Informed citizen and empowered citizen in health: results from an European survey

Background: The knowledge about the relationship between health-related activities on the Internet (i.e. informed citizens) and individuals? control over their own experiences of health or illness (i.e. empowered citizens) is valuable but scarce. In this paper, we investigate the correlation between four ways of using the Internet for information on health or illness and citizens attitudes and behaviours toward health professionals and health systems and establish the profile of empowered eHealth citizens in Europe. Methods: Data was collected during April and May 2007 (N = 7022), through computer-assisted telephone interviews (CATI). Respondents from Denmark, Germany, Greece, Latvia, Norway, Poland and Portugal participated in the survey. The profiles were generated using logistic regressions and are based on: a) socio-demographic and health information, b) the level of use of health-related online services, c) the level of use of the Internet to get health information to decide whether to consult a health professional, prepare for a medical appointment and assess its outcome, and d) the impact of online health information on citizens? attitudes and behavior towards health professionals and health systems. Results: Citizens using the Internet to decide whether to consult a health professional or to get a second opinion are likely to be frequent visitors of health sites, active participants of online health forums and recurrent buyers of medicines and other health related products online, while only infrequent epatients, visiting doctors they have never met face-to-face. Participation in online health communities seems to be related with more inquisitive and autonomous patients. Conclusions: The profiles of empowered eHealth citizens in Europe are situational and country dependent. The number of Europeans using the Internet to get health information to help them deal with a consultation is raising and having access to online health information seems to be associated with growing number of inquisitive and self-reliant patients. Doctors are increasingly likely to experience consultations with knowledgeable and empowered patients, who will challenge them in various ways

POSTER: Exploiting asymmetric multi-core processors with flexible system sofware

Energy efficiency has become the main challenge for high performance computing (HPC). The use of mobile asymmetric multi-core architectures to build future multi-core systems is an approach towards energy savings while keeping high performance. However, it is not known yet whether such systems are ready to handle parallel applications. This paper fills this gap by evaluating emerging parallel applications on an asymmetric multi-core. We make use of the PARSEC benchmark suite and a processor that implements the ARM big.LITTLE architecture. We conclude that these applications are not mature enough to run on such systems, as they suffer from load imbalance. Furthermore, we explore the behaviour of dynamic scheduling solutions on either the Operating System (OS) or the runtime level. Comparing these approaches shows us that the most efficient scheduling takes place in the runtime level, influencing the future research towards such solutions.This work has been supported by the Spanish Government (SEV2015-0493), by the Spanish Ministry of Science and Innovation (contracts TIN2015-65316-P), by Generalitat de Catalunya (contracts 2014-SGR-1051 and 2014-SGR-1272), by the RoMoL ERC Advanced Grant (GA 321253) and the European HiPEAC Network of Excellence. The Mont-Blanc project receives funding from the EU's Seventh Framework Programme (FP7/2007-2013) under grant agreement number 610402 and from the EU's H2020 Framework Programme (H2020/2014-2020) under grant agreement number 671697. M. Moretó has been partially supported by the Ministry of Economy and Competitiveness under Juan de la Cierva postdoctoral fellowship number JCI-2012-15047. M. Casas is supported by the Secretary for Universities and Research of the Ministry of Economy and Knowledge of the Government of Catalonia and the Cofund programme of the Marie Curie Actions of the 7th R&D Framework Programme of the European Union (Contract 2013 BP B 00243).Peer ReviewedPostprint (author's final draft

Task scheduling techniques for asymmetric multi-core systems

As performance and energy efficiency have become the main challenges for next-generation high-performance computing, asymmetric multi-core architectures can provide solutions to tackle these issues. Parallel programming models need to be able to suit the needs of such systems and keep on increasing the application’s portability and efficiency. This paper proposes two task scheduling approaches that target asymmetric systems. These dynamic scheduling policies reduce total execution time either by detecting the longest or the critical path of the dynamic task dependency graph of the application, or by finding the earliest executor of a task. They use dynamic scheduling and information discoverable during execution, fact that makes them implementable and functional without the need of off-line profiling. In our evaluation we compare these scheduling approaches with two existing state-of the art heterogeneous schedulers and we track their improvement over a FIFO baseline scheduler. We show that the heterogeneous schedulers improve the baseline by up to 1.45 in a real 8-core asymmetric system and up to 2.1 in a simulated 32-core asymmetric chip.This work has been supported by the Spanish Government (SEV2015-0493), by the Spanish Ministry of Science and Innovation (contract TIN2015-65316-P), by Generalitat de Catalunya (contracts 2014-SGR-1051 and 2014-SGR-1272), by the RoMoL ERC Advanced Grant (GA 321253) and the European HiPEAC Network of Excellence. The Mont-Blanc project receives funding from the EU’s Seventh Framework Programme (FP7/2007-2013) under grant agreement no 610402 and from the EU’s H2020 Framework Programme (H2020/2014-2020) under grant agreement no 671697. M. Moretó has been partially supported by the Ministry of Economy and Competitiveness under Juan de la Cierva postdoctoral fellowship number JCI-2012-15047. M. Casas is supported by the Secretary for Universities and Research of the Ministry of Economy and Knowledge of the Government of Catalonia and the Cofund programme of the Marie Curie Actions of the 7th R&D Framework Programme of the European Union (Contract 2013 BP B 00243).Peer ReviewedPostprint (author's final draft

Atypical neural responses to vocal anger in attention-deficit/hyperactivity disorder

Background Deficits in facial emotion processing, reported in attention-deficit/hyperactivity disorder (ADHD), have been linked to both early perceptual and later attentional components of event-related potentials (ERPs). However, the neural underpinnings of vocal emotion processing deficits in ADHD have yet to be characterised. Here, we report the first ERP study of vocal affective prosody processing in ADHD. Methods Event-related potentials of 6–11-year-old children with ADHD (n = 25) and typically developing controls (n = 25) were recorded as they completed a task measuring recognition of vocal prosodic stimuli (angry, happy and neutral). Audiometric assessments were conducted to screen for hearing impairments. Results Children with ADHD were less accurate than controls at recognising vocal anger. Relative to controls, they displayed enhanced N100 and attenuated P300 components to vocal anger. The P300 effect was reduced, but remained significant, after controlling for N100 effects by rebaselining. Only the N100 effect was significant when children with ADHD and comorbid conduct disorder (n = 10) were excluded. Conclusion This study provides the first evidence linking ADHD to atypical neural activity during the early perceptual stages of vocal anger processing. These effects may reflect preattentive hyper-vigilance to vocal anger in ADHD

The development of emotion recognition from facial expressions and non-linguistic vocalizations during childhood

Sensitivity to facial and vocal emotion is fundamental to children's social competence. Previous research has focused on children's facial emotion recognition, and few studies have investigated non-linguistic vocal emotion processing in childhood. We compared facial and vocal emotion recognition and processing biases in 4- to 11-year-olds and adults. Eighty-eight 4- to 11-year-olds and 21 adults participated. Participants viewed/listened to faces and voices (angry, happy, and sad) at three intensity levels (50%, 75%, and 100%). Non-linguistic tones were used. For each modality, participants completed an emotion identification task. Accuracy and bias for each emotion and modality were compared across 4- to 5-, 6- to 9- and 10- to 11-year-olds and adults. The results showed that children's emotion recognition improved with age; preschoolers were less accurate than other groups. Facial emotion recognition reached adult levels by 11 years, whereas vocal emotion recognition continued to develop in late childhood. Response bias decreased with age. For both modalities, sadness recognition was delayed across development relative to anger and happiness. The results demonstrate that developmental trajectories of emotion processing differ as a function of emotion type and stimulus modality. In addition, vocal emotion processing showed a more protracted developmental trajectory, compared to facial emotion processing. The results have important implications for programmes aiming to improve children's socio-emotional competence

Event-Related Potentials and Emotion Processing in Child Psychopathology

In recent years there has been increasing interest in the neural mechanisms underlying altered emotional processes in children and adolescents with psychopathology. This review provides a brief overview of the most up-to-date findings in the field of Event-Related Potentials (ERPs) to facial and vocal emotional expressions in the most common child psychopathological conditions. In regards to externalising behaviour (i.e. ADHD, CD), ERP studies show enhanced early components to anger, reflecting enhanced sensory processing, followed by reductions in later components to anger, reflecting reduced cognitive-evaluative processing. In regards to internalising behaviour, research supports models of increased processing of threat stimuli especially at later more elaborate and effortful stages. Finally, in autism spectrum disorders abnormalities have been observed at early visual-perceptual stages of processing. An affective neuroscience framework for understanding child psychopathology can be valuable in elucidating underlying mechanisms and inform preventive intervention

Exploiting asymmetric multi-core systems with flexible system software

Asymmetric multi-cores (AMCs) are a successful architectural solution for both mobile devices and supercomputers. These architectures combine different types of processing cores designed at different performance and power optimization points, thus exposing a performance-power trade-off. By maintaining two types of cores, AMCs are able to provide high performance under the facility power budget. However, there are significant challenges when using AMCs such as scheduling and load balancing. This thesis initially explores the potential of AMCs when executing current HPC applications and searches for the most appropriate execution model. Specifically we evaluate several execution models on an Arm big.LITTLE AMC using the PARSEC benchmark suite that includes representative HPC applications. We compare schedulers at the user, OS and runtime system levels, using both static and dynamic options and multiple configurations, and assess the impact of these options on the well-known problem of balancing the load across AMCs. Our results demonstrate that scheduling is more effective when it takes place in the runtime system as it improves the user-level scheduling by 23%, while the heterogeneous-aware OS scheduling solution improves the user-level scheduling by 10%. Following this outcome, this thesis focuses on increasing performance of AMC systems by improving scheduling in the runtime system level. Scheduling in the runtime system level is provided by the use of task-based parallel programming models. These programming models offer programming flexibility as they consist of an interface and a runtime system to manage the underlying resources and threads. In this thesis we improve scheduling with task-based programming models by providing three novel task schedulers for AMCs. These dynamic scheduling policies reduce total execution time either by detecting the longest or the critical path of the dynamic task dependency graph of the application. They use dynamic scheduling and information discoverable during execution, fact that makes them implementable and functional without the need of off-line profiling. In our evaluation we compare these scheduling approaches with an existing state-of the art heterogeneous scheduler and we track their improvement over a FIFO baseline scheduler. We show that the heterogeneous schedulers improve the baseline by up to 1.45x on a real 8-core AMC and up to 2.1x on a simulated 32-core AMC. Another enhancement we provide in task-based programming models is the adaptability to fine grained parallelism. The increasing number of cores on modern CMPs is pushing research towards the use of fine grained workloads, which is an important challenge for task-based programming models. Our study makes the observation that task creation becomes a bottleneck when executing fine grained workloads with task-based programming models. As the number of cores increases, the time spent generating tasks is becoming more critical to the entire execution. To overcome this issue, we propose TaskGenX. TaskGenX minimizes task creation overheads and relies both on the runtime system and a dedicated hardware. On the runtime system side, TaskGenX decouples the task creation from the other runtime activities. It then transfers this part of the runtime to a specialized hardware. From our evaluation using 11 HPC workloads on both symmetric and AMC systems, we obtain performance improvements up to 15x, averaging to 3.1x over the baseline. Finally, this thesis presents a showcase for a real-time CPU scheduler with the goal to increase the frames per second (FPS) of the game-play on mobile devices with AMC systems. We design and implement the RTS scheduler in the Android framework. RTS provides an efficient scheduling policy that takes into account the current temperature of the system to perform task migration. RTS solution increases the median FPS of the baseline mechanisms by up to 7.5% and at the same time it maintains temperature stable.Los procesadores multinúcleos asimétricos (AMC) son una solución arquitectónica exitosa para dispositivos móviles y supercomputadores. Estas arquitecturas combinan diferentes tipos de núcleos de procesamiento diseñados con diferentes propiedades de rendimiento y potencia. Al mantener dos o más tipos de núcleos, los AMCs pueden proporcionar un alto rendimiento con un consumo bajo de energía de las infraestructuras. Sin embargo, existen importantes desafíos al usar los AMC, como la programación y el equilibrio de carga. Esta tesis explora inicialmente el potencial de los AMC al ejecutar aplicaciones actuales de Computacion de Alto Rendimiento (HPC) y busca el modelo de ejecución más apropiado para ellas. Específicamente evaluamos varios modelos de ejecución en un procesador asimétrico Arm big.LITTLE utilizando las aplicaciones PARSEC que son aplicaciones representativas de HPC. En este trabajo se compara la programación en los niveles de usuario, sistema operativo y librería y evaluamos el impacto de estas opciones en el conocido problema de equilibrar la carga entre los AMCs. Nuestros resultados demuestran que la programación es más efectiva cuando se lleva a cabo en el nivel del runtime, ya que mejora la programación del nivel de usuario en un 23%, mientras que la solución de programación del sistema operativo heterogéneo mejora la programación del nivel de usuario en un 10%. Siguiendo este resultado, esta tesis se centra en aumentar el rendimiento de los sistemas AMC mejorando la programación al nivel de librería. La programación en este nivel se proporciona mediante el uso de Modelos de Programación Paralelos Basados en Tareas (MPBT). Estos modelos de programación ofrecen flexibilidad de programación, ya que consisten en una interfaz y un runtime para administrar los recursos e hilos subyacentes. En esta tesis, mejoramos la programación con MPBT al proporcionar tres nuevos planificadores de tareas para AMCs. Estos planificadores dinámicos reducen el tiempo total de ejecución ya sea detectando la camino más largo o el camino crítico del grafo de dependencia de tareas de la aplicación, que es generado dinámicamente. En nuestra evaluación, comparamos estos planificadores con un planificador heterogéneo existente y demonstramos su mejora sobre un planificador FIFO. Mostramos que los planificadores heterogéneos mejoran el planificador FIFO en hasta 1.45x en un AMC real de 8 núcleos y hasta 2.1x en un AMC simulado de 32 núcleos. Otra contribución en los MPBT es la adaptabilidad al paralelismo de grano fino. El creciente número de núcleos en los chip multinúcleos modernos está empujando la investigación hacia el uso de cargas de trabajo de grano fino, que es un desafío importante para los MPBT. Nuestro estudio observa que la creación de tareas bloquea la ejecución con cargas de trabajo de grano fino con MPBT. Cuando el número de núcleos aumenta, el tiempo empleado en generar tareas pasa a ser más crítico para toda la ejecución. Nuestra solución es TaskGenX, que minimiza los costes de creación de tareas y se basa en una extensión del runtime y en un hardware dedicado. En el runtime, TaskGenX desacopla la creación de tareas de las otras actividades del runtime, ejecutando esta actividad en un hardware especializado. Evaluamos 11 aplicaciones de HPC con TaskGenX en sistemas simétricos y AMC y obtenemos mejoras de rendimiento de hasta 15x, con un promedio de 3.1x sobre la implementación de referencia. Finalmente, esta tesis presenta un planificador de CPU con el objetivo de aumentar los fotogramas por segundo (FPS) para juegos en dispositivos móviles con sistemas AMC. Diseñamos e implementamos el planificador de Real-Time Scheduler (RTS) en Android. El RTS proporciona una política de programación eficiente que tiene en cuenta la temperatura actual del sistema para realizar la migración de tareas. La solución RTS aumenta la FPS mediana de los mecanismos de referenci