This paper presents enhanced coordination between TSOs and DSOs with regard to market related information and data infrastructures that can be developed using a cloud-based approach. The definition of use cases with regard to the levels of portal access is proposed and particular attention is given to the different time and space scales of data that is needed to provide harmonised access. The attributes of the information layer as defined in the Smart Grid Architecture Model (SGAM) are reflected in the formally defined use cases. Different access levels are demonstrated via the definition of use cases for a trusted cloud platform by considering harmonised access processes and role-based access control for security.
Frameshift insertion/deletions (fs-indels) are an infrequent but highly immunogenic mutation subtype. Although fs-indels are degraded through the nonsense-mediated decay (NMD) pathway, we hypothesise that some fs-indels escape degradation and elicit anti-tumor immune responses. Using allele-specific expression analysis, expressed fs-indels are enriched in genomic positions predicted to escape NMD, and associated with higher protein expression, consistent with degradation escape (NMD-escape). Across four independent melanoma cohorts, NMD-escape mutations are significantly associated with clinical-benefit to checkpoint inhibitor (CPI) therapy (Pmeta = 0.0039). NMD-escape mutations are additionally found to associate with clinical-benefit in the low-TMB setting. Furthermore, in an adoptive cell therapy treated melanoma cohort, NMD-escape mutation count is the most significant biomarker associated with clinical-benefit. Analysis of functional T cell reactivity screens from personalized vaccine studies shows direct evidence of fs-indel derived neoantigens eliciting immune response, particularly those with highly elongated neo open reading frames. NMD-escape fs-indels represent an attractive target for biomarker optimisation and immunotherapy design. The transcripts generated by frameshifts and indels in cancer are frequently degraded by nonsense mediated decay. Here, the authors show that some of these transcripts can escape this degradation mechanism and their prevalence correlates with tumour response to immunotherapy.
Once coined the neglected stepchild of global health, surgical care has become an integral part of healthcare.1 Five billion people worldwide lack access to safe, timely, and affordable surgery, obstetrics, and anesthesia, causing over 18 million preventable deaths each year.2 To systematically address infrastructural and workforce shortages, and increase the accessibility of safe surgical care, National Surgical, Obstetric, and Anesthesia Plans (NSOAPs) are being developed around the world.3 As strategic plans embedded within countries' national health plans, NSOAPs allow for comprehensive health system strengthening across workforce, infrastructure, service delivery, financing, information management, and governance.4
Two commercial tomato cultivars were used to determine whether grafting could prevent decrease of Ca2+ concentration under salt stress conditions. The cultivars Buran F1 and Berberana F1 were grafted onto rootstock "Maxifort" and grown under three levels of the elevated soil salinity (S1 EC 3.80 dS m-1, S2 6.95 dS m-1 and S3 9.12 dS m-1). Ca2+ concentration of non-grafted plants of both examined hybrids was lower at all salinity levels in comparison to the control. In the fruits of grafted plants salt stress significantly decreased Ca2+ concentration only at the third salinity level (EC 9.12 dS m-1). The possibility of grafting tomato plants to improve influx of Ca2+ under salt stress conditions is discussed.
In South-Eastern Europe, the majority of runner-bean (Phaseolus coccineus L.) production is based on local populations grown mainly in home gardens. The local runner-bean plants are well adapted to their specific growing conditions and microclimate agro-environments, and show great morpho-agronomic diversity. Here, 142 runner-bean accessions from the five South-Eastern European countries of Slovenia, Bosnia and Herzegovina, Serbia, North Macedonia and Romania were sown and cultivated in their respective countries and characterised using 28 quantitative and qualitative morpho-agronomic descriptors for Phaseolus spp. based on inflorescences, leaves, plants, pods and seeds. For each of these morpho-agronomic descriptors, the accessions can be classified into two or three specific groups. The highest correlations were observed within the fluorescence, seed and pod traits. The highest variability, at 76.39%, was between the different countries, representing different geographic origins, while the variability within the countries was 23.61%. Cluster analysis based on these collected morpho-agronomic data also classified the accessions into three groups according to genetic origins. The data obtained serve as useful genetic information for plant breeders for the breeding of new bean varieties for further studies of the morpho-agronomic traits of the runner bean.
Over the past three decades numerous numerical methods for solving the time-dependent Schr\"odinger equation within the single-active electron approximation have been developed for studying ionization of atomic targets exposed to an intense laser field. In addition, various numerical techniques for extracting the photoelectron spectra from the time-dependent wave function have emerged. In this paper we compare photoelectron spectra obtained by either projecting the time-dependent wave function at the end of the laser pulse onto the continuum state having the proper incoming boundary condition or by using the window-operator method. Our results for three different atomic targets show that the boundary condition imposed onto the continuum states plays a crucial role for obtaining correct spectra accurate enough to resolve fine details of the interference structures of the photoelectron angular distribution.
The increasing share of renewable generation leads to new challenges in reliable power system operation, such as the rising volatility of power generation, which leads to time-varying dynamics and behavior of the system. To counteract the changing dynamics, we propose to adapt the parameters of existing controllers to the changing conditions. Doing so, however, is challenging, as large power systems often involve multiple subsystem operators, which, for safety and privacy reasons, do not want to exchange detailed information about their subsystems. Furthermore, centralized tuning of structured controllers for large-scale systems, such as power networks, is often computationally very challenging. For this reason, we present a hierarchical decentralized approach for controller tuning, which increases data security and scalability. The proposed method is based on the exchange of structured reduced models of subsystems, which conserves data privacy and reduces computational complexity. For this purpose, suitable methods for model reduction and model matching are introduced. Furthermore, we demonstrate how increased renewable penetration leads to time-varying dynamics on the IEEE 68-bus power system, which underlines the importance of the problem. Then, we apply the proposed approach on simulation studies to show its effectiveness. As shown, similar system performance as with a centralized method can be obtained. Finally, we show the scalability of the approach on a large power system with more than 2500 states and about 1500 controller parameters.
Background: Congenital cytomegalovirus infection (cCMV) is a leading cause of sensorineural hearing loss (SNHL) and neurodevelopmental disabilities in developed countries. Although high cCMV rates have been reported in populations with high seroprevalence, the cCMV prevalence in low/middle-income countries in Europe has not been defined. Objective: To determine cytomegalovirus (CMV) seroprevalence and the cCMV prevalence in Bosnia and Herzegovina. Methods: Between March 2010 and February 2019, 5222 sera samples from patients seen at the University Clinical Hospital Mostar were tested for CMV IgG. The cord blood samples collected from 2091 infants between July 2011 and January 2013 were analyzed for CMV IgG and CMV DNA. The cCMV prevalence was determined by testing saliva swabs from 1293 infants between November 2015 and October 2016. Results: The overall CMV IgG prevalence was 81.4% (95% confidence interval: 0.8–0.82). Significantly higher prevalence was observed among females (84.9%) than in males (77.0%), and the rate increased from 50.8% in the 1 to 5 years group to 97.7% in the group > 65 years old. Most cord blood samples (2091/1925, 92.1%) were CMV IgG positive, and 2 (0.1%) were CMV DNA positive. Of the 1293 saliva swabs, 8 (0.62%; 95% confidence interval: 0.3–1.2) were CMV positive. All 8 infected infants had asymptomatic cCMV, and none had SNHL at 18 months of age. Conclusions: In a highly CMV seropositive population, the prevalence of cCMV was lower compared with that reported from other low/middle-income countries populations. None of the infected infants had symptomatic infection or SNHL at 18 months.
An amendment to this paper has been published and can be accessed via a link at the top of the paper.
Objectives To determine the optimal cut-off points of handgrip strength (HGS) to identify the undernutrition risk among individuals older than 65 years of age in Bosnia and Herzegovina. Design Cross-sectional study. Setting Towns of Sarajevo, Foca, Rogatica, and Pale in Bosnia and Herzegovina. Participants 300 community-dwelling older adults and 146 nursing home residents. Comprehensive Geriatric multidimensional assessment (CGA) was carried out to evaluate general health, functional, and cognitive capabilities. Nutritional status and undernutrition risk were assessed by Mini Nutritional Assessment (MNA) and Seniors in the Community: risk evaluation for eating and nutrition, version II (SCREEN II). HGS was measured with a Smedley dynamometer. Results According to the classification of nutritional status by MNA, 42% of community-dwelling men and 39% of community-dwelling women were at undernutrition risk. The undernutrition risk was significantly higher among nursing home residing men (89%) and women (78%) (p < 0.001). When nutritional status was assessed by SCREEN II, 100% on nursing home residents, 86% of community-dwelling men and 80% of women were identified as having a high risk for undernutrition. Per MNA, HGS cut-off thresholds were 23.50 kgF (65–74 years) and 19.50 kgF (≥75 years) for men; 15.50 kgF (65–74 years) and 13.50 kgF (≥75 years) for women. Per SCREEN II, cut-points were 28.50 kgF (65–74 years) and 24.50 kgF (≥75 years) for men; 24.50 kgF (65–74 years), 19.50 kgF (≥75 years for women). Conclusion HGS can be a useful instrument to identify undernutrition risk among the elderly patients. This study provides threshold for men and women older than 65 years of age in Bosnia and Herzegovina.
Background: Stump appendicitis is an acute inflammation of the residual part of the appendix and a rare complication of incomplete appendectomy. This is a rare delayed complication after appendectomy with the reported incidence of 1 in 50,000 cases. Clinically it can be presented as acute abdomen and presents a diagnostic dilemma. Prompt recognition is important to lead to an early treatment, thus avoiding serious complications. Case study: We present a 14-year-old girl with diagnosis of stump appendicitis, who underwent surgical treatment (open appendectomy) after having laparoscopic appendectomy a month before. Radiologically (UZV and CT scan) was diagnosed an inflammatory mass with abscess dimension 41 x 21 mm in the right iliac fossa. During operation a 1,5 cm-diameter appendiceal stump was noted in the anatomical region of the appendix. The appendiceal stump was resected and inverted into the cecal wall. Histopathology examination showed acute inflammation and patchy necrosis of the appendiceal stump. The post-operative course was uneventful. Patient was discharged on third post-operative day. Conclusion: Stump appendicitis is a rare but serious complication of appendectomy. The prevalence and incidence of stump appendicitis has been increasing in the recent years. Clinical presentation of stump appendicitis mimics symptoms and signs of acute appendicitis or acute abdomen and with a previous appendectomy. So it must be considered in the differential diagnosis of acute abdomen despite the patient’s open or especially laparoscopic appendectomy history.
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