quadripolar configurations). Twelve patients (44%) showed the best hemodynamic response by pacing from any of the two distal electrodes and 15 patients (56%) by pacing from the two proximal electrodes. Finally, CRT responder rates were higher in quadripolar versus bipolar and unipolar-simulated configurations: 90%, 85%, and 75%, respectively. CONCLUSIONS: The quadripolar LV lead was associated with a better hemodynamic response and higher CRT responder rates when compared with unipolar-simulated and bipolar LV leads.

Online headspace monitoring of volatile organic compounds using proton transfer reaction-mass spectrometry: Application to the multiphase atmospheric fate of 2,4-hexadienedial.

Chemical processes in clouds have been suggested to contribute significantly to the mass of organic aerosol particles in the atmosphere. Experimental and theoretical evidence suggest that organic mass production in clouds can be substantial and depends on the concentration of organic precursor compounds available in the gas phase. The present study aims at studying the aqueous phase reactivity of one of these overlooked precursors, i.e. 2,4-hexadienedial, an important and toxic intermediate in the atmospheric oxidation of aromatic species. Cautious synthesis and purification of 2,4-hexadienedial was performed. Its effective Henry's law constant was measured using a new simple and fast method based on online flow-injection analysis. The reactivity of 2,4-hexadienedial in the aqueous phase relevant to atmospheric conditions was studied, including hydrate formation, photolysis, ∙OH- and SO4∙--oxidation as well as reaction with NH3. The results revealed a low hydration constant compared to other dicarbonyls (Khyd1 = 7 × 10-2) and no dihydrate formation, indicating in an intermediate solubility (KH = 1.0 × 104 M atm-1) and high absorption cross sections (σ278nm > 10-16 cm2 molecule-1). Compared to its gas phase photolysis, its aqueous phase photolysis showed low quantum yields (Φ290-380nm = 0.9 %), and a significant red shift of the absorbance maximum, leading to a fast aqueous photolysis kinetics (Jaq,atm = 8.7 × 10-5 s-1) under atmospheric solar radiation, but no triplet state formation was detected. Radical oxidation experiments revealed extremely rapid oxidation kinetics (k∙OH = 1.10 × 1010 M-1 s-1 and kSO4∙- = 1.4 × 109 M-1 s-1) driven by fast addition of the radicals to the unsaturated bonds. In contrast, the reaction with aqueous NH3 (kNH3 = 2.6 × 10-3 M-1 s-1) was found slower than glyoxal and 2-butenedial, likely due to the hyperconjugation of 2,4-hexadienedial. Using these new data complemented with assumed aqueous phase kinetics (for NO3, 3C* and 1O2 reactions) and previous gas-phase kinetic ones, the multiphase atmospheric fate of 2,4-hexadienedial was established under atmospheric conditions reported from previous field measurements and models. The results revealed a short day lifetime (∼1 h) and a long night lifetime (>12 h). It was shown that daytime atmospheric chemistry of 2,4-hexadienedial can be influenced by aqueous-phase reactivity during cloud events, up to ∼50 % under thick cloud conditions (Liquid Water Content >2000 g/m3), indicating that even a compound of intermediate solubility can be strongly affected by condensed-phase reactivity. Besides its fast aqueous phase reactivity towards ∙OH and photolysis, its daytime condensed-phase reactivity may be driven by reactions with dissolved triplet states (3C*), up to 35 %, highlighting the need to study further the kinetics, the nature and concentrations of dissolved 3C* under various atmospheric conditions. In addition, the molecular properties and atmospheric behavior of 2,4-hexadienedial were found different from those of glyoxal and 2-butenedial, highlighting the need for detailed atmospheric reactivity studies of polyfunctional compounds, in particular unsaturated compounds.

The Perceived Quality of Life of Older People in Spain Who Care for Grandchildren and Related Variables: A Mixed Methods Study.

Grandparental care of grandchildren is a prevalent social phenomenon. This study explores the perceptions of health-related quality of life of grandparents caring for their grandchildren. A mixed methods design was developed. In the first phase, participants were interviewed using a baseline questionnaire. The second phase consisted of focus groups with 19 of the 100 participants in the quantitative phase. The scores obtained from the quantitative analysis are in line with the qualitative data; they reflect that grandparent carers who are more involved in the care of their grandchildren have more symptoms of depression and stress and have poorer perceptions of physical health-related quality of life. What may at first appear to be a positive aspect, keeping grandparent carers active, can become negative when it comes to shared care and when the grandparents' willingness to provide care is abused.

Outcome of patients with syncope beyond the implantable loop recorder.

AIMS: The implantation of an implantable loop recorder (ILR) leads to the diagnosis in about 35% of patients with syncope of unknown origin. Information on outcome of patients in whom a diagnosis is not reached during the lifetime of the device is scarce. The aim of our study is to determine the outcome of these patients in terms of syncope recurrence and survival. METHODS AND RESULTS: An ILR was implanted to 97 patients with syncope of unknown origin. Patients were classified in groups A and B depending on their high or low risk, respectively, of having arrhythmic syncope. Diagnosis had not been reached in 60 patients (62%) when the ILR battery reached end operational life. Five patients were lost to follow up. During a median follow-up of 48 months after ILR explantation (interquartile range 36-56), 22 patients (40%) had recurrence of syncope (32% in group A vs. 48% in group B, P = 0.3). Syncopes with no neurally mediated profile were more frequent in group A (18 vs. 0%, P = 0.05) and neurally mediated profile syncopes were more frequent in group B (44 vs. 11%, P = 0.007). Five patients died, four of them in group A and 1 in group B (P = 0.4). No sudden or cardiac deaths were detected during follow-up. All deaths were due to non-cardiac causes. CONCLUSION: Recurrent syncope is common in patients in whom a diagnosis is not established after the full battery life of an ILR. The prognosis of these patients seems to be good, without observed sudden or cardiac death.

A fast and efficient method for the analysis of α-dicarbonyl compounds in aqueous solutions: Development and application.

Among the highly oxygenated species formed in situ in the atmosphere, α-dicarbonyl compounds are the most reactive species, thus contributing to the formation of secondary organic aerosols that affect both air quality and climate. They are ubiquitous in the atmosphere and are easily transferred to the atmospheric aqueous phase due to their high solubility. In addition, α-dicarbonyl compounds are toxic compounds found in food in biochemistry studies as they can be produced endogenously through various pathways and exogenously through the Maillard reaction. In this work, we take advantage of the high reactivity of α-dicarbonyl compounds in alkaline solutions (intramolecular Cannizzaro reaction) to develop an analytical method based on high performance ion chromatography. This fast and efficient method is suitable for glyoxal, methylglyoxal and phenylglyoxal which are detected as glycolate, lactate and mandelate anions respectively, with 100% conversion at pH > 12 and room temperature for exposure times to hydroxide ranging from 5 min to 4 h. Diacetyl is detected as 2,4-dihydroxy-2,4-dimethyl-5-oxohexanoate due to a base-catalysed aldol reaction that occurs before the Cannizzaro reaction. The analytical method is successfully applied to monitor glyoxal consumption during aqueous phase HO∙-oxidation, an atmospherically relevant reaction using concentrations that can be observed in fog and cloud water. The method also reveals potential analytical artifacts that can occur in the use of ion chromatography for α-hydroxy carboxylates measurements in complex matrices due to α-dicarbonyl conversion during the analysis time. An estimation of the artifact is given for each of the studied α-hydroxy carboxylates. Other polyfunctional and pH-sensitive compounds that are potentially present in environmental samples (such as nitrooxycarbonyls) can also be converted into α-hydroxy carboxylates and/or nitrite ions within the HPIC run. This shows the need for complementary analytical measurements when complex matrices are studied.

The E1a Adenoviral Gene Upregulates the Yamanaka Factors to Induce Partial Cellular Reprogramming.

The induction of pluripotency by enforced expression of different sets of genes in somatic cells has been achieved with reprogramming technologies first described by Yamanaka's group. Methodologies for generating induced pluripotent stem cells are as varied as the combinations of genes used. It has previously been reported that the adenoviral E1a gene can induce the expression of two of the Yamanaka factors (c-Myc and Oct-4) and epigenetic changes. Here, we demonstrate that the E1a-12S over-expression is sufficient to induce pluripotent-like characteristics closely to epiblast stem cells in mouse embryonic fibroblasts through the activation of the pluripotency gene regulatory network. These findings provide not only empirical evidence that the expression of one single factor is sufficient for partial reprogramming but also a potential mechanistic explanation for how viral infection could lead to neoplasia if they are surrounded by the appropriate environment or the right medium, as happens with the tumorogenic niche.

Are genetic drift and stem cell adherence in laboratory culture issues for cultivated meat production?

Mesenchymal stem cell-based cultivated meat is a promising solution to the ecological and ethical problems posed by traditional meat production, since it exhibits a protein content and composition that is more comparable to original meat proteins than any other source of cultivated meat products, including plants, bacteria, and fungi. Nonetheless, the nature and laboratory behavior of mesenchymal stem cells pose two significant challenges for large-scale production: genetic drift and adherent growth in culture. Culture conditions used in the laboratory expose the cells to a selective pressure that causes genetic drift, which may give rise to oncogene activation and the loss of "stemness." This is why genetic and functional analysis of the cells during culture is required to determine the maximum number of passages within the laboratory where no significant mutations or loss of function are detected. Moreover, the adherent growth of mesenchymal stem cells can be an obstacle for their large-scale production since volume to surface ratio is limited for high volume containers. Multi-tray systems, roller bottles, and microcarriers have been proposed as potential solutions to scale-up the production of adherent cells required for cultivated meat. The most promising solutions for the safety problems and large-scale obstacles for cultivated meat production are the determination of a limit number of passages based on a genetic analysis and the use of microcarriers from edible materials to maximize the volume to surface proportion and decrease the downstream operations needed for cultivated meat production.

Cell competition acts as a purifying selection to eliminate cells with mitochondrial defects during early mouse development.

Cell competition is emerging as a quality-control mechanism that eliminates unfit cells in a wide range of settings from development to the adult. However, the nature of the cells normally eliminated by cell competition and what triggers their elimination remains poorly understood. In mice, 35% of epiblast cells are eliminated before gastrulation. Here we show that cells with mitochondrial defects are eliminated by cell competition during early mouse development. Using single-cell transcriptional profiling of eliminated mouse epiblast cells, we identify hallmarks of cell competition and mitochondrial defects. We demonstrate that mitochondrial defects are common to a range of different loser cell types and that manipulating mitochondrial function triggers cell competition. Moreover, we show that in the mouse embryo, cell competition eliminates cells with sequence changes in mt-Rnr1 and mt-Rnr2, and that even non-pathological changes in mitochondrial DNA sequences can induce cell competition. Our results suggest that cell competition is a purifying selection that optimizes mitochondrial performance before gastrulation.

Structure and immunogenicity of a stabilized HIV-1 envelope trimer based on a group-M consensus sequence.

Stabilized HIV-1 envelope glycoproteins (Env) that resemble the native Env are utilized in vaccination strategies aimed at inducing broadly neutralizing antibodies (bNAbs). To limit the exposure of rare isolate-specific antigenic residues/determinants we generated a SOSIP trimer based on a consensus sequence of all HIV-1 group M isolates (ConM). The ConM trimer displays the epitopes of most known bNAbs and several germline bNAb precursors. The crystal structure of the ConM trimer at 3.9 Å resolution resembles that of the native Env trimer and its antigenic surface displays few rare residues. The ConM trimer elicits strong NAb responses against the autologous virus in rabbits and macaques that are significantly enhanced when it is presented on ferritin nanoparticles. The dominant NAb specificity is directed against an epitope at or close to the trimer apex. Immunogens based on consensus sequences might have utility in engineering vaccines against HIV-1 and other viruses.

[Knowledge and attitudes of health professionals towards advance directives]. / Grado de conocimiento y actitudes de los profesionales sanitarios sobre el documento de voluntades anticipadas.

OBJECTIVE: To evaluate the degree of knowledge and attitudes of medical and nursing professionals in two health departments to advance directives, as well as to examine their association with the sociodemographic and occupational variables of the professionals. METHODS: A cross-sectional survey on 329 health professionals was carried out through the internet and a standardised procedure. The knowledge and attitudes of the professionals about advance directives were examined using two validated questionnaires of 17 and 12 items, respectively. Sociodemographic and professional data were also collected from the participants. RESULTS: 45% of the professionals were physicians, with X¯=13,1 (SD: 8.3) years of professional experience. Sixty-seven point five percent were women and the mean age was 38.9 (SD: 9.2) years. Professionals had very positive attitudes towards the advance directives document (X¯=75.37;SD: 11.97;R=0-90), although their level of knowledge about them was medium-low (X¯=9.31;SD: 2.73;R=0-18). Both the level of knowledge and self-perception were associated with previous training in palliative care, experience with document management, reading, or the demand for information. Completing the document related to self-perception of knowledge. Attitudes towards the document related to experience in its use and a positive attitude toward training. CONCLUSIONS: The professionals showed positive attitudes towards the advance directive document although low knowledge about it. Experience with the document was the only variable associated with both the knowledge and the attitudes of the professionals.

Competitive interactions eliminate unfit embryonic stem cells at the onset of differentiation.

A fundamental question in developmental biology is whether there are mechanisms to detect stem cells with mutations that, although not adversely affecting viability, would compromise their ability to contribute to further development. Here, we show that cell competition is a mechanism regulating the fitness of embryonic stem cells (ESCs). We find that ESCs displaying defective bone morphogenetic protein signaling or defective autophagy or that are tetraploid are eliminated at the onset of differentiation by wild-type cells. This elimination occurs in an apoptosis-dependent manner and is mediated by secreted factors. Furthermore, during this process, we find that establishment of differential c-Myc levels is critical and that c-Myc overexpression is sufficient to induce competitive behavior in ESCs. Cell competition is, therefore, a process that allows recognition and elimination of defective cells during the early stages of development and is likely to play important roles in tissue homeostasis and stem cell maintenance.

Grado de conocimiento y actitudes de los profesionales sanitarios sobre el documento de voluntades anticipadas / Knowledge and attitudes of health professionals towards advance directives

Objetivo: Evaluar el grado de conocimiento y las actitudes sobre el documento de voluntades anticipadas (DVA) del personal médico y de enfermería de dos departamentos sanitarios, así como examinar su asociación con variables sociodemográficas y laborales de los profesionales. Método: Se realizó una encuesta transversal a 329 profesionales a través de Internet y mediante un procedimiento estandarizado. Se examinaron los conocimientos y las actitudes hacia el DVA utilizando dos cuestionarios validados de 17 y 12 ítems, respectivamente. Se recogieron datos sociodemográficos y profesionales. Resultados: El 45% fueron médicos/as, con una media de 13,1 (desviación típica [DT]: 8,3) años de experiencia profesional. El 67,5% fueron mujeres, con una edad media de 38,9 (DT: 9,2) años. Tuvieron actitudes muy positivas hacia el documento (media: 75,37; DT: 11,97; R=0-90), a pesar de que su nivel de conocimientos fue medio-bajo (media: 9,31; DT: 2,73; R=0-18). Tanto el nivel de conocimientos como su autopercepción se asociaron a la formación previa en cuidados paliativos, a la experiencia en el manejo del documento, su lectura o la demanda de información. La suscripción del documento se relacionó con la autopercepción de los conocimientos. Las actitudes se asociaron con la experiencia en el manejo y la actitud positiva hacia la formación. Conclusiones: Los/las profesionales mostraron actitudes positivas hacia el DVA, pero escasos conocimientos sobre el mismo. La experiencia con el DVA fue la única variable que se asoció tanto a los conocimientos como a las actitudes de los profesionales

Objective: To evaluate the degree of knowledge and attitudes of medical and nursing professionals in two health departments to advance directives, as well as to examine their association with the sociodemographic and occupational variables of the professionals. Methods: A cross-sectional survey on 329 health professionals was carried out through the internet and a standardised procedure. The knowledge and attitudes of the professionals about advance directives were examined using two validated questionnaires of 17 and 12 items, respectively. Sociodemographic and professional data were also collected from the participants. Results: 45% of the professionals were physicians, with X¯=13,1 (SD: 8.3) years of professional experience. Sixty-seven point five percent were women and the mean age was 38.9 (SD: 9.2) years. Professionals had very positive attitudes towards the advance directives document (X¯=75.37;SD: 11.97;R=0-90), although their level of knowledge about them was medium-low (X¯=9.31;SD: 2.73;R=0-18). Both the level of knowledge and self-perception were associated with previous training in palliative care, experience with document management, reading, or the demand for information. Completing the document related to self-perception of knowledge. Attitudes towards the document related to experience in its use and a positive attitude toward training. Conclusions: The professionals showed positive attitudes towards the advance directive document although low knowledge about it. Experience with the document was the only variable associated with both the knowledge and the attitudes of the professionals

Ensayo controlado aleatorizado de un programa de promoción de la salud para la prevención del tabaquismo en un grupo de escolares / Randomized controlled trial of a health prevention program against smoking in a population of secondary school students

Introducción: El tabaco es la principal causa evitable de pérdida de salud y muerte en España. Con inicio entre los 10 y 14 años, es necesaria su prevención, y la educación para la salud, el medio más adecuado. Objetivos: Describir actitudes, experimentación y consumo de tabaco en escolares de secundaria. Modificar actitudes para controlar la experimentación y consumo de tabaco. Material y método: Ensayo controlado, abierto, aleatorizado por conglomerados uniformes (aulas). Grupo intervención (GI) de 159 alumnos y grupo control (GC) de 73. Diseño: Preparación del material y formación del profesorado (octubre a diciembre de 2000); descripción de la población mediante cuestionario anónimo y estandarizado FRISC (diciembre de 2000); aplicación por el profesorado del programa estándar al GC y del programa estudio al GI (enero a abril de 2001); primera (abril de 2001) y segunda (diciembre de 2001) evaluación mediante FRISC. Resultados: Diciembre de 2000: el 55,8% de los alumnos experimentaron con el tabaco, el 10,2% lo consumió diariamente y el 4,6%, semanalmente. El GI presentó el 1,9% más consumidores diarios y el 12,7% más experimentadores que el GC. Abril de 2001: la modificación de actitudes ocasionó que el GC presente el 4,1% más experimentadores (p = 0,698) y el 8,4% más consumidores diarios que el GI (p = 0,204). Diciembre de 2001: la diferencia fue del 8,9% más experimentadores (p = 0,260) y el 3,7% más consumidores diarios en el GC que en el GI (p = 0,718). Entre diciembre de 2000 y abril de 2001 descendió el porcentaje de consumidores ocasionales (p = 0,023), y también en diciembre de 2001 (p = 0,208). Conclusiones: La población presenta un alto consumo de tabaco. El programa estudio presenta efectos positivos a corto plazo, que disminuyen a medio plazo

Introduction: Smoking is the main avoidable cause of illness and death in Spain. Children begin to smoke between the ages of 10 and 14 years. Early health education in schools is the most appropriate preventive action. Objectives: To describe attitudes to smoking, experimentation and smoking habits in secondary school students and to modify attitudes to reduce experimentation and tobacco use. Material and method: We performed a controlled, open trial with randomization by uniform clusters (classroom). The intervention group (IG) consisted of 159 students and the control group (CG) of 73. Design: Preparation of material and staff training (October-December 2000). Data on students was gathered by means of an anonymized standardized questionnaire (the FRISC questionnaire; December 2000). The teachers applied the standard program to the CG and the study program to the IG (January-April 2001). First evaluation (April 2001) and second evaluation (December 2001), using the FRISC questionnaire. Results: December 2000: 55.8% of the students had experimented with tobacco, 10.2% smoked daily and 4.6% smoked weekly. The IG had 1.9% more daily smokers and 12.7% more students that had experimented with smoking than the CG. April 2001: because of modifications to attitudes, the CG had 4.1% more students who had experimented with smoking (p = 0.698) and 8.4% more daily smokers than the IG (p = 0.204). December 2001: the CG had 8.9% more students who had experimented with smoking (p = 0.260) and 3.7% more daily smokers than the IG (p = 0.718). Between December 2000 and April 2001, the percentage of occasional smokers decreased (p = 0.023), and this decrease was maintained in December 2001 (p = 0.208). Conclusions: Tobacco use was high in the study population. The preventive program showed positive results in the short term that decreased in the medium term