Self-Management GRID Services – A Programmable Network Approach

Due to the complexity and size of service oriented GRIDs, it is essential that GRID systems should be autonomous i.e. a self-management system is needed. This paper identifies the requirements of such a self-management GRID system and the required supporting services. This paper suggests that these supporting services should be deployed in the form of software modules through programmable techniques. This paper presents a communication protocol for dynamic self-configuration in programmable GRIDs as an example for supporting new network services

Architectural and City-Planning Aspects of Innovation Hubs Formation in the Context of Creative Urban Regeneration (On the Case of Ukrainian Cities)

Cities have become the key arenas of territorial competitiveness in the context of creative economy development and continuous innovation processes in all the spheres of social life. Functioning as a community of knowledge, innovation, creativity and learning, modern cities are becoming more dynamic, complex, diverse and open. In this context, new urban strategies and trends need to be taken into account. The concepts of "innovation hub"and "creative city"as a result of the process of creative urban regeneration are covered in the paper. The article states that innovative creative spaces provide unique opportunities to accelerate the generation and diffusion of innovation, especially through effective communication channels and a positive innovation ecosystem. The article covers the topic of architectural and functional aspects and design tendencies of innovative hubs in the structure of a creative city. The research material includes the architectural analysis of existing innovation hubs in Ukraine

Integral Design to Enhance Climate Equipment Performance: Flexergy

Effects of Global Warming, caused largely by energy consumption, became a major concern during the last decade. Sustainable buildings became the major guiding principle for building and spatial planning practice. Improving building performance by enhanced building operation starts with an efficient design. Sustainable buildings need an approach within the design process to reach a maximum level of integration between occupants, building, Heating Ventilation and Air-conditioning (HVAC)-systems and sustainable energy. Design tools for implementing sustainable energy into the energy infrastructure of a building or buildings are presently lacking. In the conceptual phase of design this makes it impossible to balance and tune the demand for and the supply of renewable energy in the built environment in a dynamic way. New solutions are needed for more effective renewable energy solutions on the combined level of building and infrastructure. A design methodology for structuring and combining different energy flows, within a building and between buildings, is presented. This enables the design of new renewable energy concepts aimed on combining and exchanging different energy flows for HVAC, lighting and power demand. This methodology leads to more flexibility of the energy infrastructure; Flex(ible) (en)ergy

A security architecture for future active IP networks

Active networks allow user-controlled network programmability. A security framework has to assure that our infrastructure will behave as expected and will efficiently deal with malicious attacks, unauthorized attempts to execute active code etc. We present here a security architecture that is designed within the FAIN project and aims at supporting multiple heterogeneous execution environments. We argue for the pros and cons as well as why we have selected the specific components and also take a look at their interworking in order to provide the security services to the execution environments of our active network node hosts

AB1089 EVALUATION OF JOINT RHEUMATOLOGY/RADIOLOGY MDT OUTCOMES & THEIR IMPACT ON RHEUMATOLOGY SERVICE

Background:Multidisciplinary team (MDT) discussion between rheumatology and radiology is vital in diagnostic and prognostic management of patients’ outcome. Nevertheless, discrepancies of the radiology report and clinical history cause unnecessary confusion and distresses to clinicians and patients. This could potentially affect subsequent clinical management.Objectives:This survey was aimed to evaluate outcomes of rheumatology / radiology MDT discussion and to identify any discrepancies between original reports of the radiology images and amended reports following MDT. We also looked for potential reasons for the discrepancies and their impact on patient and health care resources due to erroneous original reporting.Methods:We looked at all types of images which were discussed in rheumatology/ radiology MDT of University Hospital Plymouth from October 2016 to April 2019. A total of 154 images were randomly selected and their reports were analyzed. The original reports were compared with the addendum made after the MDT and on the rheumatology electronic records. Clinical letters were also looked at to identify changes in follow up and treatment plans after the MDT.Results:The majority of discussed images were X-rays (88). This is followed by 56 MRIs, 8 Ultrasounds and 2 others including CT.After MDT review 38/88 X-rays (43%), 9/56 MRIs (16%) and 1/ 8 USS (13%) reports were amended. 31/38 amended X-ray (82%) and 5/9 amended MRIs (56%) were externally reported originally. In addition, 4 X-rays and 1 MRI reported by Radiology trainees were also amended.Following the MDT outcome, the management plan was changed in 18/38 (47%) amended X-ray reports and 6/ 9 (67%) in amended MRI reports.There were 17 rheumatology referrals by GP that were based on erroneous X-rays reporting and 3 of them were rejected after the MDT. The others were brought to the MDT after the first clinic visit and were discharged subsequently.Conclusion:Joint rheumatology/ radiology MDT discussion makes significant outcome to patient care by minimizing unnecessary investigations and treatment based on erroneous or unclear reporting. Question is raised about efficacy of outsourcing of radiology reporting and need for intensive training for radiology trainees in reporting muscululoskeletal(MSK) images. Since significant numbers of GP referrals were based on erroneous reports, reporting done by MSK radiologists would have reduced unnecessary burden and waste of outpatient rheumatology resources.The images submitted for MDT were selected largely by consultant rheumatologists based on their review of the images and reliance on the original report. Therefore, clinical impact is underestimated in this survey as there were potentially other images not reviewed in MDT that had ended in unnecessary clinical consultation. This survey emphasizes the need and importance of incorporating formal musculoskeletal radiology training into routine rheumatology training program.Disclosure of Interests:None declared</jats:sec

Adaptable building comfort an integral approach: follow the occupants and the sun

The focus on the needs and drives for adaptation of the building automatically leads to changing needs and demands of the occupants of the building. Building should really take care of its occupants and show adaptable behaviour and reaction to the changing outdoor environment during the day. Design for adaptability should start with the occupants needs for comfort and indoor air quality. These are partly influences by the changing environmental forces as wind and sun. Weather predictions and the aggegated voting of users about their thermal comfort, should be the leading parameters to adaptable comfort and the adaptable building