Treatment intensification with insulin glargine in patients with inadequately controlled type 2 diabetes improves glycaemic control with a high treatment satisfaction and no weight gain

PRINCIPLES We aimed to evaluate the efficacy of, and treatment satisfaction with, insulin glargine administered with SoloSTAR® or ClikSTAR® pens in patients with type 2 diabetes mellitus managed by primary care physicians in Switzerland. METHODS A total of 327 patients with inadequately controlled type 2 diabetes were enrolled by 72 physicians in this prospective observational study, which aimed to evaluate the efficacy of a 6-month course of insulin glargine therapy measured as development of glycaemic control (glycosylated haemoglobin [HbA1c] and fasting plasma glucose [FPG]) and weight change. We also assessed preference for reusable or disposable pens, and treatment satisfaction. RESULTS After 6 months, the mean daily dose of insulin glargine was 27.7±14.3 U, and dose titration was completed in 228 (72.4%) patients. Mean HbA1c decreased from 8.9%±1.6% (n=327) to 7.3%±1.0% (n=315) (p<0.0001), and 138 (43.8%) patients achieved an HbA1c≤7.0%. Mean FPG decreased from 10.9±4.5 to 7.3±1.8 mmol/l (p<0.0001). Mean body weight did not change (85.4±17.2 kg vs 85.0±16.5 kg; p=0.11). Patients' preference was in favour of the disposable SoloStar® pen (80%), as compared with the reusable ClickStar® pen (20%). Overall, 92.6% of physicians and 96.3% of patients were satisfied or very satisfied with the insulin glargine therapy. CONCLUSIONS In patients with type 2 diabetes insulin glargine administered by SoloSTAR® or ClikSTAR® pens, education on insulin injection and on self-management of diabetes was associated with clinically meaningful improvements in HbA1c and FPG without a mean collective weight gain. The vast majority of both patients and primary care physicians were satisfied with the treatment intensification.

Development of a 3D Game Engine

This paper presents the development history and specification of a 3D game engine titled "Spark Engine". The term "engine" is used to describe a complex graphics software suite that streamlines application development and provides efficient rendering functionality. A game engine specifically provides tools to simplify game development. Spark Engine is fully shader driven and is built on top of Microsoft's XNA Framework. It is a reusable and flexible platform that can be used to build any type of graphics application ranging from gaming to simulation. The engine was released as open source software under the New BSD License with an interest in furthering its development.

Legal Aspects which Implement Good Practice Measures in the Management of Construction and Demolition Waste

The construction industry, one of the most important ones in the development of a country, generates unavoidable impacts on the environment. The social demand towards greater respect for the environment is a high and general outcry. Therefore, the construction industry needs to reduce the impact it produces. Proper waste management is not enough; we must take a further step in environmental management, where new measures need to be introduced for the prevention at source, such as good practices to promote recycling. Following the amendment of the legal frame applicable to Construction and Demolition Waste (C&D waste), important developments have been incorporated in European and International laws, aiming to promote the culture of reusing and recycling. This change of mindset, that is progressively taking place in society, is allowing for the consideration of C&D waste no longer as an unusable waste, but as a reusable material. The main objective of the work presented in this paper is to enhance C&D waste management systems through the development of preventive measures during the construction process. These measures concern all the agents intervening in the construction process as only the personal implication of all of them can ensure an efficient management of the C&D waste generated. Finally, a model based on preventive measures achieves organizational cohesion between the different stages of the construction process, as well as promoting the conservation of raw materials through the use and waste minimization. All of these in order to achieve a C&D waste management system, whose primary goal is zero waste generation

Píldoras formativas y videojuegos aplicados al estudio de la Ingeniería Acústica

Las TIC cada vez tienen un mayor impacto social en el mundo de la enseñanza a distancia, están surgiendo nuevos conceptos relacionados con la forma de llevar el aprendizaje a las personas. La generación de contenidos supone una práctica costosa en tiempo, recursos y personas, es por eso la tendencia a que sean reutilizables, accesibles, portables y durables. Es aquí donde toman su importancia las píldoras formativas o de conocimiento, estando asociadas a un concepto y con una duración entre 5 y 15 minutos. Este trabajo pretende desarrollar píldoras formativas a modo de videos de corta duración sobre conceptos acústicos y guiones de prácticas de laboratorio tratados a lo largo del máster. Se desarrollará también a modo de videojuego el guión de una de las prácticas sirviendo como complemento a los videos. El trabajo se divide en dos partes bien diferenciadas, una de estudio teórico tanto de la tecnología para el desarrollo de los videos, que servirá de guía para futuras píldoras, como del contenido de éstos, y otra parte que tratará la implementación y adaptación de los videos y de los videojuegos. SUMMARY ICTs are becoming a greater social impact in the world of distance learning are emerging concepts related to learning how to take people. Content generation is a costly exercise in time, resources and people, is why the tendency to be reusable, accessible, portable and durable. This is where the importance of taking pills training or knowledge, being associated with a concept and with a duration between 5 and 15 minutes. This work aims to develop training pills as a short videos on concepts and scripts acoustic laboratory practices discussed during the Master. Also be developed as a script for a game of serving practices to supplement the videos. The work is divided into two distinct parts, a theoretical study of both the technology for the development of the videos, which will guide future pills, and the content of these, and another part that will address the implementation and adaptation of the videos and of video games.

A new approach for publishing workflows: abstractions, standards, and linked data

In recent years, a variety of systems have been developed that export the workflows used to analyze data and make them part of published articles. We argue that the workflows that are published in current approaches are dependent on the specific codes used for execution, the specific workflow system used, and the specific workflow catalogs where they are published. In this paper, we describe a new approach that addresses these shortcomings and makes workflows more reusable through: 1) the use of abstract workflows to complement executable workflows to make them reusable when the execution environment is different, 2) the publication of both abstract and executable workflows using standards such as the Open Provenance Model that can be imported by other workflow systems, 3) the publication of workflows as Linked Data that results in open web accessible workflow repositories. We illustrate this approach using a complex workflow that we re-created from an influential publication that describes the generation of 'drugomes'.

A Metadirectory of Web Components for Mashup Composition

Because of the growing availability of third-party APIs, services, widgets and any other reusable web component, mashup developers now face a vast amount of candidate components for their developments. Moreover, these components quite often are scattered in many different repositories and web sites, which makes difficult their selection or discovery. In this paper, we discuss the problem of component selection in Service-Oriented Architectures (SOA) and Mashup-Driven Development, and introduce the Linked Mashups Ontology (LiMOn), a model that allows describing mashups and their components for integrating and sharing mashup information such as categorization or dependencies. The model has allowed the building of an integrated, centralized metadirectory of web components for query and selection, which has served to evaluate the model. The metadirectory allows accessing various heterogeneous repositories of mashups and web components while using external information from the Linked Data cloud, helping mashup development.

Combining data mining and ontology engineering to enrich ontologies and linked data

In this position paper, we claim that the need for time consuming data preparation and result interpretation tasks in knowledge discovery, as well as for costly expert consultation and consensus building activities required for ontology building can be reduced through exploiting the interplay of data mining and ontology engineering. The aim is to obtain in a semi-automatic way new knowledge from distributed data sources that can be used for inference and reasoning, as well as to guide the extraction of further knowledge from these data sources. The proposed approach is based on the creation of a novel knowledge discovery method relying on the combination, through an iterative ?feedbackloop?, of (a) data mining techniques to make emerge implicit models from data and (b) pattern-based ontology engineering to capture these models in reusable, conceptual and inferable artefacts.

Implementation of wireless communication based on Software Defined Radio

In current communication systems, there are many new challenges like various competitive standards, the scarcity of frequency resource, etc., especially the development of personal wireless communication systems result the new system update faster than ever before, the conventional hardware-based wireless communication system is difficult to adapt to this situation. The emergence of SDR enabled the third revolution of wireless communication which from hardware to software and build a flexible, reliable, upgradable, reusable, reconfigurable and low cost platform. The Universal Software Radio Peripheral (USRP) products are commonly used with the GNU Radio software suite to create complex SDR systems. GNU Radio is a toolkit where digital signal processing blocks are written in C++, and connected to each other with Python. This makes it easy to develop more sophisticated signal processing systems, because many blocks already written by others and you can quickly put them together to create a complete system. Although the main function of GNU Radio is not be a simulator, but if there is no RF hardware components,it supports to researching the signal processing algorithm based on pre-stored and generated data by signal generator. This thesis introduced SDR platform from hardware (USRP) and software(GNU Radio), as well as some basic modulation techniques in wireless communication system. Based on the examples provided by GNU Radio, carried out some related experiments, for example GSM scanning and FM radio station receiving on USRP. And make a certain degree of improvement based on the experience of some investigators to observe OFDM spectrum and simulate real-time video transmission. GNU Radio combine with USRP hardware proved to be a valuable lab platform for implementing complex radio system prototypes in a short time. RESUMEN. Software Defined Radio (SDR) es una tecnología emergente que está creando un impacto revolucionario en la tecnología de radio convencional. Un buen ejemplo de radio software son los sistemas de código abierto llamados GNU Radio que emplean un kit de herramientas de desarrollo de software libre. En este trabajo se ha empleado un kit de desarrollo comercial (Ettus Research) que consiste en un módulo de procesado de señal y un hardaware sencillo. El módulo emplea un software de desarrollo basado en Linux sobre el que se pueden implementar aplicaciones de radio software muy variadas. El hardware de desarrollo consta de un microprocesador de propósito general, un dispositivo programable (FPGA) y un interfaz de radiofrecuencia que cubre de 50 a 2200MHz. Este hardware se conecta al PC por medio de un interfaz USB de 8Mb/s de velocidad. Sobre la plataforma de Ettus se pueden ejecutar aplicaciones GNU radio que utilizan principalmente lenguaje de programación Python para implementarse. Sin embargo, su módulo de procesado de señal está construido en C + + y emplea un microprocesador con aritmética de coma flotante. Por lo tanto, los desarrolladores pueden rápida y fácilmente construir aplicaciones en tiempo real sistemas de comunicación inalámbrica de alta capacidad. Aunque su función principal no es ser un simulador, si no puesto que hay componentes de hardware RF, Radio GNU sirve de apoyo a la investigación del algoritmo de procesado de señales basado en pre-almacenados y generados por los datos del generador de señal. En este trabajo fin de máster se ha evaluado la plataforma de hardware de DEG (USRP) y el software (GNU Radio). Para ello se han empleado algunas técnicas de modulación básicas en el sistema de comunicación inalámbrica. A partir de los ejemplos proporcionados por GNU Radio, hemos realizado algunos experimentos relacionados, por ejemplo, escaneado del espectro, demodulación de señales de FM empleando siempre el hardware de USRP. Una vez evaluadas aplicaciones sencillas se ha pasado a realizar un cierto grado de mejora y optimización de aplicaciones complejas descritas en la literatura. Se han empleado aplicaciones como la que consiste en la generación de un espectro de OFDM y la simulación y transmisión de señales de vídeo en tiempo real. Con estos resultados se está ahora en disposición de abordar la elaboración de aplicaciones complejas.

Implementación de una arquitectura de componentes para un sistema de apoyo a la toma de decisiones en Atención Primaria

Este Proyecto Fin de Grado tiene como objetivo fundamental el perfeccionamiento y puesta en explotación de un sistema de ayuda a la decisión que evalúa el desarrollo del lenguaje en niños de 0 a 6 años de edad. Este sistema está formado fundamentalmente por una aplicación diseñada y construida mediante una arquitectura de componentes de software modular y reutilizable. La aplicación será usada por los pediatras para realizar evaluaciones del desarrollo del lenguaje infantil y además por los neuropediatras, logopedas y miembros de equipos de Atención Temprana para consultar las evaluaciones y validar las decisiones propuestas por el sistema. El sistema es accesible vía web y almacena toda la información que maneja en una base de datos. Asimismo, el sistema se apoya en un modelo conceptual u ontología desarrollado previamente para inferir las decisiones adecuadas para las evaluaciones del lenguaje. El sistema incorpora las funciones de gestión de los usuarios del mismo. ABSTRACT This Grade End Project has as fundamental objective the improvement and deployment of a decision support system for evaluating children language development from 0 to 6 years of age. This system is mainly formed by an application designed and built using a modular and reusable software component architecture. The application will be used by pediatricians for evaluating children´s speech development and also by neuro-pediatricians, speech therapists and early childhood intervention team members, for consulting previous evaluations and for validating system´s proposed decision. The system is web based and stores its information in a database. Likewise, the system is supported by a conceptual model or ontology previously developed to infer the appropriate decision for language evaluation. The system also includes user management functions.

Model-to-Code transformation from product-line architecture models to aspectJ

Software Product Line Engineering has significant advantages in family-based software development. The common and variable structure for all products of a family is defined through a Product-Line Architecture (PLA) that consists of a common set of reusable components and connectors which can be configured to build the different products. The design of PLA requires solutions for capturing such configuration (variability). The Flexible-PLA Model is a solution that supports the specification of external variability of the PLA configuration, as well as internal variability of components. However, a complete support for product-line development requires translating architecture specifications into code. This complex task needs automation to avoid human error. Since Model-Driven Development allows automatic code generation from models, this paper presents a solution to automatically generate AspectJ code from Flexible-PLA models previously configured to derive specific products. This solution is supported by a modeling framework and validated in a software factory.

Enhancing K-12 science education through a multi-device web tool to facilitate content integration and e-infrastructure access

An effective K-12 science education is essential to succeed in future phases of the curriculum and the e-Infrastructures for education provide new opportunities to enhance it. This paper presents ViSH Viewer, an innovative web tool to consume educational content which aims to facilitate e-Science infrastructures access through a next generation learning object called "Virtual Excursion". Virtual Excursions provide a new way to explore science in class by taking advantage of e-Infrastructure resources and their integration with other educational contents, resulting in the creation of a reusable, interoperable and granular learning object. In order to better understand how this tool can allow teachers and students a joyful exploration of e-Science, we also present three Virtual Excursion examples. Details about the design, development and the tool itself are explained in this paper as well as the concept, structure and metadata of the new learning object.

An online e-Learning authoring tool to create interactive multi-device learning objects using e-Infrastructure resources

Education can take advantage of e-Infrastructures to provide teachers with new opportunities to increase students' motivation and engagement while they learn. Nevertheless, teachers need to find, integrate and customize the resources provided by e-Infrastructures in an easy way. This paper presents ViSH Editor, an innovative web-based e-Learning authoring tool that aims to allow teachers to create new learning objects using e-Infrastructure resources. These new learning objects are called Virtual Excursions and are created as reusable, granular and interoperable learning objects. This way they can be reused to build new ones and they can be integrated in websites or Learning Management Systems. Details about the design, development and the tool itself are explained in this paper as well as the concept, structure and metadata of the new learning objects. Lastly, some real examples of how to enrich learning using Virtual Excursions are exposed.

Agent-based modeling and simulation for the design of the future european Air Traffic Management system: the experience of CASSIOPEIA

The SESAR (Single European Sky ATM Research) program is an ambitious re-search and development initiative to design the future European air traffic man-agement (ATM) system. The study of the behavior of ATM systems using agent-based modeling and simulation tools can help the development of new methods to improve their performance. This paper presents an overview of existing agent-based approaches in air transportation (paying special attention to the challenges that exist for the design of future ATM systems) and, subsequently, describes a new agent-based approach that we proposed in the CASSIOPEIA project, which was developed according to the goals of the SESAR program. In our approach, we use agent models for different ATM stakeholders, and, in contrast to previous work, our solution models new collaborative decision processes for flow traffic management, it uses an intermediate level of abstraction (useful for simulations at larger scales), and was designed to be a practical tool (open and reusable) for the development of different ATM studies. It was successfully applied in three stud-ies related to the design of future ATM systems in Europe.

An agent-based approach for the design of the future european air traffic management system

This paper describes an agent-based approach for the simulation of air traffic management (ATM) in Europe that was designed to help analyze proposals for future ATM systems. This approach is able to represent new collaborative deci-sion processes for flow traffic management, it uses an intermediate level of ab-straction (useful for simulations at larger scales), and was designed to be a practi-cal tool (open and reusable) for the development of different ATM studies. It was successfully applied in three studies related to the design of future ATM systems in Europe.

Knowledge-based spatiotemporal linear abstraction

We present a theoretical framework and a case study for reusing the same conceptual and computational methodology for both temporal abstraction and linear (unidimensional) space abstraction, in a domain (evaluation of traffic-control actions) significantly different from the one (clinical medicine) in which the method was originally used. The method, known as knowledge-based temporal abstraction, abstracts high-level concepts and patterns from time-stamped raw data using a formal theory of domain-specific temporal-abstraction knowledge. We applied this method, originally used to interpret time-oriented clinical data, to the domain of traffic control, in which the monitoring task requires linear pattern matching along both space and time. First, we reused the method for creation of unidimensional spatial abstractions over highways, given sensor measurements along each highway measured at the same time point. Second, we reused the method to create temporal abstractions of the traffic behavior, for the same space segments, but during consecutive time points. We defined the corresponding temporal-abstraction and spatial-abstraction domain-specific knowledge. Our results suggest that (1) the knowledge-based temporal-abstraction method is reusable over time and unidimensional space as well as over significantly different domains; (2) the method can be generalized into a knowledge-based linear-abstraction method, which solves tasks requiring abstraction of data along any linear distance measure; and (3) a spatiotemporal-abstraction method can be assembled from two copies of the generalized method and a spatial-decomposition mechanism, and is applicable to tasks requiring abstraction of time-oriented data into meaningful spatiotemporal patterns over a linear, decomposable space, such as traffic over a set of highways.