Three new therapies for spinal muscular atrophy (SMA) have been approved by the United States Food and Drug Administration and the European Medicines Agency since 2016. Although these new therapies improve the quality of life of patients who are symptomatic at first treatment, administration before the onset of symptoms is significantly more effective. As a consequence, newborn screening programs have been initiated in several countries. In 2018, we launched a 3-year pilot program to screen newborns for SMA in the Belgian region of Liège. This program was rapidly expanding to all of Southern Belgium, a region of approximately 55,000 births annually. During the pilot program, 136,339 neonates were tested for deletion of exon 7 of SMN1, the most common cause of SMA. Nine SMA cases with homozygous deletion were identified through this screen. Another patient was identified after presenting with symptoms and was shown to be heterozygous for the SMN1 exon 7 deletion and a point mutation on the opposite allele. These ten patients were treated. The pilot program has now successfully transitioned into the official neonatal screening program in Southern Belgium. The lessons learned during implementation of this pilot program are reported.
Information security has been an area of research and teaching within various computing disciplines in higher education almost since the beginnings of modern computers. The need for security in computing curricula has steadily grown over this period. Recently, with an emerging global crisis, because of the limitations of security within the nascent information technology infrastructure, the field of "cybersecurity" is emerging with international interest and support. Recent evolution of cybersecurity shows that it has begun to take shape as a true academic perspective, as opposed to simply being a training domain for certain specialized jobs. This report starts from the premise that cybersecurity is a "meta-discipline." That is, cybersecurity is used as an aggregate label for a wide variety of similar disciplines, much in the same way that the terms "engineering" and "computing" are commonly used. Thus, cybersecurity should be formally interpreted as a meta-discipline with a variety of disciplinary variants, also characterized through a generic competency model. The intention is that this simple organizational concept will improve the clarity with which the field matures, resulting in improved standards and goals for many different types of cybersecurity programs.
Multi-criteria decision analysis (MCDA) has been one of the fastest-growing areas of operations research during the last decades. The academic attention devoted to MCDA motivated the development of a great variety of approaches and methods within the field. These methods distinguish themselves in terms of procedures, theoretical assumptions and type of decision addressed. This diversity poses challenges to the process of selecting the most suited method for a specific real-world decision problem. In this paper we present a case study in a real-world decision problem arising in the painting sector of an automobile plant. We tackle the problem by resorting to the well-known AHP method and to the MCDA method proposed by Pereira and Fontes (2012) (MMASSI). By relying on two, rather than one, MCDA methods we expect to improve the confidence and robustness of the obtained results. The contributions of this paper are twofold: first, we intend to investigate the contrasts and similarities of the results obtained by distinct MCDA approaches (AHP and MMASSI); secondly, we expect to enrich the literature of the field with a real-world MCDA case study on a complex decision making problem since there is a paucity of applied research work addressing real decision problems faced by organizations.
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