Development of fluctuation monitor type sodium ionization detector

International Nuclear Information System (INIS)

Yamamoto, Hajime; Sato, Yoshihiko; Ibe, Eishi; Suzuoki, Akira

1986-01-01

In order to improve the sensitivity and the reliability of the sodium leak detection system used in the fast breeder reactors, a new type SID (sodium ionization detector) has been developed, in which the monitored signal is only the fluctuating component of the current between the filament and the ion collector. The fluctuating component was extracted by a band pass filter and its root mean square value was calculated as the SID signal. Fluctuation characteristics of the output current were studied by its frequency spectrum. The results revealed that the current spectrum was affected by the particle size distribution of the aerosol and was most clearly distinguished from that of the background current in the frequency region of 0.5 ∼ 10 Hz. Output characteristics of the fluctuation monitor type SID (FM-SID) were obtained as a function of sodium concentration in the gas. The FM-SID sensitivity was lowered by impurities in the gas, such as oxygen and water vapor. Finally, in comparisons with the conventional DC-SIDs, the background noise level of the FM-SID was much lower and S/N ratio was greatly improved. The detectable sodium concentration level was ten times lower than that of the DC-SID. (author)

A study on the condition monitoring for safety-related electric cables

Energy Technology Data Exchange (ETDEWEB)

Kim, Chul Hwan; Ahn, S. P.; Yeo, S. M.; Kang, Y. S.; Ahn, S. M.; Kim, I. S.; Kim, D. S.; Kang, J. S. [Sungkyunkwan Univ., Suwon (Korea, Republic of)

2002-03-15

In this report, we have studied compositions and characteristics of various types of insulation material for cables in Nuclear Power Plant. We arrange relationship with condition monitoring methods. Also, we propose new condition monitoring method using third harmonic frequency. We test the proposed method with CV cables. We also describe about feature of condition monitoring such as application, theory, characteristic, thereby other engineer can confirm to advantage and disadvantage for each method, and possibly choice adequate condition monitoring method for various types of cables.

Perspectives of patients with non-insulin-treated type 2 diabetes on self-monitoring of blood glucose: A qualitative study.

Science.gov (United States)

Chen, Chen-Mei; Hung, Li-Chen; Chen, Yang-Lin; Yeh, Mei Chang

2018-04-01

To explore experiences of self-monitoring of blood glucose among patients with non-insulin-treated type 2 diabetes. Self-monitoring of blood glucose is essential to diabetes care and facilitates glycaemic control. Patients' perspectives of self-monitoring of blood glucose have seldom been discussed in the literature, and engagement in self-monitoring of blood glucose is consistently low. The descriptive phenomenological method was used. Purposive sampling was conducted to recruit participants from the endocrinology departments of medical institutions in Taiwan based on the following criteria: (i) having a medical diagnosis of type 2 diabetes, (ii) not being treated with insulin, (iii) having engaged in self-monitoring of blood glucose at least once within the preceding 6 months, (iv) being at least 20 years old and (v) not having any major mental or cognitive disorders. Data were collected in outpatient consultation rooms, the participants' homes and other settings where the participants felt secure and comfortable. In-depth interviews were conducted to collect data from 16 patients with diabetes. The participants perceived that lifestyle affected blood glucose levels and did not know how to handle high or low blood glucose levels. Their willingness to continue self-monitoring of blood glucose depended on whether healthcare professionals checked or discussed their blood glucose levels with them. The patients' knowledge regarding blood glucose variation and healthcare professionals' attitudes affected the patients' self-monitoring of blood glucose behaviours. The empirical findings illustrated self-monitoring of blood glucose experiences and recommended that healthcare professionals' closely attend to patients' requirements and responses to diabetes and incorporate the self-monitoring of blood glucose into therapy plans. Healthcare professionals should reinforce patients' knowledge on appropriate responses to high and low blood glucose levels, intervene

Self-monitoring of Blood Glucose in Non-Insulin Treated Type 2 Diabetes (The SMBG Study): study protocol for a randomised controlled trial.

Science.gov (United States)

Parsons, Sharon; Luzio, Stephen; Bain, Stephen; Harvey, John; McKenna, Jillian; Khan, Atir; Rice, Sam; Watkins, Alan; Owens, David R

2017-01-26

The benefit of Self-monitoring of Blood Glucose (SMBG) in people with non-insulin treated type 2 diabetes remains unclear with inconsistent evidence from randomised controlled trials fuelling the continued debate. Lack of a consistent finding has been attributed to variations in study population and design, including the SMBG intervention. There is a growing consensus that structured SMBG, whereby the person with diabetes and health care provider are educated to detect patterns of glycaemic abnormality and take appropriate action according to the blood glucose profiles, can prove beneficial in terms of lowering HbA1c and improving overall well-being. Despite this, many national health agencies continue to issue guidelines restricting the use of SMBG in non-insulin treated type 2 diabetes. The SMBG Study is a 12 month, multi-centre, randomised controlled trial in people with type 2 diabetes not on insulin therapy who have poor glycaemic control (HbA1c ≥58 mmol/mol / 7.5%). The participants will be randomised into three comparative groups: Group 1 will act as a control group and receive their usual diabetes care; Group 2 will undertake structured SMBG with clinical review every 3 months; Group 3 will undertake structured SMBG with additional monthly telecare support from a trained study nurse. A total of 450 participants will be recruited from 16 primary and secondary care sites across Wales and England. The primary outcome measure will be HbA1c at 12 months with secondary measures to include weight, BMI, total cholesterol and HbA1c levels at 3, 6, 9 and 12 months. Participant well-being and attitude towards SMBG will be monitored throughout the course of the study. Recruitment began in December 2012 with the last participant visit due in September 2016. This study will attempt to answer the question of whether structured SMBG provides any benefits to people with poorly controlled type 2 diabetes who are not being treated with insulin. The data will also

Severe hypoglycemia, impaired awareness of hypoglycemia, and self-monitoring in adults with type 1 diabetes

DEFF Research Database (Denmark)

Hendrieckx, Crystal; Jenkins, A; Hagger, Virginia

2017-01-01

AIMS: To assess prevalence of severe hypoglycemia, awareness and symptoms of hypoglycemia, and their associations with self-monitoring of blood glucose. METHODS: Diabetes MILES-Australia Study participants completed validated questionnaires and study-specific items. RESULTS: Of 642 adults with ty...... autonomic symptoms, perceived at relatively low glucose levels. Frequent self-monitoring of blood glucose prompted early recognition and treatment of hypoglycemia, suggesting severe hypoglycemia risk can be minimized.......AIMS: To assess prevalence of severe hypoglycemia, awareness and symptoms of hypoglycemia, and their associations with self-monitoring of blood glucose. METHODS: Diabetes MILES-Australia Study participants completed validated questionnaires and study-specific items. RESULTS: Of 642 adults with type...

Systematic review of economic evaluation studies and budget impact on ambulatory monitoring of capillary glucose in type 2 diabetics.

Science.gov (United States)

Olry de Labry Lima, Antonio; Moya Garrido, María Natividad; Espín Balbino, Jaime

2014-04-01

Realise a review of studies of economic evaluation about the ambulatory monitoring of capillary glucose (AMGC) in diabetic type II persons. A review of the literature was conducted, in MedLine, various websites, referenced paper and provided by expert's persons. Five studies concluded that the AMGC was a cost-effective strategic, of this papers use Kaiser Permanente data base, its make that these studies could be considered a solely one study. The rest of the papers did not find difference in the AMGC use. The use of AMGC has an uncertainty efficiency. More studies are needed. Copyright © 2013 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

A performance evaluation study of three types of alpha-track detector radon monitors

International Nuclear Information System (INIS)

Yeager, W.M.; Lucas, R.M.; Daum, K.A.; Sensintaffar, E.; Poppell, S.; Feldt, L.; Clarkin, M.

1991-01-01

Three models of alpha-track detector (ATD) Rn monitors were exposed in Environmental Protection Agency (EPA) Rn chambers to obtain estimates of precision and bias for the National Residential Radon Survey (NRRS). Exposures in this study ranged from 37 to 740 Bq y m-3 (1 to 20 pCi y L-1), plus blanks. These exposures correspond to the range expected in most U.S. residences. All detectors were purchased through a Rn mitigation firm to assure that the vendors did not give special attention to the ATDs used in this study. Ten ATDs of each model were studied at 12 exposures. The mean and standard deviation of the reported values for each model were calculated and compared with the continuously monitored chamber concentrations to determine the bias and precision at each exposure. Results of this analysis were discussed with the vendors, who took corrective actions. Changes in track counting procedures and calibrations improved detector performance. Readings of one detector were adjusted based on a regression of the monitored values on the reported values

Glucose control in pregnant women with type 1 diabetes mellitus: Studies using a continuous glucose monitoring system

NARCIS (Netherlands)

Kerssen, Anneloes

2005-01-01

Pregnancy in women with type 1 diabetes mellitus is associated with neonatal morbidity. It is commonly agreed that the morbidity decreases when diabetic control is tightened. The most common methods for the determination of diabetic control are the self-monitoring of blood glucose levels (SMBG) and

Unexpected properties of Radim-type radon monitors

International Nuclear Information System (INIS)

Plch, J.; Burian, I.; Jilek, K.; Vosahlik, J.

2004-01-01

The results of numerous experiments carried out using Radim-type monitors are summarized. The monitor, which is based on collection of ions on the surface of a semiconductor detector in an electric field, exhibits enormous efficiency in collecting ions, which attains a value of 70% in the optimum case. The collection efficiency exhibits low dependence on the humidity: the efficiency decreases by 7.4% when the humidity changes from 50 to 90%. The dependence on the humidity is linear to 10% - in contradiction with the published results. The work gives the experimentally determined decreases in the presence of smoke and VOCs, which are acceptable even when the smoke and VOC concentrations are enormous. The results are analyzed and an attempt was made to theoretically explain these unexpected results. (author)

Structural Health Monitoring for a Z-Type Special Vehicle

Directory of Open Access Journals (Sweden)

Chaolin Yuan

2017-06-01

Full Text Available Nowadays there exist various kinds of special vehicles designed for some purposes, which are different from regular vehicles in overall dimension and design. In that case, accidents such as overturning will lead to large economical loss and casualties. There are still no technical specifications to follow to ensure the safe operation and driving of these special vehicles. Owing to the poor efficiency of regular maintenance, it is more feasible and effective to apply real-time monitoring during the operation and driving process. In this paper, the fiber Bragg grating (FBG sensors are used to monitor the safety of a z-type special vehicle. Based on the structural features and force distribution, a reasonable structural health monitoring (SHM scheme is presented. Comparing the monitoring results with the finite element simulation results guarantees the accuracy and reliability of the monitoring results. Large amounts of data are collected during the operation and driving progress to evaluate the structural safety condition and provide reference for SHM systems developed for other special vehicles.

The role of cognitive operations in reality monitoring: a study with healthy older adults and Alzheimer's-type dementia.

Science.gov (United States)

Fairfield, Beth; Mammarella, Nicola

2009-01-01

The authors examined the role of cognitive operations in discriminations between externally and internally generated events (e.g., reality monitoring) in healthy and pathological aging. The authors used 2 reality-monitoring distinctions to manipulate the quantity and quality of necessary cognitive operations: discriminating between I performed versus I imagined performing and between I watched another perform versus I imagined another performing. Older adults had more difficulty than did younger adults when discriminating between memories in both versions of the task. In addition, older adults with Alzheimer's-type dementia showed marked difficulties when attributing a source to imagined actions. The authors interpret these findings in terms of an age difficulty or the failure to use cognitive operations as useful cues during source monitoring.

Monitoring system for gamma radiation of porch type for vehicles

International Nuclear Information System (INIS)

Vazquez C, R.M.; Molina, G.; Gutierrez O, E.; Ramirez J, F.J.; Garcia H, J.M.; Aguilar B, M.A.; Vilchis P, A.E.; Cruz E, P.; Torres B, M.A.

2005-01-01

A monitoring system of gamma radiation for vehicles of the porch type developed in the ININ is presented. This system carries out the radiological monitoring of the vehicles in continuous form, detecting the bottom radiological environment and the presence of nuclear material transported in vehicles. The vehicles are monitored while they pass to low speed through the porch. The detectors are plastic scintillators of great volume that allow high sensibility detection. The arrangement of detecting is interconnected in net, and the data are concentrated on a personal computer whose interface man-machine can be accessed from any personal computer connected to Internet. The system monitoring in real time with options of sampling times from 50 ms configurable up to 500 ms. (Author)

Response comparative study of Rn-222 alpha particles track monitors

International Nuclear Information System (INIS)

Pereira, Osvaldo Luiz dos Santos

2010-01-01

This work was a comparative study between the responses of three monitors, the NRPB, an acrylic monitor (in thin film geometry) and the aluminum monitor (also thin film geometry) in controlled and mixed environment. The experiments consisted on placing the monitors in a plastic tube, with a radio-226 source internal. Only internal CR-39 plastic detectors were analyzed in this work. It was found that the monitors in thin film geometry had activities response of approximately 15% less than the NRPB monitors. All monitors responded the same way when in controlled environment. Related to the type of material, conductive plastic or dielectric (insulator) plastic, the NRPB, in environments without ventilation, responded in the same way. (author)

Professional continuous glucose monitoring for the identification of type 1 diabetes mellitus among subjects with insulin therapy.

Science.gov (United States)

Chen, Yin-Chun; Huang, Yu-Yao; Li, Hung-Yuan; Liu, Shih-Wei; Hsieh, Sheng-Hwu; Lin, Chia-Hung

2015-01-01

The identification of type 1 diabetes in diabetic subjects receiving insulin therapy is sometimes difficult. The purpose of this study is to evaluate whether results of professional continuous glucose monitoring can improve the identification of type 1 diabetes.From 2007 to 2012, 119 adults receiving at least twice-daily insulin therapy and professional continuous glucose monitoring were recruited. Type 1 diabetes was diagnosed by endocrinologists according to American Diabetes Association standards, including a very low C-peptide level (diabetic ketoacidosis. Continuous glucose monitoring was applied for 3 days.Among 119 subjects, 86 were diagnosed with type 1 diabetes. Subjects with type 1 diabetes were younger (33.8 vs 52.3 years old, P 1), had lower body mass index (BMI, 21.95 vs 24.42, P = 0.003), lower serum creatinine (61.77  vs 84.65 μmol/L, P = 0.001), and higher estimated glomerular filtration rate (108.71 vs 76.48 mg/mL/min/1.73m2, P 1) than subjects with type 2 diabetes. Predictive scores for identification of type 1 diabetes were constructed, including age, BMI, average mean amplitude of glucose excursion in days 2 and 3, and the area under the curve of nocturnal hyperglycemic and hypoglycemic states. The area under the receiver operating characteristic curve was 0.90. With the cutoff of 0.58, the sensitivity was 86.7% and the specificity was 80.8%. The good performance was validated by the leave-one-out method (sensitivity 83.3%, specificity 73.1%).Professional continuous glucose monitoring is a useful tool that improves identification of type 1 diabetes among diabetic patients receiving insulin therapy.

Clinical Use of Continuous Glucose Monitoring in Adults with Type 1 Diabetes.

Science.gov (United States)

Slattery, David; Choudhary, Pratik

2017-05-01

With the emphasis on intensive management of type 1 diabetes, data from studies support frequent monitoring of glucose levels to improve glycemic control and reduce glucose variability, which can be related to an increase in macro and microvascular complications. However, few perform capillary blood glucose that frequently. There are currently two available alternatives that this review will discuss, continuous glucose monitoring (CGM) and flash glucose monitoring. CGM has become an important diagnostic and therapeutic option in optimizing diabetes management. CGM systems are now more accurate, smaller, and easier to use compared to original models. Randomized controlled trials (RCTs) have demonstrated that CGM can improve Hemoglobin A1c (HbA1C) and reduce glucose variability in both continuous subcutaneous insulin infusion and multiple daily injection users. When used in an automated "insulin-suspend" system, reduced frequency of hypoglycemia and shorter time spent in hypoglycemic range have been demonstrated. Despite the potential benefits CGM has to offer in clinical practice, concerns exist on the accuracy of these devices and patient compliance with therapy, which may prevent the true clinical benefit of CGM being achieved, as observed in RCTs. Flash glucose monitoring systems FreeStyle ® Libre™ (Abbott Diabetes Care, Alameda, CA) are as accurate as many CGM systems available and have the added benefit of being factory calibrated. Studies have shown that flash glucose monitoring systems are very well tolerated by patients and effectively reduce glucose variability, increasing time in range.

[Profile of patients with diabetes type 1: insulinotherapy and self-monitoring].

Science.gov (United States)

Almeida, Henriqueta Galvanin Guidio de; Campos, Joao Jose Batista; Kfouri, Christiane; Tanita, Marcos Toshiyuki; Dias, Adriana Espinosa; Souza, Marizia Marcos de

2002-01-01

A study carried out in Londrina - PR, with the cohort of local patients from Brazilian Study on the incidence of Diabetes Mellitus Type 1 (EDID). To know the insulin treatment and the plan for glycemic self-monitoring used by these patients; to verify their knowledge as for what they consider the optimization of these parameters and limitations of use. A survey was conducted with objective questions to 63 patients of the cohort. The average age was 13 years, without gender predominance. It was verified that most of the patients, 79.36%, (n=50) took at least 2 daily applications of insulin. All of them used insulin NPH in one (n=13) or two (n=50) doses. The use of regular insulin, in variable programs, was associated to the NPH in 41.27% (n=26) of the patients (The most frequent insulin type used was human 53.97% (n=34). Of the patients not making use of human insulin, 44.83% (n=13) considered it of high cost and 95.24% (n=60) would make use of it if it was distributed by the Government Unified Health System. As for the monitoring, 63.40% (n=40) took the tests up to 7 times a week, 20.63% (n=13) from 15 to 21 and only 1 patient from 29 to 35 tests. The high cost was the reason for 48.21% (n=27) not to take the tests; 58.73% (n=37) would take the test in the blood and 33.33% (n=21) either in the blood or in the urine if they were given the reactive ribbons. In this cohort of patients, although the human insulin is already adopted as the use of choice, the outline insulin treatment plan is still traditional and the monitoring is far behind the ideal.

Blood Glucose Monitoring Before and After Type 1 Diabetes Clinic Visits.

Science.gov (United States)

Driscoll, Kimberly A; Johnson, Suzanne Bennett; Wang, Yuxia; Wright, Nancy; Deeb, Larry C

2017-12-23

To determine patterns of blood glucose monitoring in children and adolescents with type 1 diabetes (T1D) before and after routine T1D clinic visits. Blood glucose monitoring data were downloaded at four consecutive routine clinic visits from children and adolescents aged 5-18 years. Linear mixed models were used to analyze patterns of blood glucose monitoring in patients who had at least 28 days of data stored in their blood glucose monitors. In general, the frequency of blood glucose monitoring decreased across visits, and younger children engaged in more frequent blood glucose monitoring. Blood glucose monitoring increased before the T1D clinic visits in younger children, but not in adolescents. It declined after the visit regardless of age. Members of the T1D care team need to consider that a T1D clinic visit may prompt an increase in blood glucose monitoring when making treatment changes and recommendations. Tailored interventions are needed to maintain that higher level of adherence across time. © The Author(s) 2017. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

Modernization of tritium in air monitoring system for CANDU type NPP

International Nuclear Information System (INIS)

Purghel, L.; Iancu, R.; Popescu, M.

2009-01-01

Nuclear energy provides at present one third of Europe's electricity with nearly no greenhouse-gas emissions. Sustained efforts are now being conducted to harmonize regulations all over Europe through WENRA and to converge on technical nuclear safety practices within the TSO network ETSON (European Technical Safety Organizations Network). In order to achieve this goals of safety function, IFIN-HH together with CITON developed a new solution to improve the Tritium Monitoring System (TMS) of Cernavoda NPP and the new generation of CANDU type reactors, using Tritium in air Intelligent Monitors (TIM) developed and patented by IFIN-HH. The paper presents a comparative analysis between the technical characteristics of traditional solutions implemented in CANDU type NPP, particularly in Cernavoda NPP Unit 2 and the newly proposed solution. (authors)

Monitoring what is real: The effects of modality and action on accuracy and type of reality monitoring error.

Science.gov (United States)

Garrison, Jane R; Bond, Rebecca; Gibbard, Emma; Johnson, Marcia K; Simons, Jon S

2017-02-01

Reality monitoring refers to processes involved in distinguishing internally generated information from information presented in the external world, an activity thought to be based, in part, on assessment of activated features such as the amount and type of cognitive operations and perceptual content. Impairment in reality monitoring has been implicated in symptoms of mental illness and associated more widely with the occurrence of anomalous perceptions as well as false memories and beliefs. In the present experiment, the cognitive mechanisms of reality monitoring were probed in healthy individuals using a task that investigated the effects of stimulus modality (auditory vs visual) and the type of action undertaken during encoding (thought vs speech) on subsequent source memory. There was reduced source accuracy for auditory stimuli compared with visual, and when encoding was accompanied by thought as opposed to speech, and a greater rate of externalization than internalization errors that was stable across factors. Interpreted within the source monitoring framework (Johnson, Hashtroudi, & Lindsay, 1993), the results are consistent with the greater prevalence of clinically observed auditory than visual reality discrimination failures. The significance of these findings is discussed in light of theories of hallucinations, delusions and confabulation. Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Use of self-monitoring tools in a clinic sample of adults with type 2 diabetes.

Science.gov (United States)

Tanenbaum, Molly L; Bhatt, Harikrashna B; Thomas, Valerie A; Wing, Rena R

2017-06-01

Self-monitoring is an effective strategy for chronic disease management; many readily available mobile applications allow tracking of diabetes-related health behaviors but their use has not yet been integrated into routine clinical care. How patients engage with these applications in the real world is not well understood. The specific aim of this study is to survey adults with type 2 diabetes (T2D) regarding self-monitoring behaviors, including mobile application use. In 2015, we surveyed an adult diabetes clinic population (n = 96) regarding self-monitoring behaviors: diet, physical activity, weight, and blood glucose. Self-monitoring with any method ranged from 20-90 %. About half of the participants owned smartphones; few had mobile applications. The most common app-tracked behavior was physical activity, then weight and diet. Despite numerous available mobile health-tracking applications, few T2D adults from our sample used them, though many reported self-monitoring with other methods.

Self-monitoring of blood glucose experiences of adults with type 2 diabetes.

Science.gov (United States)

Dlugasch, Lucie B; Ugarriza, Doris N

2014-06-01

The purpose of this study was to analyze the experiences of self-monitoring of blood glucose (SMBG) usage of adults with type 2 diabetes mellitus (T2DM) who are not using insulin. Nineteen adults were asked to describe their experiences with self-monitoring. Data were analyzed using the grounded theory method. The theory of "SMBG as a Cue in T2DM Self-Care" emerged from the data and is composed of four categories: (a) Engaging, (b) Checking, (c) Responding, and (d) Establishing a Pattern. Engaging marks the beginning. Frequent monitoring characterizes this stage. Checking involves evaluating and validating the blood glucose level. The most common item evaluated or validated was the effect of foods. Responding involves taking action or experiencing emotion. Actions taken centered on dietary changes. Emotions felt were dependent on the level and ranged from blame to happiness. Participants established a pattern and used SMBG regularly or sporadically. Frequency was based on obtaining "normal" patterns, the absence of symptoms, provider disinterest, and fingertip pain. Participants described many benefits and struggles when incorporating SMBG into their self-care. Information from this study could be used to develop effective guidelines for the use of SMBG in T2DM. ©2013 The Author(s) ©2013 American Association of Nurse Practitioners.

Explaining engagement in self-monitoring among participants of the DESMOND Self-monitoring Trial: a qualitative interview study.

Science.gov (United States)

Eborall, Helen C; Dallosso, Helen M; McNicol, Sarah; Speight, Jane; Khunti, Kamlesh; Davies, Melanie J; Heller, Simon R

2015-10-01

The Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) Self-monitoring Trial reported that people with newly diagnosed type 2 diabetes attending community-based structured education and randomized to self-monitoring of blood glucose (SMBG) or urine monitoring had comparable improvements in biomedical outcomes, but differences in satisfaction with, and continued use of monitoring method, well-being and perceived threat from diabetes. To explore experiences of SMBG and urine monitoring following structured education. We specifically addressed the perceived usefulness of each monitoring method and the associated well-being. Qualitative semi-structured interviews with 18 adults with newly diagnosed type 2 diabetes participating in the DESMOND Self-monitoring Trial (SMBG, N=10; urine monitoring, N=8)~12 months into the trial. Analysis was informed by the constant comparative approach. Interviewees reported SMBG as accurate, convenient and useful. Declining use was explained by having established a pattern of managing blood glucose with less frequent monitoring or lack of feedback or encouragement from health care professionals. Many initially positive views of urine monitoring progressively changed due to perceived inaccuracy, leading some to switch to SMBG. Perceiving diabetes as less serious was attributable to lack of symptoms, treatment with diet alone and-in the urine-monitoring group-consistently negative readings. Urine monitoring also provided less visible evidence of diabetes and of the effect of behaviour on glucose. The findings highlight the importance for professionals of considering patients' preferences when using self-monitoring technologies, including how these change over time, when supporting the self-care behaviours of people with type 2 diabetes. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

New types of time domain reflectometry sensing waveguides for bridge scour monitoring

Science.gov (United States)

Lin, Chih-Ping; Wang, Kai; Chung, Chih-Chung; Weng, Yu-Wen

2017-07-01

Scour is a major threat to bridge safety, especially in harsh fluvial environments. Real-time monitoring of bridge scour is still very limited due to the lack of robust and economic scour monitoring device. Time domain reflectometry (TDR) is an emerging waveguide-based technique holding great promise to develop more durable scour monitoring devices. This study presents new types of TDR sensing waveguides in forms of either sensing rod or sensing wire, taking into account of the measurement range, durability, and ease of field installation. The sensing rod is composed of a hollow grooved steel rod paired up with a metal strip on the insulating groove, while the sensing wire consists of two steel strands with one of them coated with an insulating jacket. The measurement sensitivity is inevitably sacrificed when other properties such as the measurement range, field durability, and installation easiness are enhanced. Factors affecting the measurement sensitivity were identified and experimentally evaluated for better arranging the waveguide conductors. A data reduction method for scour-depth estimation without the need for identifying the sediment/water reflection and a two-step calibration procedure for rating propagation velocities were proposed to work with the new types of TDR sensing waveguides. Both the calibration procedure and the data reduction method were experimentally validated. The test results indicated that the new TDR sensing waveguide provides accurate scour depth measurements regardless of the sacrificed sensitivity. The insulating coating of the new TDR sensing waveguide was also demonstrated to be effective in extending the measurement range up to at least 15 m.

Perceptions of Caribbean type 2 diabetes patients on self-monitoring of blood glucose

DEFF Research Database (Denmark)

Ezenwaka, C. E.; Olukoga, A.; Onuoha, P.

2012-01-01

Context: The views of type 2 diabetes (T2DM) patients have not been considered in the debate on the role of self-monitoring of blood glucose (SMBG) in the management of T2DM. Objective: To assess the views of T2DM patients on SMBG. Methods: Two previously trained research assistants used a struct......Context: The views of type 2 diabetes (T2DM) patients have not been considered in the debate on the role of self-monitoring of blood glucose (SMBG) in the management of T2DM. Objective: To assess the views of T2DM patients on SMBG. Methods: Two previously trained research assistants used...

Multilayer mirror based monitors for impurity controls in large fusion reactor type devices

International Nuclear Information System (INIS)

Regan, S.P.; May, M.J.; Soukhanovskii, V.; Finkenthal, M.; Moos, H.W.

1995-01-01

Multilayer Mirror (MLM) based monitors are compact, high throughput diagnostics capable of extracting XUV emissions (the wavelength range including the soft-x-ray and the extreme ultraviolet, 10 angstrom to 304 angstrom) of impurities from the harsh environment of large fusion reactor type devices. For several years the Plasma Spectroscopy Group at Johns Hopkins University has investigated the application of MLM based XUV spectroscopic diagnostics for magnetically confined fusion plasmas. MLM based monitors have been constructed for and extensively used on DIII-D, Alcator C-mod, TEXT, Phaedrus-T, and CDX-U tokamaks to study the impurity behavior of elements ranging from He to Mo. On ITER MLM based devices would be used to monitor the spectral line emissions from Li I-like to F I-like charge states of Fe, Cr, and Ni, as well as extractors for the bands of emissions from high Z elements such as Mo or W for impurity controls of the fusion plasma. In addition to monitoring the impurity emissions from the main plasma, MLM based devices can also be adapted for radiation measurements of low Z elements in the divertor. The concepts and designs of these MLM based monitors for impurity controls in ITER will be presented. The results of neutron irradiation experiments of the MLMs performed in the Los Alamos Spallation Radiation Effects Facility (LASREF) at the Los Alamos National Laboratory will also be discussed. These preliminary neutron exposure studies show that the dispersive and reflective qualities of the MLMs were not affected in a significant manner

The Relationship Between a Balanced Time Perspective and Self-monitoring of Blood Glucose Among People With Type 1 Diabetes.

Science.gov (United States)

Baird, Harriet M; Webb, Thomas L; Martin, Jilly; Sirois, Fuschia M

2018-05-10

Self-monitoring of blood glucose helps people with type 1 diabetes to maintain glycemic control and reduce the risk of complications. However, adherence to blood glucose monitoring is often suboptimal. Like many health behaviors, self-monitoring of blood glucose involves exerting effort in the present to achieve future benefits. As such, the present research explored whether individual differences in time perspective-specifically, the extent to which people have a balanced time perspective-are associated with the frequency with which people with type 1 diabetes monitor their blood glucose and, thus, maintain glycemic control. Adults with type 1 diabetes completed measures of time perspective, feelings associated with monitoring, attitudes toward monitoring, and trait self-control. Objective data regarding the frequency with which participants monitored their blood glucose levels and their long-term glycemic control were extracted from their medical records. Hierarchical regression analyses and tests of indirect effects (N = 129) indicated that having a more balanced time perspective was associated with more frequent monitoring of blood glucose and, as a result, better glycemic control. Further analyses (N = 158) also indicated that there was an indirect relationship between balanced time perspective and monitoring of blood glucose via the feelings that participants associated with monitoring and their subsequent attitudes toward monitoring. These findings point to the importance and relevance of time perspective for understanding health-related behavior and may help to inform interventions designed to promote self-monitoring of blood glucose in people with type 1 diabetes.

A simple and powerful XY-Type current monitor for 30 MeV IPEN/CNEN-SP cyclotron

Energy Technology Data Exchange (ETDEWEB)

Barcellos, Henrique; Matsuda, Hylton; Sumyia, Luiz Carlos do A.; Junqueira, Fernando de C.; Costa, Osvaldo L. da, E-mail: hbolivei@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

2017-11-01

A water-cooled XY-type current monitor was designed and built in the Cyclotrons Laboratory of the Nuclear and Energy Research Institute (IPEN). It is a very simple design and easily adaptable to the cyclotron beam lines. Tests were done demonstrating to be an instrument of great assistance in proton beam position along beam transport line and target port. Nowadays the XY-type current monitor has been widely used in {sup 18}F-FDG routine productions, employing irradiation system which were originally designed for productions on 18 MeV cyclotron accelerator only, however, applying the XY-type current monitor the target port may be exchanged between the 30 MeV and 18 MeV cyclotrons and the observed results are in perfect agreement with expected. (author)

Perspectives of patients with type 1 or insulintreated type 2 diabetes on self-monitoring of blood glucose : a qualitative study

NARCIS (Netherlands)

Hortensius, Johanna; Kars, Marijke C.; Wierenga, Willem S.; Kleefstra, Nanne; Bilo, Henk J. G.; van der Bijl, Jaap J.

2012-01-01

Background: Self-monitoring of blood glucose (SMBG), including self-regulation, is an important tool to achieve good glycemic control. However, many patients measure their glucose concentrations less often than is recommended. This study investigates patients' perspectives of SMBG and all relevant

Study of laser monitoring techniques of pollutants in atmosphere

International Nuclear Information System (INIS)

Hassan, T. A. A.

2006-01-01

There are several techniques used as a tool for monitoring the pollutions in the atmosphere, where the laser radiation sending through the sample of atmosphere to be investigated ether transmission or the scattering of the light, all the way through a variety of different techniques for monitoring the air quality. We are showed in this study the comparison of detection techniques through measuring the light scattered in some particular direction, rather than measuring direction the attenuation due to two type of scattering (Rayieh scattering and Mie scattering) during (optical Radar, Roman backscattering and Resonance fluorescence).(Author)

False alarm reduction in BSN-based cardiac monitoring using signal quality and activity type information.

Science.gov (United States)

Tanantong, Tanatorn; Nantajeewarawat, Ekawit; Thiemjarus, Surapa

2015-02-09

False alarms in cardiac monitoring affect the quality of medical care, impacting on both patients and healthcare providers. In continuous cardiac monitoring using wireless Body Sensor Networks (BSNs), the quality of ECG signals can be deteriorated owing to several factors, e.g., noises, low battery power, and network transmission problems, often resulting in high false alarm rates. In addition, body movements occurring from activities of daily living (ADLs) can also create false alarms. This paper presents a two-phase framework for false arrhythmia alarm reduction in continuous cardiac monitoring, using signals from an ECG sensor and a 3D accelerometer. In the first phase, classification models constructed using machine learning algorithms are used for labeling input signals. ECG signals are labeled with heartbeat types and signal quality levels, while 3D acceleration signals are labeled with ADL types. In the second phase, a rule-based expert system is used for combining classification results in order to determine whether arrhythmia alarms should be accepted or suppressed. The proposed framework was validated on datasets acquired using BSNs and the MIT-BIH arrhythmia database. For the BSN dataset, acceleration and ECG signals were collected from 10 young and 10 elderly subjects while they were performing ADLs. The framework reduced the false alarm rate from 9.58% to 1.43% in our experimental study, showing that it can potentially assist physicians in diagnosing a vast amount of data acquired from wireless sensors and enhance the performance of continuous cardiac monitoring.

Performance test of personal RF monitor for area monitoring at magnetic confinement fusion facility

International Nuclear Information System (INIS)

Tanaka, M.; Uda, T.; Wang, J.; Fujiwara, O.

2012-01-01

For safety management at a magnetic confinement fusion-test facility, protection from not only ionising radiation, but also non-ionising radiation such as the leakage of static magnetic and electromagnetic fields is an important issue. Accordingly, the use of a commercially available personal RF monitor for multipoint area monitoring is proposed. In this study, the performance of both fast- and slow-type personal RF monitors was investigated by using a transverse electromagnetic cell system. The range of target frequencies was between 10 and 300 MHz, corresponding to the ion cyclotron range of frequency in a fusion device. The personal RF monitor was found to have good linearity, frequency dependence and isotropic response. However, the time constant for the electric field sensor of the slow-type monitor was much longer than that for the fast-type monitor. Considering the time-varying field at the facility, it is found that the fast-type monitor is suitable for multipoint monitoring at magnetic confinement fusion test facilities. (authors)

False Alarm Reduction in BSN-Based Cardiac Monitoring Using Signal Quality and Activity Type Information

Directory of Open Access Journals (Sweden)

Tanatorn Tanantong

2015-02-01

Full Text Available False alarms in cardiac monitoring affect the quality of medical care, impacting on both patients and healthcare providers. In continuous cardiac monitoring using wireless Body Sensor Networks (BSNs, the quality of ECG signals can be deteriorated owing to several factors, e.g., noises, low battery power, and network transmission problems, often resulting in high false alarm rates. In addition, body movements occurring from activities of daily living (ADLs can also create false alarms. This paper presents a two-phase framework for false arrhythmia alarm reduction in continuous cardiac monitoring, using signals from an ECG sensor and a 3D accelerometer. In the first phase, classification models constructed using machine learning algorithms are used for labeling input signals. ECG signals are labeled with heartbeat types and signal quality levels, while 3D acceleration signals are labeled with ADL types. In the second phase, a rule-based expert system is used for combining classification results in order to determine whether arrhythmia alarms should be accepted or suppressed. The proposed framework was validated on datasets acquired using BSNs and the MIT-BIH arrhythmia database. For the BSN dataset, acceleration and ECG signals were collected from 10 young and 10 elderly subjects while they were performing ADLs. The framework reduced the false alarm rate from 9.58% to 1.43% in our experimental study, showing that it can potentially assist physicians in diagnosing a vast amount of data acquired from wireless sensors and enhance the performance of continuous cardiac monitoring.

Customization of home closed-loop insulin delivery in adult patients with type 1 diabetes, assisted with structured remote monitoring: the pilot WP7 Diabeloop study.

Science.gov (United States)

Benhamou, Pierre Yves; Huneker, Erik; Franc, Sylvia; Doron, Maeva; Charpentier, Guillaume

2018-06-01

Improvement in closed-loop insulin delivery systems could result from customization of settings to individual needs and remote monitoring. This pilot home study evaluated the efficacy and relevance of this approach. A bicentric clinical trial was conducted for 3 weeks, using an MPC-based algorithm (Diabeloop Artificial Pancreas system) featuring five settings designed to modulate the reactivity of regulation. Remote monitoring was ensured by expert nurses with a web platform generating automatic Secured Information Messages (SIMs) and with a structured procedure. Endpoints were glucose metrics and description of impact of monitoring on regulation parameters. Eight patients with type 1 diabetes (six men, age 41.8 ± 11.4 years, HbA1c 7.7 ± 1.0%) were included. Time spent in the 70-180 mg/dl range was 70.2% [67.5; 76.9]. Time in hypoglycemia < 70 mg/dl was 2.9% [2.1; 3.4]. Eleven SIMs led to phone intervention. Original default settings were modified in all patients by the intervention of the nurses. This pilot trial suggests that the Diabeloop closed-loop system could be efficient regarding metabolic outcomes, whereas its telemedical monitoring feature could contribute to enhanced efficacy and safety. This study is registered at ClinicalTrials.gov with trial registration number NCT02987556.

Collimator type monochromator as a possible impurities monitor for fusion plasmas. Preliminary tests on the Tokamak TM-1-MH

International Nuclear Information System (INIS)

Musa, G.; Lungu, C.P.; Badalec, J.; Jakubka, K.; Kopecky, V.; Stoeckel, J.; Zacek, F.

1984-09-01

A collimator type monochromator has been tested for the first time as the impurity monitor on Tokamak. The possibility to use this type of monochromator in fusion devices is analyzed and a monoslit device is proposed as a convenient monitor for impurities. (authors)

Development of a stripline-type position monitor for the KEK electron/positron linac

International Nuclear Information System (INIS)

Suwada, T.; Urano, T.; Lazos, A.; Kobayashi, H.

1994-01-01

A stripline-type beam-position monitor (BPM) is under development at the KEK electron/positron linac. This monitor will be installed in order to easily handle the orbit of a high-current electron beam (∼10 nC/pulse) generating a positron beam in the B-factory. The prototype BPM was tested at a test bench and then in the linac using a single-bunch electron beam. In this report some basic characteristics and the experimental results of the BPM are presented

A new type of intelligent wireless sensing network for health monitoring of large-size structures

Science.gov (United States)

Lei, Ying; Liu, Ch.; Wu, D. T.; Tang, Y. L.; Wang, J. X.; Wu, L. J.; Jiang, X. D.

2009-07-01

In recent years, some innovative wireless sensing systems have been proposed. However, more exploration and research on wireless sensing systems are required before wireless systems can substitute for the traditional wire-based systems. In this paper, a new type of intelligent wireless sensing network is proposed for the heath monitoring of large-size structures. Hardware design of the new wireless sensing units is first studied. The wireless sensing unit mainly consists of functional modules of: sensing interface, signal conditioning, signal digitization, computational core, wireless communication and battery management. Then, software architecture of the unit is introduced. The sensing network has a two-level cluster-tree architecture with Zigbee communication protocol. Important issues such as power saving and fault tolerance are considered in the designs of the new wireless sensing units and sensing network. Each cluster head in the network is characterized by its computational capabilities that can be used to implement the computational methodologies of structural health monitoring; making the wireless sensing units and sensing network have "intelligent" characteristics. Primary tests on the measurement data collected by the wireless system are performed. The distributed computational capacity of the intelligent sensing network is also demonstrated. It is shown that the new type of intelligent wireless sensing network provides an efficient tool for structural health monitoring of large-size structures.

Fast monitoring of indoor bioaerosol concentrations with ATP bioluminescence assay using an electrostatic rod-type sampler.

Directory of Open Access Journals (Sweden)

Ji-Woon Park

Full Text Available A culture-based colony counting method is the most widely used analytical technique for monitoring bioaerosols in both indoor and outdoor environments. However, this method requires several days for colony formation. In this study, our goal was fast monitoring (Sampling: 3 min, Detection: < 1 min of indoor bioaerosol concentrations with ATP bioluminescence assay using a bioaerosol sampler. For this purpose, a novel hand-held electrostatic rod-type sampler (110 mm wide, 115 mm long, and 200 mm tall was developed and used with a commercial luminometer, which employs the Adenosine triphosphate (ATP bioluminescence method. The sampler consisted of a wire-rod type charger and a cylindrical collector, and was operated with an applied voltage of 4.5 kV and a sampling flow rate of 150.7 lpm. Its performance was tested using Staphylococcus epidermidis which was aerosolized with an atomizer. Bioaerosol concentrations were measured using ATP bioluminescence method with our sampler and compared with the culture-based method using Andersen cascade impactor under controlled laboratory conditions. Indoor bioaerosol concentrations were also measured using both methods in various indoor environments. A linear correlation was obtained between both methods in lab-tests and field-tests. Our proposed sampler with ATP bioluminescence method may be effective for fast monitoring of indoor bioaerosol concentrations.

Is type 2 diabetes really resolved after laparoscopic sleeve gastrectomy? Glucose variability studied by continuous glucose monitoring.

Science.gov (United States)

Capoccia, D; Coccia, F; Guida, A; Rizzello, M; De Angelis, F; Silecchia, G; Leonetti, F

2015-01-01

The study was carried out on type 2 diabetic obese patients who underwent laparoscopic sleeve gastrectomy (LSG). Patients underwent regular glycemic controls throughout 3 years and all patients were defined cured from diabetes according to conventional criteria defined as normalization of fasting glucose levels and glycated hemoglobin in absence of antidiabetic therapy. After 3 years of follow-up, Continuous Glucose Monitoring (CGM) was performed in each patient to better clarify the remission of diabetes. In this study, we found that the diabetes resolution after LSG occurred in 40% of patients; in the other 60%, even if they showed a normal fasting glycemia and A1c, patients spent a lot of time in hyperglycemia. During the oral glucose tolerance test (OGTT), we found that 2 h postload glucose determinations revealed overt diabetes only in a small group of patients and might be insufficient to exclude the diagnosis of diabetes in the other patients who spent a lot of time in hyperglycemia, even if they showed a normal glycemia (<140 mg/dL) at 120 minutes OGTT. These interesting data could help clinicians to better individualize patients in which diabetes is not resolved and who could need more attention in order to prevent chronic complications of diabetes.

Accuracy of Consumer Monitors for Estimating Energy Expenditure and Activity Type.

Science.gov (United States)

Woodman, James A; Crouter, Scott E; Bassett, David R; Fitzhugh, Eugene C; Boyer, William R

2017-02-01

Increasing use of consumer-based physical activity (PA) monitors necessitates that they are validated against criterion measures. Thus, the purpose of this study was to examine the accuracy of three consumer-based PA monitors for estimating energy expenditure (EE) and PA type during simulated free-living activities. Twenty-eight participants (mean ± SD: age, 25.5 ± 3.7 yr; body mass index, 24.9 ± 2.6 kg·m) completed 11 activities ranging from sedentary behaviors to vigorous intensities. Simultaneous measurements were made with an Oxycon portable calorimeter (criterion), a Basis Peak and Garmin Vivofit on the nondominant wrist, and three Withings Pulse devices (right hip, shirt collar, dominant wrist). Repeated-measures ANOVA were used to examine differences between measured and predicted EE. Intraclass correlation coefficients were calculated to determine reliability of EE predictions between Withings placements. Paired samples t tests were used to determine mean differences between observed minutes and Basis Peak predictions during walking, running, and cycling. On average, the Basis Peak was within 8% of measured EE for the entire PA routine (P > 0.05); however, there were large individual errors (95% prediction interval, -290.4 to +233.1 kcal). All other devices were significantly different from measured EE for the entire PA routine (P types, Basis Peak correctly identified ≥92% of actual minutes spent walking and running (P > 0.05), and 40.4% and 0% of overground and stationary cycling minutes, respectively (P < 0.001). The Basis Peak was the only device that did not significantly differ from measured EE; however, it also had the largest individual errors. Additionally, the Basis Peak accurately predicted minutes spent walking and running, but not cycling.

[Usefulness of continuous glucose monitoring system (CGMS) in monitoring glycaemic profile in small children with diabetes type 1].

Science.gov (United States)

Głowińska-Olszewska, Barbara; Urban, Mirosława; Peczyńska, Jadwiga; Florys, Bozena; Kowalewski, Marek

2005-01-01

Improved methods of diabetes therapy result in a near normoglycaemic state in many patients. This leads however unfortunately to more frequent hypoglycaemic incidents. Particularly small children, whose nervous system is not fully mature, are at high risk of central nervous system damage in case of hypoglycaemia. A new method of detail monitoring of glycaemia provides CGMS system. The aim of the study was to compare the glycaemic profile, with high attention to hypoglycaemia in groups of young and older children with diabetes type 1, using CGMS and routine glucose meter. We studied 32 children with diabetes type 1. Children were divided into groups: group I--small children, n=17 (10 years of age), mean age--12 years, with disease duration--3 years, with HbA1c level--7,21%. Continuous glucose monitoring system (CGMS), by MiniMed, was applied in outpatient or hospital conditions, after short training of patient and parents; together with routine glucose meter measurements, 4-8 times/24 hours. In 9 patients from small children group CGMS was repeated after 2 months. Hypoglycaemic incidents detected with CGMS were similar in both groups: 4,6 in I group vs. 4,2 in II group (ns). Hypoglycaemic incidents found with meter were lower in I group--1,6 vs. 2,3 in II group (ns). Mean hypoglycaemic time/24 hour was longer in small children group: 101 min vs. 74 min in group II (p<00,05). In I group we found higher number of hypoglycaemic incidents during the night compared to group II--1,7 vs. 0,8 (p<00,05) and longer duration of night hypoglycaemia: in I group--56 min vs. 32 min in group II (p<00,05). Repeated CGMS study in 9 children from I group revealed decreased mean time of hypoglycaemia/24 hours from 134 min/24 h to 90 min/24 h (p<00,05) and decreased time of night hypoglycaemia from 65 min to 40 min (p<00,05), with a comparable number of hypoglycaemic incidents. Hypoglycaemic incidents found with routine meter measurements in small children were 1,6 vs. 4,6 hypoglycaemia

Self-monitoring of blood glucose in patients with type 2 diabetes who are not using insulin.

NARCIS (Netherlands)

Welschen, L. M.; Bloemendal, E.; Nijpels, G.; Dekker, J. M.; Heine, R. J.; Stalman, W. A.; Bouter, L. M.

2005-01-01

BACKGROUND: Self-monitoring of blood glucose (SMBG) has been found to be effective for patients with type 1 diabetes and for patients with type 2 diabetes using insulin. There is much debate on the effectiveness of SMBG as a tool in the self-management for patients with type 2 diabetes who are not

Prescribing of Electronic Activity Monitors in Cardiometabolic Diseases: Qualitative Interview-Based Study.

Science.gov (United States)

Bellicha, Alice; Macé, Sandrine; Oppert, Jean-Michel

2017-09-23

The prevalence of noncommunicable diseases, including those such as type 2 diabetes, obesity, dyslipidemia, and hypertension, so-called cardiometabolic diseases, is high and is increasing worldwide. Strong evidence supports the role of physical activity in management of these diseases. There is general consensus that mHealth technology, including electronic activity monitors, can potentially increase physical activity in patients, but their use in clinical settings remains limited. Practitioners' requirements when prescribing electronic activity monitors have been poorly described. The aims of this qualitative study were (1) to explore how specialist physicians prescribe electronic activity monitors to patients presenting with cardiometabolic conditions, and (2) to better understand their motivation for and barriers to prescribing such monitors. We conducted qualitative semistructured interviews in March to May 2016 with 11 senior physicians from a public university hospital in France with expertise in management of cardiometabolic diseases (type 1 and type 2 diabetes, obesity, hypertension, and dyslipidemia). Interviews lasted 45 to 60 minutes and were audiotaped, transcribed verbatim, and analyzed using directed content analysis. We report our findings following the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Most physicians we interviewed had never prescribed electronic activity monitors, whereas they frequently prescribed blood glucose or blood pressure self-monitoring devices. Reasons for nonprescription included lack of interest in the data collected, lack of evidence for data accuracy, concern about work overload possibly resulting from automatic data transfer, and risk of patients becoming addicted to data. Physicians expected future marketing of easy-to-use monitors that will accurately measure physical activity duration and intensity and provide understandable motivating feedback. Features of electronic activity monitors

Study on Reactor Performance of Online Power Monitoring in PUSPATI TRIGA Reactor (RTP)

International Nuclear Information System (INIS)

Zareen Khan Abdul Jalil Khan; Ridzuan Abdul Mutalib; Mohd Sabri Minhat

2014-01-01

The Reactor TRIGA PUSPATI (RTP) at Malaysia Nuclear Agency is a TRIGA Mark II type reactor and pool type cooled by natural circulation of light water. This paper describe on reactor performance of online power monitoring based on various parameter of reactor such as log power, linear power, period, Fuel and coolant temperature and reactivity parameter with using neutronic and other instrumentation system of reactor. Methodology of online power estimation and monitoring is to evaluate and analysis of reactor power which is important of reactor safety and control. Neutronic instrumentation system will use to estimate power measurement, differential of log and linear power and period during reactor operation .This study also focus on noise fluctuation from fission chamber during reactor operation .This work will present result of online power monitoring from RTP which indicated the safety parameter identification and initiate safety action on crossing the threshold set point trip. Conclude that optimization of online power monitoring will improved the reactor control and safety parameter of reactor during operation. (author)

Contract Monitoring in Agent-Based Systems: Case Study

Science.gov (United States)

Hodík, Jiří; Vokřínek, Jiří; Jakob, Michal

Monitoring of fulfilment of obligations defined by electronic contracts in distributed domains is presented in this paper. A two-level model of contract-based systems and the types of observations needed for contract monitoring are introduced. The observations (inter-agent communication and agents’ actions) are collected and processed by the contract observation and analysis pipeline. The presented approach has been utilized in a multi-agent system for electronic contracting in a modular certification testing domain.

Study on loss detection algorithms for tank monitoring data using multivariate statistical analysis

International Nuclear Information System (INIS)

Suzuki, Mitsutoshi; Burr, Tom

2009-01-01

Evaluation of solution monitoring data to support material balance evaluation was proposed about a decade ago because of concerns regarding the large throughput planned at Rokkasho Reprocessing Plant (RRP). A numerical study using the simulation code (FACSIM) was done and significant increases in the detection probabilities (DP) for certain types of losses were shown. To be accepted internationally, it is very important to verify such claims using real solution monitoring data. However, a demonstrative study with real tank data has not been carried out due to the confidentiality of the tank data. This paper describes an experimental study that has been started using actual data from the Solution Measurement and Monitoring System (SMMS) in the Tokai Reprocessing Plant (TRP) and the Savannah River Site (SRS). Multivariate statistical methods, such as a vector cumulative sum and a multi-scale statistical analysis, have been applied to the real tank data that have superimposed simulated loss. Although quantitative conclusions have not been derived for the moment due to the difficulty of baseline evaluation, the multivariate statistical methods remain promising for abrupt and some types of protracted loss detection. (author)

A new type of spurious reading in TL personnel monitoring

International Nuclear Information System (INIS)

Duftschmid, K.E.; Stadtmann, H.; Strachotinsky, Ch.; Winker, N.

1996-01-01

A particularly serious type of spurious reading in automated TL personnel monitoring has been observed. These readings simulate dose values up to several mSv and can only be detected by glow curve analysis. Characteristics for these events are high artifical dose values and irregular glow curves of a particular shape. Extensive investigations to reproduce this effect purposely failed to produce any results. It can be assumed, however, that it must be some chemical surface contamination, which penetrates the sealed dosemeter bag or which is transferred from the bag to the detector. The effect can be eliminated by manual cleaning of the dosemeter cards. The importance of this observation lies in the fact that only proper glow curve evaluation can prevent the monitoring service from reporting artificial high dose readings creating lots of serious problems. The paper shows how this problem can be avoided for this kind of spurious effect, if glow curves are available and stored for every dosemeter readout. (author)

Breath acetone to monitor life style interventions in field conditions: an exploratory study.

Science.gov (United States)

Samudrala, Devasena; Lammers, Gerwen; Mandon, Julien; Blanchet, Lionel; Schreuder, Tim H A; Hopman, Maria T; Harren, Frans J M; Tappy, Luc; Cristescu, Simona M

2014-04-01

To assess whether breath acetone concentration can be used to monitor the effects of a prolonged physical activity on whole body lipolysis and hepatic ketogenesis in field conditions. Twenty-three non-diabetic, 11 type 1 diabetic, and 17 type 2 diabetic subjects provided breath and blood samples for this study. Samples were collected during the International Four Days Marches, in the Netherlands. For each participant, breath acetone concentration was measured using proton transfer reaction ion trap mass spectrometry, before and after a 30-50 km walk on four consecutive days. Blood non-esterified free fatty acid (NEFA), beta-hydroxybutyrate (BOHB), and glucose concentrations were measured after walking. Breath acetone concentration was significantly higher after than before walking, and was positively correlated with blood NEFA and BOHB concentrations. The effect of walking on breath acetone concentration was repeatedly observed on all four consecutive days. Breath acetone concentrations were higher in type 1 diabetic subjects and lower in type 2 diabetic subjects than in control subjects. Breath acetone can be used to monitor hepatic ketogenesis during walking under field conditions. It may, therefore, provide real-time information on fat burning, which may be of use for monitoring the lifestyle interventions. Copyright © 2014 The Obesity Society.

Application of the Continuous-Discrete Extended Kalman Filter for Fault Detection in Continuous Glucose Monitors for Type 1 Diabetes

DEFF Research Database (Denmark)

Mahmoudi, Zeinab; Boiroux, Dimitri; Hagdrup, Morten

2016-01-01

The purpose of this study is the online detection of faults and anomalies of a continuous glucose monitor (CGM). We simulated a type 1 diabetes patient using the Medtronic virtual patient model. The model is a system of stochastic differential equations and includes insulin pharmacokinetics...

Real-time continuous glucose monitoring during labour and delivery in women with Type 1 diabetes — observations from a randomized controlled trial

DEFF Research Database (Denmark)

Cordua, S; Secher, A L; Ringholm, L

2013-01-01

To explore whether real-time continuous glucose monitoring during labour and delivery supplementary to hourly self-monitored plasma glucose in women with Type 1 diabetes reduces the prevalence of neonatal hypoglycaemia.......To explore whether real-time continuous glucose monitoring during labour and delivery supplementary to hourly self-monitored plasma glucose in women with Type 1 diabetes reduces the prevalence of neonatal hypoglycaemia....

Long-Term Spectroscopic Monitoring and Surveys of Early-Type Stars with and without Circumstellar Envelopes

Directory of Open Access Journals (Sweden)

Miroshnichenko Anatoly S.

2017-11-01

Full Text Available Ongoing studies of different groups of stars result in improving our knowledge of their fundamental parameters and evolutionary status. Also, they result in finding new phases of stellar evolution, which require theoretical explanation. At the same time, availability of large telescopes and sensitivity improvement of detectors shift the focus of many observational programs toward fainter and more distant objects. However, there are still many problems in our understanding of details of stellar evolution which can now be solved with small telescopes and observations of bright stars. Approaching these problems implies conducting surveys of large groups of stars and long-term monitoring of individual objects. In this talk, we present the results of recent international programs of photometric and spectral monitoring of several groups of early-type stars. In particular, we discuss the role of binarity in creation of the Be phenomenon and show examples of recently discovered binary systems as well as the problem of refining fundamental parameters of B and A type supergiants. Special attention will be paid to collaboration with the amateur community and use of échelle spectrographs mounted on small telescopes.

Study of behaviour of the monitor chambers of a linear accelerator for medical use

International Nuclear Information System (INIS)

Brosed, A.; Lopez-Bote, M.A.; Blanco, M.A.; Galvez, M.

1988-01-01

An experimental procedure to study the nature and behaviour of the monitor chambers of a linear accelerator for medical use is presented. The procedure has been applied to a Siemens accelerator, Mevatron-77, that has two different types of monitor chambers: sealed for the photon beam and unsealed for the electron ones. As it was expected, no deviations in the dose per monitor unit has been obtained for the photon beam. Variations in the absorbed dose per monitor unit have been observed for the electron beams up to 6% along the working day. Practical solutions compensating this fact are pointed out and the standard recommendations on the control of dose per monitor unit are discussed. (Author)

A qualitative case study of telehealth for in-home monitoring to support the management of type 2 diabetes.

Science.gov (United States)

Carlisle, Karen; Warren, Robin

2013-10-01

The present study formed part of a randomised controlled trial of telehealth for in-home monitoring to support people with poorly controlled type 2 diabetes. We explored the experiences of patients and healthcare practitioners, and their perceptions of the telehealth model of care used in the trial. In addition to their usual diabetes care, participants receive diabetes care from a diabetes educator nurse via an in-home broadband communication device. On average, each patient participated in 14 videoconferences with a diabetes care coordinator during the 12-month trial period. Qualitative data was collected from two general practices and included semi-structured interviews and document review of patient clinical notes. A total of 12 people were interviewed: 8 health practitioners and 4 patients. Patients and health practitioners expressed a high level of satisfaction with the model of care provided. Patients also reported positive health and social outcomes as a result of being involved in the trial and indicated that in the main they had achieved their goals and were happy with their progress over the 12-month period. Analysis of interviews revealed three broad elements associated with the implementation of telehealth: interpersonal factors, operational problems and the wider health system context within which the general practices and trial team were operating. The findings suggest that adopting telehealth in the management of type 2 diabetes can lead to improved diabetes control, but more support is required to ensure sustainability and widespread implementation.

Monitoring device for shaft oscillation of reactor incorporated-type recycling pump

International Nuclear Information System (INIS)

Miyashita, Kaoru; Shibasaki, Kimiyuki.

1995-01-01

The present invention concerns monitoring of recycling pump shaft oscillation in a BWR type reactor, which monitors by separating a rotation pulse signal and a shaft oscillation waveform signal obtained in a non-contact type displacement meter. Namely, a threshold value calculation means of a separation processing section takes in original waveform data and selects the maximum value and the minimum value among them. A threshold value is calculated based on the values. An average value of the original waveform data for portions which do not exceed the threshold value is calculated. A first calculation means compares each of the original data with the threshold value, and if the original data are greater than the threshold value, they are outputted as the original data corresponding to the rotation pulse signal. When the original data are smaller than the threshold value, they are outputted as they are as a shaft oscillation waveform signal. On the other hand, a second calculation means calculates an average value for the pulse of the original waveform data corresponding to the rotation pulse signal. An average value of the original waveform data which do not exceed the threshold value are subtracted from the average value, to form the shaft oscillation waveform signal and output the same. (I.S.)

Self-monitoring of blood glucose versus self-monitoring of urine glucose in adults with newly diagnosed Type 2 diabetes receiving structured education: a cluster randomized controlled trial.

Science.gov (United States)

Dallosso, H M; Bodicoat, D H; Campbell, M; Carey, M E; Davies, M J; Eborall, H C; Hadjiconstantinou, M; Khunti, K; Speight, J; Heller, S

2015-03-01

To compare the effectiveness and acceptability of self-monitoring of blood glucose with self-monitoring of urine glucose in adults with newly diagnosed Type 2 diabetes. We conducted a multi-site cluster randomized controlled trial with practice-level randomization. Participants attended a structured group education programme, which included a module on self-monitoring using blood glucose or urine glucose monitoring. HbA1c and other biomedical measures as well as psychosocial data were collected at 6, 12 and 18 months. A total of 292 participants with Type 2 diabetes were recruited from 75 practices. HbA1c levels were significantly lower at 18 months than at baseline in both the blood monitoring group [mean (se) -12 (2) mmol/mol; -1.1 (0.2) %] and the urine monitoring group [mean (se) -13 (2) mmol/mol; -1.2 (0.2)%], with no difference between groups [mean difference adjusted for cluster effect and baseline value = -1 mmol/mol (95% CI -3, 2); -0.1% (95% CI -0.3, 0.2)]. Similar improvements were observed for the other biomedical outcomes, with no differences between groups. Both groups showed improvements in total treatment satisfaction, generic well-being, and diabetes-specific well-being, and had a less threatening view of diabetes, with no differences between groups at 18 months. Approximately one in five participants in the urine monitoring arm switched to blood monitoring, while those in the blood monitoring arm rarely switched (18 vs 1% at 18 months; P self-monitoring. © 2014 The Authors. Diabetic Medicine © 2014 Diabetes UK.

Optimization of mass of plastic scintillator film for flow-cell based tritium monitoring: a Monte Carlo study

International Nuclear Information System (INIS)

Roy, Arup Singha; Palani Selvam, T.; Raman, Anand; Raja, V.; Chaudhury, Probal

2014-01-01

Over the years, various types of tritium-in-air monitors have been designed and developed based on different principles. Ionization chamber, proportional counter and scintillation detector systems are few among them. A plastic scintillator based, flow-cell type online tritium-in-air monitoring system was developed for online monitoring of tritium in air. The value of the scintillator mass inside the cell-volume, which maximizes the response of the detector system, should be obtained to get maximum efficiency. The present study is aimed to optimize the amount of mass of the plastic scintillator film for the flow-cell based tritium monitoring instrument so that maximum efficiency is achieved. The Monte Carlo based EGSnrc code system has been used for this purpose

Barriers and facilitators to self-monitoring of blood glucose in people with type 2 diabetes using insulin: a qualitative study

Directory of Open Access Journals (Sweden)

Ong WM

2014-02-01

Full Text Available Woon May Ong,1 Siew Siang Chua,1 Chirk Jenn Ng2 1Department of Pharmacy, 2University of Malaya Primary Care Research Group (UMPCRG, Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Background: Self-monitoring of blood glucose (SMBG helps to improve glycemic control and empowerment of people with diabetes. It is particularly useful for people with diabetes who are using insulin as it facilitates insulin titration and detection of hypoglycemia. Despite this, the uptake of SMBG remains low in many countries, including Malaysia. Purpose: This study aimed to explore the barriers and facilitators to SMBG, in people with type 2 diabetes using insulin. Patients and methods: Qualitative methodology was employed to explore participants’ experience with SMBG. Semistructured, individual in-depth interviews were conducted on people with type 2 diabetes using insulin who had practiced SMBG, in the primary care clinic of a teaching hospital in Malaysia. Participants were purposively sampled from different age groups, ethnicity, education level, and level of glycemic control (as reflected by the glycated hemoglobin [HbA1c], to achieve maximum variation in sampling. All interviews were conducted using a topic guide and were audio-recorded, transcribed verbatim, checked, and analyzed using a thematic approach. Results: A total of 15 participants were interviewed, and thematic saturation was reached. The factors that influenced SMBG were mainly related to cost, participants' emotion, and the SMBG process. The barriers identified included: frustration related to high blood glucose reading; perception that SMBG was only for insulin titration; stigma; fear of needles and pain; cost of test strips and needles; inconvenience; unconducive workplace; and lack of motivation, knowledge, and self-efficacy. The facilitators were: experiencing hypoglycemic symptoms; desire to see the effects of dietary changes; desire to

Glycemic variability and insulin needs in patients with type 1 diabetes mellitus supplemented with vitamin D: a pilot study using continuous glucose monitoring system.

Science.gov (United States)

Felício, Karem Miléo; de Souza, Ana Carolina Contente Braga; Neto, João Felício Abrahão; de Melo, Franciane Trindade Cunha; Carvalho, Carolina Tavares; Arbage, Thaís Pontes; de Rider Brito, Hana Andrade; Peixoto, Amanda Soares; de Oliveira, Alana Ferreira; de Souza Resende, Fabricio; Reis, Scarlatt Sousa; Motta, Ana Regina; da Costa Miranda, Henrique; Janaú, Luísa Corrêa; Yamada, Elizabeth Sumi; Felício, João Soares

2017-06-15

Recent studies suggest that glycemic variability could influence the risk of complications in type 1 diabetes mellitus (T1DM). There are no data about the action of vitamin D (VD) on glycemic variability. Our pilot study aims to evaluate glycemic variability and insulin needs in patients with T1DM supplemented with VD. 22 patients received doses of 4000 and 10000 IU/day of cholecalciferol for 12 weeks, according to the patient's baseline VD levels and underwent continuous glucose monitoring system. Correlations were found between percentage variation (∆) of glycemia standard deviation (∆SDG), calculated using continuous glucose monitoring, with ∆ of basal (r= 0.6; p needed by patients is lower when VD status is better. We divided patients in two subgroups: SDG improved (subgroup 1; n =12 (55%)) and SDG worsened (subgroup 2; n =10 (45%)). Group 1, compared to subgroup 2, required a lower insulin dose (∆basal insulin dose = -8.0 vs 6.3%; p needs and lower frequency of hypoglycemia in patients with T1DM. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Low cost sensing technology for type 2 diabetes monitoring

Science.gov (United States)

Sarswat, Prashant; Free, Michael

2015-03-01

Alpha-hydroxybutyrate (2-hydroxybutyrate or α-HB) is becoming more widely recognized as an important metabolic biomarker that has been shown to be highly correlated with prediabetes and other metabolic diseases. In 2012 there were 86 million Americans with prediabetes, many of whom are not aware they have prediabetes, but could be diagnosed and treated to prevent type 2 diabetes if a simple, low-cost, convenient test were available. We have developed new, low-cost, accurate α-HB detection methods that can be used for the detection and monitoring of diseases such as prediabetes, type 2 diabetes, β-cell dysfunction, and early hyperglycemia. The new sensing method utilizes a diol recognition moiety, additives and a photoinitiator to detect α-HB at levels near 1 micro g/l in the presence of serum compounds such as lactic acid, sodium pyruvate, and glucose. The objective of this research is to improve the understanding of the interactions that enhance α-HB detection to enable additional improvements in α-HB detection as well as improvements in other biosensor applications.

Integrating working level monitor EML Type TF-11

International Nuclear Information System (INIS)

Latner, N.; Watnick, S.; Graveson, R.T.

1981-01-01

A time-integrating working level radiation monitor is described. The purpose of the instrument is the evaluation of the alpha emission from radon and its daughter products. It has been designed to be virtually silent in operation, making it suitable for residential studies

The design and installation of a core discharge monitor for CANDU-type reactors

International Nuclear Information System (INIS)

Halbig, J.K.; Monticone, A.C.; Ksiezak, L.; Smiltnieks, V.

1990-01-01

A new type of surveillance systems that monitors neutron and gamma radiation in a reactor containment is being installed at the Ontario Hydro Darlington Nuclear Generating Station A, Unit 2. Unlike video or film surveillance that monitors mechanical motion, this system measures fuel-specific radiation emanating from irradiated fuel as it is pushed from the core of CANDU-type reactors. Proof-of-principle measurements have been carried out at Bruce Nuclear Generating Station A, Unit 3. The system uses (γ,n) threshold detectors and ionization detectors. A microprocessor-based electronics package, GRAND-II (Gamma Ray and Neutron Detector electronics package), provides detector bias, preamplifier power, and signal processing. Firmware in the GRAND-2 controls the surveillance activities, including data acquisition and a level of detector authentication, and it handles authenticated communication with a central data logging computer. Data from the GRAND-II are transferred to an MS-DOS-compatible computer and stored. These data are collected and reviewed for fuel-specific radiation signatures from the primary detector and proper ratios of signals from secondary detectors. 5 figs

Stitching Type Large Aperture Depolarizer for Gas Monitoring Imaging Spectrometer

Science.gov (United States)

Liu, X.; Li, M.; An, N.; Zhang, T.; Cao, G.; Cheng, S.

2018-04-01

To increase the accuracy of radiation measurement for gas monitoring imaging spectrometer, it is necessary to achieve high levels of depolarization of the incoming beam. The preferred method in space instrument is to introduce the depolarizer into the optical system. It is a combination device of birefringence crystal wedges. Limited to the actual diameter of the crystal, the traditional depolarizer cannot be used in the large aperture imaging spectrometer (greater than 100 mm). In this paper, a stitching type depolarizer is presented. The design theory and numerical calculation model for dual babinet depolarizer were built. As required radiometric accuracies of the imaging spectrometer with 250 mm × 46 mm aperture, a stitching type dual babinet depolarizer was design in detail. Based on designing the optimum structural parmeters the tolerance of wedge angle refractive index, and central thickness were given. The analysis results show that the maximum residual polarization degree of output light from depolarizer is less than 2 %. The design requirements of polarization sensitivity is satisfied.

Development of automated patrol-type monitoring and inspection system for nuclear power plant and application to actual plant

International Nuclear Information System (INIS)

Senoo, Makoto; Koga, Kazunori; Hirakawa, Hiroshi; Tanaka, Keiji

1996-01-01

An automated patrol-type monitoring and inspection system was developed and applied in a nuclear power plant. This system consists of a monorail, a monitoring robot and an operator's console. The monitoring robot consists of a sensor unit and a control unit. Three kinds of sensor, a color ITV camera, an infrared camera and a microphone are installed in the sensor unit. The features of this monitoring robot are; (1) Weights 15 kg with a cross-sectional dimensions of 152 mm width and 290 mm height. (2) Several automatic monitoring functions are installed using image processing and frequency analysis for three sensor signals. (author)

Understanding self-monitoring of blood glucose among individuals with type 1 and type 2 diabetes: an information-motivation-behavioral skills analysis.

Science.gov (United States)

Fisher, William A; Kohut, Taylor; Schachner, Holly; Stenger, Patricia

2011-01-01

To evaluate self-monitoring of blood glucose (SMBG) information deficits, motivational obstacles, and behavioral skills limitations in individuals with type 1 and type 2 diabetes, and to assess the relationship of these deficits with SMBG frequency. Individuals with type 1 (n = 208; 103 male, 105 female) and type 2 (n = 218; 107 male, 111 female) diabetes participated in an online survey assessing SMBG information, motivation, behavioral skills, and behavior. A substantial proportion of participants scored as SMBG uninformed, unmotivated, and unskilled on specific assessment items. SMBG information, motivation, and behavioral skills deficits were significantly correlated with SMBG frequency, such that individuals with type 1 or type 2 diabetes, who were less informed, less motivated, and less behaviorally skilled, reported lower frequency of SMBG. Common and consequential SMBG information, motivation, and behavioral skills deficits were present, and patients with these gaps were less likely to test frequently. Clinical education focusing on relevant SMBG information, motivation to act, and behavioral skills for acting effectively may be a priority.

Effects of self-monitoring of glucose on distress and self-efficacy in people with non-insulin-treated Type 2 diabetes: a randomized controlled trial.

Science.gov (United States)

Malanda, U L; Bot, S D M; Kostense, P J; Snoek, F J; Dekker, J M; Nijpels, G

2016-04-01

To investigate the effects of self-monitoring of glucose in blood or urine, on diabetes-specific distress and self-efficacy, compared with usual care in people with non-insulin-treated Type 2 diabetes mellitus. One hundred and eighty-one participants with non-insulin-treated Type 2 diabetes mellitus [diabetes duration ≥ 1 year, age 45-75 years, HbA1c ≥ 53.0 mmol/mol (7.0%), self-monitoring frequency self-monitoring (n = 60), urine self-monitoring (n = 59) or usual care (n = 62). Primary outcomes were between-group differences in diabetes-specific distress [Problem Areas in Diabetes scale (PAID)] and self-efficacy [Confidence in Diabetes Self-Care questionnaire (CIDS-2)] after 12 months. Secondary outcomes included changes in HbA1c , treatment satisfaction and depressive symptoms. There were no statistically significant between-group differences in changes in PAID and CIDS-2 after 12 months. Mean difference in PAID between blood monitoring and control was -2.2 [95% confidence interval (CI) -7.1 to 2.7], between urine monitoring and control was -0.9 (95% CI -4.4 to 2.5) and between blood monitoring and urine monitoring was -2.0 (95% CI -4.1 to 0.1). Mean difference in CIDS-2 between blood monitoring and control was 0.6 [95% CI (-2.0 to 2.1), between urine monitoring and control was 2.8 (95% CI -2.3 to 7.9)] and between blood monitoring and urine monitoring was -3.3 (95% CI -7.9 to 1.3). No statistically significant between-group differences in change in any of the secondary outcome measures were found. This study did not find statistical or clinical evidence for a long-term effect of self-monitoring of glucose in blood or urine on diabetes-specific distress and self-efficacy in people with moderately controlled non-insulin-treated Type 2 diabetes mellitus. (Current Controlled Trials ISRCTN84568563). © 2015 Diabetes UK.

Neutron dosimetry. Environmental monitoring in a BWR type reactor

International Nuclear Information System (INIS)

Tavera D, L.; Camacho L, M.E.

1991-01-01

The measurements carried out on reactor dosimetry are applied mainly to the study on the effects of the radiation in 108 materials of the reactor; little is on the environmental dosimetry outside of the primary container of BWR reactors. In this work the application of a neutron spectrometer formed by plastic detectors of nuclear traces manufactured in the ININ, for the environmental monitoring in penetrations around the primary container of the unit I of the Laguna Verde central is presented. The neutron monitoring carries out with purposes of radiological protection, during the operational tests of the reactor. (Author)

Characteristic analysis of coupled transmission lines in stripline-type beam position monitor

International Nuclear Information System (INIS)

Suwada, T.

2013-01-01

Signal transmission characteristics in stripline electrodes of a stripline-type beam position monitor (BPM) are discussed on the basis of a coupled-mode analysis in electromagnetically coupled transmission lines. The physical prospect in the calibration procedure of stripline electrodes is improved in terms of signal transmission characteristics in the frequency domain. It is demonstrated that in the signal transmission with electromagnetic coupling between the stripline electrodes, the magnetic- and electric-coupling parameters play an important role depending upon the spatial configuration and mechanical structure of the stripline electrodes. In this report, a theoretical analysis, and experimental investigation into signal transmission characteristics and performance in a standard stripline-type BPM are described in detail on the basis of a coupled-mode analysis in uniform transmission lines

Clinical value of Flash glucose monitoring in patients with type 1 diabetes treated with continuous subcutaneous insulin infusion.

Science.gov (United States)

Moreno-Fernandez, Jesus; Pazos-Couselo, Marcos; González-Rodriguez, Maria; Rozas, Pedro; Delgado, Manuel; Aguirre, Miguel; Garcia-Lopez, Jose Manuel

2018-06-12

To analyze the clinical impact of the Flash glucose monitoring system in patients with type 1 diabetes mellitus (T1DM) treated with continuous subcutaneous insulin infusion (CSII). A 24-week retrospective cohort study in CSII-treated T1DM patients exposed (1:1) to the Flash glucose monitoring system vs. self-monitoring of capillary blood glucose (SMBG). The primary outcome was the difference in hemoglobin A1c (HbA1c) levels between both groups at the end of the study. Thirty-six patients with a mean age of 38.2 years (range 22-55) and a mean T1DM duration of 20.9±7.8 years, treated with CSII for 7.1±5.4 years, were enrolled into the study. At the end of the study, mean HbA1c levels improved in patients in the Flash group (7.1±0.7 vs. 7.8±1.0, p=0.04). Only the Flash group showed a significant decrease in HbA1c levels of -0.4% (95% CI, -0.6, -0.2; p=0.004) during follow-up. Flash patients captured 93.9% of data through 17.8±9.9 scans daily. In fact, the Flash cohort showed a three-fold increase in daily self-monitoring of glucose, while daily frequency of SMBG decreased during the study (-1.8 tests/24h (95% CI -3, -0.7; p=0.01). No safety issues related to Flash use were recorded. The Flash glucose monitoring system is a novel approach to improve blood glucose control in CSII-treated T1DM patients. Randomized controlled trials are needed to assess the effectiveness of this system in CSII-treated T1DM patients. Copyright © 2018 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.

Strategies to prevent ventilation-associated pneumonia: the effect of cuff pressure monitoring techniques and tracheal tube type on aspiration of subglottic secretions: an in-vitro study.

Science.gov (United States)

Carter, Eleanor L; Duguid, Alasdair; Ercole, Ari; Matta, Basil; Burnstein, Rowan M; Veenith, Tonny

2014-03-01

Ventilation-associated pneumonia (VAP) is the commonest nosocomial infection in intensive care. Implementation of a VAP prevention care bundle is a proven method to reduce its incidence. The UK care bundle recommends maintenance of the tracheal tube cuff pressure at 20 to 30  cmH₂O with 4-hourly pressure checks and use of tracheal tubes with subglottic aspiration ports in patients admitted for more than 72  h. To evaluate the effects of tracheal tube type and cuff pressure monitoring technique on leakage of subglottic secretions past the tracheal tube cuff. Bench-top study. Laboratory. A model adult trachea with simulated subglottic secretions was intubated with a tracheal tube with the cuff inflated to 25  cmH₂O. Experiments were conducted using a Portex Profile Soft Seal tracheal tube with three cuff pressure monitoring strategies and using a Portex SACETT tracheal tube with intermittent cuff pressure checks. Rate of simulated secretion leakage past the tracheal tube cuff. Mean ± SD leakage of fluid past the Profile Soft Seal tracheal tube cuff was 2.25 ± 1.49  ml  min⁻¹ with no monitoring of cuff pressure, 2.98 ± 1.63  ml  min⁻¹ with intermittent cuff pressure monitoring and 3.83 ± 2.17  ml  min⁻¹ with continuous cuff pressure monitoring (P aspiration port and aspirating the simulated secretions prior to intermittent cuff pressure checks reduced the leakage rate to 0.50 ± 0.48  ml  min⁻¹ (P aspiration port. Further evaluation of medical device performance is needed in order to design more effective VAP prevention strategies.

A new type gamma-ray spectrum monitoring system

CERN Document Server

Cheng Bo; Zhou Jian Bin; Zhang Zhi Ming; Tong Yun Fu

2002-01-01

This new radiation monitoring system can be used to monitor the radiation of building materials and the radiation of atmosphere, to explore and evaluate rock for building in the field, and this system can be used to monitor the gamma irradiation near the nuclear establishments in the average situation and in the serious situation of the radiation incident have happened. The control core of this monitoring system is SCM-AT89C52, and gamma-ray sensing head consists of scintillator phi 50 mm x 50 mm NaI(Tl) and PMT GDB44. This system can be used to measure the whole gamma-ray spectrum of 256 channels

STITCHING TYPE LARGE APERTURE DEPOLARIZER FOR GAS MONITORING IMAGING SPECTROMETER

Directory of Open Access Journals (Sweden)

X. Liu

2018-04-01

Full Text Available To increase the accuracy of radiation measurement for gas monitoring imaging spectrometer, it is necessary to achieve high levels of depolarization of the incoming beam. The preferred method in space instrument is to introduce the depolarizer into the optical system. It is a combination device of birefringence crystal wedges. Limited to the actual diameter of the crystal, the traditional depolarizer cannot be used in the large aperture imaging spectrometer (greater than 100 mm. In this paper, a stitching type depolarizer is presented. The design theory and numerical calculation model for dual babinet depolarizer were built. As required radiometric accuracies of the imaging spectrometer with 250 mm × 46 mm aperture, a stitching type dual babinet depolarizer was design in detail. Based on designing the optimum structural parmeters，the tolerance of wedge angle，refractive index, and central thickness were given. The analysis results show that the maximum residual polarization degree of output light from depolarizer is less than 2 %. The design requirements of polarization sensitivity is satisfied.

Study on sampling conditions for the monitoring of waste air

International Nuclear Information System (INIS)

Moeller, T.J.; Buetefisch, K.A.

1998-01-01

The technical codes for radiological monitoring of the waste air released from a radwaste repository demand that sampling for determination of aerosol-borne radioactivity is to be made with a screener equipped with a suitable number of measuring probes extending over the entire cross-sectional surface of the vent. Another requirement is to ensure that the waste air stream passing through the measuring channel is representative, containing the typical, operation-induced distribution of aerosols across the surface to be scanned. The study reported was intended to determine in a scaled-down model (1:10) of a repository ventilating duct the typical spatial distribution of aerosols (3D particulate density) in order to establish information on the type of typical distributions of aerosols, to be used for optimisation of the measuring site and monitoring instruments. (orig./CB) [de

Model Identification using Continuous Glucose Monitoring Data for Type 1 Diabetes

DEFF Research Database (Denmark)

Boiroux, Dimitri; Hagdrup, Morten; Mahmoudi, Zeinab

2016-01-01

This paper addresses model identification of continuous-discrete nonlinear models for people with type 1 diabetes using sampled data from a continuous glucose monitor (CGM). We compare five identification techniques: least squares, weighted least squares, Huber regression, maximum likelihood...... with extended Kalman filter and maximum likelihood with unscented Kalman filter. We perform the identification on a 24-hour simulation of a stochastic differential equation (SDE) version of the Medtronic Virtual Patient (MVP) model including process and output noise. We compare the fits with the actual CGM......, such as parameter tracking, population modeling and handling of outliers....

Cyanobacteria, Toxins and Indicators: Field Monitoring,Treatment Facility Monitoring and Treatment Studies

Science.gov (United States)

This presentation is a compilation of harmful algal bloom (HAB) related field monitoring data from the 2015 bloom season, treatment plant monitoring data from the 2013 and 2014 bloom seasons, and bench-scale treatment study data from 2015.

Monitoring of radon concentration in dwellings

International Nuclear Information System (INIS)

Kurosawa, Ryuhei

1991-01-01

Radon problems in dwellings have recently received much attention. Radon concentration in dwellings, as well as in the general environment, varies with various factors such as meteorological conditions and soil components. Therefore, a long term monitoring of radon concentration is required to obtain an average concentration. This paper reviews a passive type radon monitor that is handy and allows a long term radon monitoring. It provides the structure and principle of the radon monitor, covering the type, filter function, sensitivity of diffusion collecting type (cup type), electrostatic collecting type, adsorption collecting type, and detector of radon monitor. Actual examples of the radon monitor are also given. Radon daughter nuclides will have become major foci of exposure countermeasures. In the future, the development of a passive type monitor for determining potential alpha energy concentration is required. (N.K.)

Disentangling the roles of parental monitoring and family conflict in adolescents' management of type 1 diabetes.

Science.gov (United States)

Hilliard, Marisa E; Holmes, Clarissa S; Chen, Rusan; Maher, Kathryn; Robinson, Elizabeth; Streisand, Randi

2013-04-01

Less parental monitoring of adolescents' diabetes self-care and more family conflict are each associated with poorer diabetes outcomes. However, little is known about how these two family factors relate with one another in the context of self-care and glycemic control. Diabetes self-care was evaluated as a mediator of the associations among parental monitoring, family conflict, and glycemic control in early adolescents with type 1 diabetes. Adolescent-parent dyads (n = 257) reported on the frequency of parental monitoring, family conflict, and diabetes self-care. Hemoglobin A1c was abstracted from medical charts. Structural equation modeling was used for mediation analysis. A mediation model linking parental involvement and family conflict with A1c through diabetes self-care fit the data well. Monitoring and conflict were inversely correlated (β = -0.23, p Conflict also was positively associated with higher A1c (β = 0.31, p conflict and less parental monitoring are risk factors for poorer glycemic control, and diabetes self-care is one mediator linking these variables. Interventions to promote parental monitoring of diabetes management during early adolescence may benefit from emphasizing strategies to prevent or reduce family conflict. 2013 APA, all rights reserved

Frequency and motives of blood glucose self-monitoring in type 1 diabetes

DEFF Research Database (Denmark)

Hansen, M V; Pedersen-Bjergaard, U; Heller, S R

2009-01-01

and demographic characteristics. METHODS: Cross-sectional Danish-British multicentre survey of 1076 consecutive patients with type 1 diabetes, who completed a detailed questionnaire on SMBG and related issues. The key variables were test frequency and motive. RESULTS: SMBG was performed daily by 39......AIMS: Recommendations for self-monitoring of blood glucose (SMBG) from the DCCT have not been implemented with the same rigour as recommendations for intensifying insulin therapy. We assessed the frequency of and motives for SMBG and compared SMBG behaviour with clinical, behavioural...

The Dams and Monitoring Systems and Case Study: Ataturk and Karakaya Dams

Science.gov (United States)

Kalkan, Y.; Bilgi, S.; Gülnerman, A. G.

2017-12-01

type in Turkey. In addition, brief information is given about these dams and the methods of geodetic and non-geodetic monitoring measurements applied by various disciplines. The last part of the study focuses on the inference of the geodetic monitoring methods, which depend on a seven years of geodetic monitoring.

Virologic Monitoring of Poliovirus Type 2 after Oral Poliovirus Vaccine Type 2 Withdrawal in April 2016 - Worldwide, 2016-2017.

Science.gov (United States)

Diop, Ousmane M; Asghar, Humayun; Gavrilin, Evgeniy; Moeletsi, Nicksy Gumede; Benito, Gloria Rey; Paladin, Fem; Pattamadilok, Sirima; Zhang, Yan; Goel, Ajay; Quddus, Arshad

2017-05-26

The Global Polio Eradication Initiative (GPEI) has made substantial progress since its launch in 1988; only 37 wild poliovirus type 1 (WPV1) cases were detected in 2016, the lowest annual count ever. Wild poliovirus type 3 has not been detected since November 2012, and wild poliovirus type 2 was officially declared eradicated in September 2015. This success is attributable to the wide use of live oral poliovirus vaccines (OPVs). Since 2001, numerous outbreaks were caused by the emergence of genetically divergent vaccine-derived polioviruses (VDPVs) whose genetic drift from the parental OPV strains indicates prolonged replication or circulation (1). In 2015, circulating VDPV type 2 (cVDPV2) outbreaks were detected in five countries worldwide (Nigeria, Pakistan, Guinea, Burma, and South Sudan), and VDPV2 single events were reported in 22 countries. These events prompted the GPEI to withdraw the type 2 component (Sabin2) of trivalent OPV (tOPV) in a globally coordinated, synchronized manner in April 2016 (2,3), at which time all OPV-using countries switched to using bivalent OPV (bOPV), containing Sabin types 1 and 3. This report details for the first time the virologic tracking of elimination of a live vaccine that has been withdrawn from routine and mass immunization systems worldwide (3). To secure elimination, further monitoring is warranted to detect any use of tOPV or monovalent OPV type 2 (mOPV2).

Factors affecting mobile diabetes monitoring adoption among physicians: questionnaire study and path model.

Science.gov (United States)

Okazaki, Shintaro; Castañeda, José Alberto; Sanz, Silvia; Henseler, Jörg

2012-12-21

Patients with type 1 and type 2 diabetes often find it difficult to control their blood glucose level on a daily basis because of distance or physical incapacity. With the increase in Internet-enabled smartphone use, this problem can be resolved by adopting a mobile diabetes monitoring system. Most existing studies have focused on patients' usability perceptions, whereas little attention has been paid to physicians' intentions to adopt this technology. The aim of the study was to evaluate the perceptions and user acceptance of mobile diabetes monitoring among Japanese physicians. A questionnaire survey of physicians was conducted in Japan. The structured questionnaire was prepared in a context of a mobile diabetes monitoring system that controls blood glucose, weight, physical activity, diet, insulin and medication, and blood pressure. Following a thorough description of mobile diabetes monitoring with a graphical image, questions were asked relating to system quality, information quality, service quality, health improvement, ubiquitous control, privacy and security concerns, perceived value, subjective norms, and intention to use mobile diabetes monitoring. The data were analyzed by partial least squares (PLS) path modeling. In total, 471 physicians participated from 47 prefectures across Japan, of whom 134 were specialized in internal and gastrointestinal medicine. Nine hypotheses were tested with both the total sample and the specialist subsample; results were similar for both samples in terms of statistical significance and the strength of path coefficients. We found that system quality, information quality, and service quality significantly affect overall quality. Overall quality determines the extent to which physicians perceive the value of mobile health monitoring. However, in contrast to our initial predictions, overall quality does not have a significant direct effect on the intention to use mobile diabetes monitoring. With regard to net benefits, both

Moisture monitoring and control system engineering study

International Nuclear Information System (INIS)

Carpenter, K.E.; Fadeff, J.G.

1995-01-01

During the past 50 years, a wide variety of chemical compounds have been placed in the 149 single-shell tanks (SSTS) on the Hanford Site. A concern relating to chemical stability, chemical control, and safe storage of the waste is the potential for propagating reactions as a result of ferrocyanide-oxidizer and organic-oxidizer concentrations in the SSTS. Propagating reactions in fuel-nitrate mixtures are precluded if the amounts of fuel and moisture present in the waste are within specified limits. Because most credible ignition sources occur near the waste surface, the main emphasis of this study is toward monitoring and controlling moisture in the top 14 cm (5.5 in.) of waste. The purpose of this engineering study is to recommend a moisture monitoring and control system for use in SSTs containing sludge and saltcake. This study includes recommendations for: (1) monitoring and controlling moisture in SSTs; (2) the fundamental design criteria for a moisture monitoring and control system; and (3) criteria for the deployment of a moisture monitoring and control system in hanford Site SSTs. To support system recommendations, technical bases for selecting and using a moisture monitoring and control system are presented. Key functional requirements and a conceptual design are included to enhance system development and establish design criteria

Lower Columbia River and Estuary Habitat Monitoring Study, 2011 - Final Report

Energy Technology Data Exchange (ETDEWEB)

Borde, Amy B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Kaufmann, Ronald M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Cullinan, Valerie I. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Zimmerman, Shon A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Thom, Ronald M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Wright, Cynthia L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2012-03-01

The Ecosystem Monitoring Program is a collaborative effort between the Lower Columbia River Estuary Partnership (LCREP), University of Washington, Wetland Ecosystem Team (UW), US Geological Survey, Water Science Center (USGS), National Oceanic and Atmospheric Administration, National Marine Fisheries Service (NOAA-Fisheries, hereafter NOAA), and Pacific Northwest National Laboratory, Marine Sciences Laboratory (PNNL). The goal of the program is to conduct emergent wetland monitoring aimed at characterizing salmonid habitats in the lower Columbia River and estuary (LCRE) from the mouth of the estuary to Bonneville Dam (Figure 1). This is an ecosystem based monitoring program focused on evaluating status and trends in habitat and reducing uncertainties regarding these ecosystems to ultimately improve the survival of juvenile salmonids through the LCRE. This project comprehensively assesses habitat, fish, food web, and abiotic conditions in the lower river, focusing on shallow water and vegetated habitats used by juvenile salmonids for feeding, rearing and refugia. The information is intended to be used to guide management actions associated with species recovery, particularly that of threatened and endangered salmonids. PNNL’s role in this multi-year study is to monitor the habitat structure (e.g., vegetation, topography, channel morphology, and sediment type) as well as hydrologic patterns.

Home-made temperature monitoring system from four-channel K-type thermocouples via internet of thing technology platform

Science.gov (United States)

Detmod, Thitaporn; Özmen, Yiǧiter; Songkaitiwong, Kittiphot; Saenyot, Khanuengchat; Locharoenrat, Kitsakorn; Lekchaum, Sarai

2018-06-01

This paper is aimed to design and construct the home-made temperature monitoring system from four-channel K-type thermocouples in order to improve the temperature measurement based on standard evaluation measurements guidance. The temperature monitoring system was capable to record the temperature on SD card and to display the realtime temperature on Internet of Thing Technology platform. The temperature monitoring system was tested in terms of the temperature measurement accuracy and delay response time. It was found that a standard deviation was acceptable as compared to the Instrument Society of America. The response time of the microcontroller to SD card was 2 sec faster than that of the microcontroller to Thingspeak.

PROBLEMS IN VEGETATION MONITORING IN NATURE MANAGEMENT PRACTICE: TWO CASE STUDIES

Directory of Open Access Journals (Sweden)

I. DE RONDE

2007-04-01

Full Text Available One of the major requirements of the monitoring of vegetation is the comparability of data between years. Therefore, a proper sampling scheme is essential. However, through the years, in nature management practice lots of data collected without a primary monitoring goal. Afterwards, it often seems very valuable to include these older data in the analysis for several reasons. In two examples from military ranges in the Netherlands, two of the problems which can be met with in comparing unequivalent or biased data in monitoring are shown. In the first example, the frequency of grassland species in two sets of relevés is examined. A solution is presented for the overrepresentation of relevés from one or more vegetation types from the first year, based on the area of the vegetation types on the vegetation map of this same year. In the second example, two sequential vegetation maps are compared. A major problem is often the thematic incongruence of sequential vegetation maps. Afterwards, this can only be resolved by upscaling one or both maps. It is concluded that the use of old data for monitoring purposes can be very valuable, but that this often calls for creative data handling, in which GIS and modern computer programmes are very helpful.

Study of radiation portal monitor and its application to metal recycling industry

International Nuclear Information System (INIS)

Pujol, L.; Lara-Calleja, S.; Suarez-Navarro, M. J.; Gonzalez-Gonzalez, J. A.

2009-01-01

The industry of the iron and the steel in one of the most important sectors in Spain for its economic development. the recycling of metallic materials as well as the import of metallic scrap is very significant. Several reports on accidental dispersion or smelting of radioactive sources in metal recycling industries confirm the possibility that radioactive material might be mixed with scrap. In consequence, this type of accident shows the necessity of a rigorous and specific radiation control of the sector. The control of these materials with radioactive content can be carried out with radiation portal monitors installed at the entrance of these industries. The detection of radioactive materials presents special features as the continuous background acquisition or the minimisation of the relatively large number of innocent/nuisance detections. In the present work, we study a radiation portal monitor, the FHT-1388-T Thermo-Eberline. This is one of the usual radiation portal systems installed at the entrance of the metal recycling industry. Se study the characteristics and parameters of this portal monitor to optimise its use. furthermore, we propose some rapid tests for radiation portal systems in metal recycling industry. (Author) 16 refs

[The Key Technology Study on Cloud Computing Platform for ECG Monitoring Based on Regional Internet of Things].

Science.gov (United States)

Yang, Shu; Qiu, Yuyan; Shi, Bo

2016-09-01

This paper explores the methods of building the internet of things of a regional ECG monitoring, focused on the implementation of ECG monitoring center based on cloud computing platform. It analyzes implementation principles of automatic identifi cation in the types of arrhythmia. It also studies the system architecture and key techniques of cloud computing platform, including server load balancing technology, reliable storage of massive smalfi les and the implications of quick search function.

Headache as an Aura of Epilepsy: Video-EEG Monitoring Study.

Science.gov (United States)

Kim, Dong Wook; Sunwoo, Jun-Sang; Lee, Sang Kun

2016-04-01

Headache can be associated with epilepsy as a pre-ictal, ictal, or post-ictal phenomenon; however, studies of patients with headache as an epileptic aura are scarce. We performed the present study to investigate the incidence and characteristics of headache as an epileptic aura, via confirmation of electroencephalography (EEG) changes by video-EEG monitoring. Data of aura and clinical seizure episodes of 831 consecutive patients who undertook video-EEG monitoring were analyzed retrospectively. For patients who had headache as an aura, information on the detailed features of headache was acquired, including location, nature, duration, and the presence of accompanying symptoms. Video-recorded clinical seizures, EEG findings, and neuroimaging data were used to determine the ictal onset areas in the patients. Six out of 831 (0.7%) patients experienced headache as aura (age range, 25-52 years), all of whom had partial seizures. The incidence of pre-ictal headache was 6.3% (25/831), and post-ictal headache was 30.9% (257/831). In patients with headache as aura, five patients described headache as the most frequent aura, and headache was the second most frequent aura in one patient. The characteristics of headache were hemicrania epileptica in two patients, tension-type headache in another two patients, and migraine-like headache in the remaining two patients. No patient met the diagnostic criteria of ictal epileptic headache or migraine aura-triggered seizure. Our study showed that headache as an aura is uncommon in adult patients with epilepsy, and that headache can present as diverse features, including hemicrania epileptica, tension-type headache, and migraine-like headache. Further studies are necessary to characterize the features of headache as an epileptic aura in adult patients with epilepsy. © 2016 American Headache Society.

Environmental monitoring systems: a new type of mobile laboratory

International Nuclear Information System (INIS)

Bruecher, L.; Langmueller, G.; Tuerschmann, G.

1999-01-01

Nuclear facilities are obligated to monitor the environmental radiation in their vicinity, which is often fulfilled by monitoring cars, combined with fixed monitoring stations. The MOLAR Mobile Laboratory for Environmental Radiation Monitoring as described here is being used under normal and accident conditions as a spot check monitoring system or to perform continuous measurements along a driving track. The mobile laboratories are continuously connected with the control centre's CRCS Central Radiological Computer System, where the RIS Radiological Information System provides corresponding evaluation functions. The mobile labs contain measuring and controlling units like γ-dose rate monitors, γ-spectrometer with a HpGe High Purity Germanium detector, a lead shielded measuring cell and MCA Multi-Channel Analyser, portable β-contamination monitor, α/β/γ multipurpose quick measuring unit, aerosol and iodine sampling units. The collected samples are safely stored for the transport to the environmental laboratory for being analysed later. The geographical location of the moving car is continuously determined by the satellite based GPS Global Positioning System and transferred in the on-board rack mounted computer system for being stored and locally displayed. Real-time data transmission via radio and mobile phone is continuously performed to supply the RIS Radiological Information System in the control centre via radio and mobile phone. The latter also serves for voice communication. Currently three MOLAR systems can be operated parallel and independent from the control centre. The system is ready to be extended to more mobile labs. This combination of mobile monitoring, sample analysis and radiological assessment of environmental data in combination with process occurrences has turned out to be a powerful instrument for emergency preparedness and environmental supervising. (orig.) [de

Radiation monitoring

International Nuclear Information System (INIS)

Larsson, L.Eh.; B'yuli, D.K.; Karmikel, Dzh.Kh.E.

1985-01-01

Recommendations on radiation monitoring of personnel, used medical ionizing radiation source, are given. The necessity to carry out radiation monitoring of situation at medical personnel's positions and personnel dosimetry is marked. It is convenient to subdivide radiation monitoring into 3 types: usual, surgical and special. Usual monitoring is connected with current work; surgical monitoring is carried out to receive information during a concrete operation; special monitoring is used to detect possible deviation from standard conditions of work or when suspecting them

1988 Monitoring Activities Review (MAR) of the environmental monitoring program

International Nuclear Information System (INIS)

1989-03-01

The EGandG Idaho Environmental Monitoring (EM) Unit is responsible for coordinating and conducting environmental measurements of radioactive and hazardous contaminants around facilities operated by EGandG Idaho. The EM Unit has several broad program objectives, which include complying with regulatory standards and developing a basis for estimating future impacts of operations at EGandG Idaho facilities. To improve program planning and to provide bases for technical improvement of the monitoring program, the EGandG Environmental Monitoring organization has regularly used the Monitoring Activities Review (MAR) process since 1982. Each MAR is conducted by a committee of individuals selected for their experience in the various types of monitoring performed by the EM organization. Previous MAR studies have focused on procedures for all currently monitored media except biota. Biotic monitoring was initiated following the last MAR. This report focuses on all currently monitored media, and includes the first review of biotic monitoring. The review of biotic monitoring has been conducted at a level of detail consistent with initial MAR reports for other parts of the Waste Management Program Facilities Environmental Monitoring Program. The review of the biotic monitoring activities is presented in Section 5.5 of this report. 21 refs., 7 figs., 4 tabs

Real-time continuous glucose monitoring as a tool to prevent severe hypoglycaemia in selected pregnant women with Type 1 diabetes

DEFF Research Database (Denmark)

Secher, A L; Stage, E; Ringholm, Lene

2014-01-01

AIMS: Among women with Type 1 diabetes who have had severe hypoglycaemia the year before pregnancy, 70% also experience this complication in pregnancy, and particularly in the first half of pregnancy. We evaluated whether routine use of real-time continuous glucose monitoring from early pregnancy...... onwards could prevent severe hypoglycaemia in these women. METHODS: All 136 consecutive pregnant women with Type 1 diabetes referred to our centre were asked about severe hypoglycaemic events in the year before pregnancy and early in pregnancy at their first antenatal visit. Women with a relevant recent...... history were informed about their additional high risk of severe hypoglycaemia, their treatment was focused on restricted insulin doses during the first 16 gestational weeks, and they were offered real-time continuous glucose monitoring on top of self-monitored plasma glucose measurements. RESULTS: Among...

Effect of Financial Incentives on Glucose Monitoring Adherence and Glycemic Control Among Adolescents and Young Adults With Type 1 Diabetes: A Randomized Clinical Trial.

Science.gov (United States)

Wong, Charlene A; Miller, Victoria A; Murphy, Kathryn; Small, Dylan; Ford, Carol A; Willi, Steven M; Feingold, Jordyn; Morris, Alexander; Ha, Yoonhee P; Zhu, Jingsan; Wang, Wenli; Patel, Mitesh S

2017-12-01

Glycemic control often deteriorates during adolescence and the transition to young adulthood for patients with type 1 diabetes. The inability to manage type 1 diabetes effectively during these years is associated with poor glycemic control and complications from diabetes in adult life. To determine the effect of daily financial incentives on glucose monitoring adherence and glycemic control in adolescents and young adults with type 1 diabetes. The Behavioral Economic Incentives to Improve Glycemic Control Among Adolescents and Young Adults With Type 1 Diabetes (BE IN CONTROL) study was an investigator-blinded, 6-month, 2-arm randomized clinical trial conducted between January 22 and November 2, 2016, with 3-month intervention and follow-up periods. Ninety participants (aged 14-20) with suboptimally controlled type 1 diabetes (hemoglobin A1c [HbA1c] >8.0%) were recruited from the Diabetes Center for Children at the Children's Hospital of Philadelphia. All participants were given daily blood glucose monitoring goals of 4 or more checks per day with 1 or more level within the goal range (70-180 mg/dL) collected with a wireless glucometer. The 3-month intervention consisted of a $60 monthly incentive in a virtual account, from which $2 was subtracted for every day of nonadherence to the monitoring goals. During a 3-month follow-up period, the intervention was discontinued. The primary outcome was change in HbA1c levels at 3 months. Secondary outcomes included adherence to glucose monitoring and change in HbA1c levels at 6 months. All analyses were by intention to treat. Of the 181 participants screened, 90 (52 [57.8%] girls) were randomized to the intervention (n = 45) or control (n = 45) arms. The mean (SD) age was 16.3 (1.9) years. The intervention group had significantly greater adherence to glucose monitoring goals in the incentive period (50.0% vs 18.9%; adjusted difference, 27.2%; 95% CI, 9.5% to 45.0%; P = .003) but not in the follow-up period (15

DreamTel; Diabetes risk evaluation and management tele-monitoring study protocol.

Science.gov (United States)

Tobe, Sheldon W; Wentworth, Joan; Ironstand, Laurie; Hartman, Susan; Hoppe, Jackie; Whiting, Judi; Kennedy, Janice; McAllister, Colin; Kiss, Alex; Perkins, Nancy; Vincent, Lloyd; Pylypchuk, George; Lewanczuk, Richard Z

2009-05-09

The rising prevalence of type 2 diabetes underlines the importance of secondary strategies for the prevention of target organ damage. While access to diabetes education centers and diabetes intensification management has been shown to improve blood glucose control, these services are not available to all that require them, particularly in rural and northern areas. The provision of these services through the Home Care team is an advance that can overcome these barriers. Transfer of blood glucose data electronically from the home to the health care provider may improve diabetes management. The study population will consist of patients with type 2 diabetes with uncontrolled A1c levels living on reserve in the Battlefords region of Saskatchewan, Canada. This pilot study will take place over three phases. In the first phase over three months the impact of the introduction of the Bluetooth enabled glucose monitor will be assessed. In the second phase over three months, the development of guidelines based treatment algorithms for diabetes intensification will be completed. In the third phase lasting 18 months, study subjects will have diabetes intensification according to the algorithms developed. The first phase will determine if the use of the Bluetooth enabled blood glucose devices which can transmit results electronically will lead to changes in A1c levels. It will also determine the feasibility of recruiting subjects to use this technology. The rest of the Diabetes Risk Evaluation and Management Tele-monitoring (DreamTel) study will determine if the delivery of a diabetes intensification management program by the Home Care team supported by the Bluetooth enabled glucose meters leads to improvements in diabetes management. Protocol NCT00325624.

Self-Monitoring Using Continuous Glucose Monitors with Real-Time Feedback Improves Exercise Adherence in Individuals with Impaired Blood Glucose: A Pilot Study.

Science.gov (United States)

Bailey, Kaitlyn J; Little, Jonathan P; Jung, Mary E

2016-03-01

Exercise helps individuals with prediabetes or type 2 diabetes (T2D) manage their blood glucose (BG); however, exercise adherence in this population is dismal. In this pilot study we tested the efficacy of a self-monitoring group-based intervention using continuous glucose monitors (CGMs) at increasing exercise adherence in individuals with impaired BG. Thirteen participants with prediabetes or T2D were randomized to an 8-week standard care exercise program (CON condition) (n = 7) or self-monitoring exercise intervention (SM condition) (n = 6). Participants in the SM condition were taught how to self-monitor their exercise and BG, to goal set, and to use CGM to observe how exercise influences BG. We hypothesized that compared with the CON condition, using a real-time CGM would facilitate self-monitoring behavior, resulting in increased exercise adherence. Repeated-measures analysis of variance revealed significant Condition × Time interactions for self-monitoring (P goal setting (P = 0.01), and self-efficacy to self-monitor (P = 0.01), such that the SM condition showed greater increases in these outcomes immediately after the program and at the 1-month follow-up compared with the CON condition. The SM condition had higher program attendance rates (P = 0.03), and a greater proportion of participants reregistered for additional exercise programs (P = 0.048) compared with the CON condition. Participants in both conditions experienced improvements in health-related quality of life, waist circumference, and fitness (P values exercise behavior in individuals living with prediabetes or T2D.

Riding Quality Model for Asphalt Pavement Monitoring Using Phase Array Type L-band Synthetic Aperture Radar (PALSAR

Directory of Open Access Journals (Sweden)

Kamiya Yoshikazu

2010-11-01

Full Text Available There are difficulties associated with near-real time or frequent pavement monitoring, because it is time consuming and costly. This study aimed to develop a binary logit model for the evaluation of highway riding quality, which could be used to monitor pavement conditions. The model was applied to investigate the influence of backscattering values of Phase Array type L-band Synthetic Aperture Radar (PALSAR. Training data obtained during 3–7 May 2007 was used in the development process, together with actual international roughness index (IRI values collected along a highway in Ayutthaya province, Thailand. The analysis showed that an increase in the backscattering value in the HH or the VV polarization indicated the poor condition of the pavement surface and, of the two, the HH polarization is more suitable for developing riding quality evaluation. The model developed was applied to analyze highway number 3467, to demonstrate its capability. It was found that the assessment accuracy of the prediction of the highway level of service was 97.00%. This is a preliminary study of the proposed technique and more intensive investigation must be carried out using ALOS/PALSAR images in various seasons.

Continuous glucose monitoring for patients with type 1 diabetes and impaired awareness of hypoglycaemia (IN CONTROL): a randomised, open-label, crossover trial

NARCIS (Netherlands)

van Beers, Cornelis A. J.; DeVries, J. Hans; Kleijer, Susanne J.; Smits, Mark M.; Geelhoed-Duijvestijn, Petronella H.; Kramer, Mark H. H.; Diamant, Michaela; Snoek, Frank J.; Serné, Erik H.

2016-01-01

Patients with type 1 diabetes who have impaired awareness of hypoglycaemia have a three to six times increased risk of severe hypoglycaemia. We aimed to assess whether continuous glucose monitoring (CGM) improves glycaemia and prevents severe hypoglycaemia compared with self-monitoring of blood

Identification of novel biomarkers to monitor β-cell function and enable early detection of type 2 diabetes risk.

Directory of Open Access Journals (Sweden)

Kirstine J Belongie

Full Text Available A decline in β-cell function is a prerequisite for the development of type 2 diabetes, yet the level of β-cell function in individuals at risk of the condition is rarely measured. This is due, in part, to the fact that current methods for assessing β-cell function are inaccurate, prone to error, labor-intensive, or affected by glucose-lowering therapy. The aim of the current study was to identify novel circulating biomarkers to monitor β-cell function and to identify individuals at high risk of developing β-cell dysfunction. In a nested case-control study from the Relationship between Insulin Sensitivity and Cardiovascular disease (RISC cohort (n = 1157, proteomics and miRNA profiling were performed on fasting plasma samples from 43 individuals who progressed to impaired glucose tolerance (IGT and 43 controls who maintained normal glucose tolerance (NGT over three years. Groups were matched at baseline for age, gender, body mass index (BMI, insulin sensitivity (euglycemic clamp and β-cell glucose sensitivity (mathematical modeling. Proteomic profiling was performed using the SomaLogic platform (Colorado, USA; miRNA expression was performed using a modified RT-PCR protocol (Regulus Therapeutics, California, USA. Results showed differentially expressed proteins and miRNAs including some with known links to type 2 diabetes, such as adiponectin, but also novel biomarkers and pathways. In cross sectional analysis at year 3, the top differentially expressed biomarkers in people with IGT/ reduced β-cell glucose sensitivity were adiponectin, alpha1-antitrypsin (known to regulate adiponectin levels, endocan, miR-181a, miR-342, and miR-323. At baseline, adiponectin, cathepsin D and NCAM.L1 (proteins expressed by pancreatic β-cells were significantly lower in those that progressed to IGT. Many of the novel prognostic biomarker candidates were within the epithelial-mesenchymal transition (EMT pathway: for example, Noggin, DLL4 and miR-181a. Further

Association of glycaemic variability evaluated by continuous glucose monitoring with diabetic peripheral neuropathy in type 2 diabetic patients.

Science.gov (United States)

Hu, Yu-Ming; Zhao, Li-Hua; Zhang, Xiu-Lin; Cai, Hong-Li; Huang, Hai-Yan; Xu, Feng; Chen, Tong; Wang, Xue-Qin; Guo, Ai-Song; Li, Jian-An; Su, Jian-Bin

2018-05-01

Diabetic peripheral neuropathy (DPN), a common microvascular complication of diabetes, is linked to glycaemic derangements. Glycaemic variability, as a pattern of glycaemic derangements, is a key risk factor for diabetic complications. We investigated the association of glycaemic variability with DPN in a large-scale sample of type 2 diabetic patients. In this cross-sectional study, we enrolled 982 type 2 diabetic patients who were screened for DPN and monitored by a continuous glucose monitoring (CGM) system between February 2011 and January 2017. Multiple glycaemic variability parameters, including the mean amplitude of glycaemic excursions (MAGE), mean of daily differences (MODD), standard deviation of glucose (SD), and 24-h mean glucose (24-h MG), were calculated from glucose profiles obtained from CGM. Other possible risks for DPN were also examined. Of the recruited type 2 diabetic patients, 20.1% (n = 197) presented with DPN, and these patients also had a higher MAGE, MODD, SD, and 24-h MG than patients without DPN (p diabetic duration, HOMA-IR, and hemoglobin A1c (HbA1c) were found to be independent contributors to DPN, and the corresponding odds ratios (95% confidence interval) were 4.57 (3.48-6.01), 1.10 (1.03-1.17), 1.24 (1.09-1.41), and 1.33 (1.15-1.53), respectively. Receiver operating characteristic analysis indicated that the optimal MAGE cutoff value for predicting DPN was 4.60 mmol/L; the corresponding sensitivity was 64.47%, and the specificity was 75.54%. In addition to conventional risks including diabetic duration, HOMA-IR and HbA1c, increased glycaemic variability assessed by MAGE is a significant independent contributor to DPN in type 2 diabetic patients.

Continuous Glucose Monitoring vs Conventional Therapy for Glycemic Control in Adults With Type 1 Diabetes Treated With Multiple Daily Insulin Injections: The GOLD Randomized Clinical Trial.

Science.gov (United States)

Lind, Marcus; Polonsky, William; Hirsch, Irl B; Heise, Tim; Bolinder, Jan; Dahlqvist, Sofia; Schwarz, Erik; Ólafsdóttir, Arndís Finna; Frid, Anders; Wedel, Hans; Ahlén, Elsa; Nyström, Thomas; Hellman, Jarl

2017-01-24

The majority of individuals with type 1 diabetes do not meet recommended glycemic targets. To evaluate the effects of continuous glucose monitoring in adults with type 1 diabetes treated with multiple daily insulin injections. Open-label crossover randomized clinical trial conducted in 15 diabetes outpatient clinics in Sweden between February 24, 2014, and June 1, 2016 that included 161 individuals with type 1 diabetes and hemoglobin A1c (HbA1c) of at least 7.5% (58 mmol/mol) treated with multiple daily insulin injections. Participants were randomized to receive treatment using a continuous glucose monitoring system or conventional treatment for 26 weeks, separated by a washout period of 17 weeks. Difference in HbA1c between weeks 26 and 69 for the 2 treatments. Adverse events including severe hypoglycemia were also studied. Among 161 randomized participants, mean age was 43.7 years, 45.3% were women, and mean HbA1c was 8.6% (70 mmol/mol). A total of 142 participants had follow-up data in both treatment periods. Mean HbA1c was 7.92% (63 mmol/mol) during continuous glucose monitoring use and 8.35% (68 mmol/mol) during conventional treatment (mean difference, -0.43% [95% CI, -0.57% to -0.29%] or -4.7 [-6.3 to -3.1 mmol/mol]; P < .001). Of 19 secondary end points comprising psychosocial and various glycemic measures, 6 met the hierarchical testing criteria of statistical significance, favoring continuous glucose monitoring compared with conventional treatment. Five patients in the conventional treatment group and 1 patient in the continuous glucose monitoring group had severe hypoglycemia. During washout when patients used conventional therapy, 7 patients had severe hypoglycemia. Among patients with inadequately controlled type 1 diabetes treated with multiple daily insulin injections, the use of continuous glucose monitoring compared with conventional treatment for 26 weeks resulted in lower HbA1c. Further research is needed to assess clinical outcomes and longer

[Blood glucose self monitoring].

Science.gov (United States)

Wascher, Thomas C; Stechemesser, Lars

2016-04-01

Self monitoring of blood glucose contributes to the integrated management of diabetes mellitus. It, thus, should be available for all patients with diabetes mellitus type-1 and type-2. Self monitoring of blood glucose improves patients safety, quality of life and glucose control. The current article represents the recommendations of the Austrian Diabetes Association for the use of blood glucose self monitoring according to current scientific evidence.

Development of web monitoring radiation area monitor

International Nuclear Information System (INIS)

Jung, Hoon Jin; Lee, Jun Hee; Namkoong, Phil; Lee, Dong Hoon; Lee, Su Hong; Lee, Gun Bae

2005-01-01

Recently the increasing number of radioisotope industry and nuclear facility have ever raised the possibility of radiation safety accident. As such a result, radioisotope companies and nuclear facility operators have become to be much interested in radiation area monitoring for efficient radiation protection. At present, almost of the radiation area monitors which are imported products are outdated in aspect of their functions. Diversification of the monitoring work is urgently demanding additional functions to be added. Thus we have developed new-type digital area monitor which enables remote web monitoring with image and radiation dose rate value at distant places through using internet, the latest IT technology, and radiation measurement technology

A Real-Time Data Monitoring and Accumulation System for Dynamic Studies with Radionuclides

Energy Technology Data Exchange (ETDEWEB)

Ammann, W.; Doll, J.; Lorenz, W. J.; Ostertag, H.; Adam, W. E.; Scheer, K. E. [German Cancer Research Centre, Institute of Nuclear Medicine, Heidelberg, Federal Republic of Germany (Germany)

1971-02-15

A multipurpose digital data monitoring and accumulation system is described. The central unit of the system is a PDP-8 computer with a 12K memory. The system contains furthermore a multipurpose digital input/output register for low data rates, a fourfold and a twofold ADC connected to the high-speed multiplexor unit of the PDP-8 and a digital timet. Data from various process peripheries are recorded on a nine-track IBM compatible Ampex tape recorder. When two co-ordinates are recorded the system is used in the ''add-one-to-storage'' mode. In the case of more than two co-ordinates the data are stored in the sequential mode, event by event. A dialogue real-time monitor program in assembler language was developed to control the process peripheries. The 4K-Fortran operating system was modified in such a way that monitor subroutines were called into the Fortran program without loss of the real-time properties of the monitor system during a Fortran run. The use of the system for lung function studies with an Anger-type scintillation camera and {sup 133}Xe is discussed as an example of the application of the system. (author)

Dose linearity and monitor unit stability of a G4 type cyberknife robotic stereotactic radiosurgery system

International Nuclear Information System (INIS)

Sudahar, H.; Kurup, P.G.G.; Murali, V.; Velmurugan, J.

2012-01-01

Dose linearity studies on conventional linear accelerators show a linearity error at low monitor units (MUs). The purpose of this study was to establish the dose linearity and MU stability characteristics of a cyberknife (Accuracy Inc., USA) stereotactic radiosurgery system. Measurements were done at a depth of 5 cm in a stereotactic dose verification phantom with a source to surface distance of 75 cm in a Generation 4 (G4) type cyberknife system. All the 12 fixed-type collimators starting from 5 to 60 mm were used for the dose linearity study. The dose linearity was examined in small (1-10), medium (15-100) and large (125-1000) MU ranges. The MU stability test was performed with 60 mm collimator for 10 MU and 20 MU with different combinations. The maximum dose linearity error of -38.8% was observed for 1 MU with 5 mm collimator. Dose linearity error in the small MU range was considerably higher than in the medium and large MU ranges. The maximum error in the medium range was -2.4%. In the large MU range, the linearity error varied between -0.7% and 1.2%. The maximum deviation in the MU stability was -3.03%. (author)

Factors Affecting Mobile Diabetes Monitoring Adoption Among Physicians : Questionnaire Study and Path Model

NARCIS (Netherlands)

Okazaki, Shintaro; Castaneda, José Alberto; Sanz, Silvia; Henseler, Jörg

2012-01-01

Background: Patients with type 1 and type 2 diabetes often find it difficult to control their blood glucose level on a daily basis because of distance or physical incapacity. With the increase in Internet-enabled smartphone use, this problem can be resolved by adopting a mobile diabetes monitoring

A risk-adjusted O-E CUSUM with monitoring bands for monitoring medical outcomes.

Science.gov (United States)

Sun, Rena Jie; Kalbfleisch, John D

2013-03-01

In order to monitor a medical center's survival outcomes using simple plots, we introduce a risk-adjusted Observed-Expected (O-E) Cumulative SUM (CUSUM) along with monitoring bands as decision criterion.The proposed monitoring bands can be used in place of a more traditional but complicated V-shaped mask or the simultaneous use of two one-sided CUSUMs. The resulting plot is designed to simultaneously monitor for failure time outcomes that are "worse than expected" or "better than expected." The slopes of the O-E CUSUM provide direct estimates of the relative risk (as compared to a standard or expected failure rate) for the data being monitored. Appropriate rejection regions are obtained by controlling the false alarm rate (type I error) over a period of given length. Simulation studies are conducted to illustrate the performance of the proposed method. A case study is carried out for 58 liver transplant centers. The use of CUSUM methods for quality improvement is stressed. Copyright © 2013, The International Biometric Society.

DreamTel; Diabetes risk evaluation and management tele-monitoring study protocol

Directory of Open Access Journals (Sweden)

Kiss Alex

2009-05-01

Full Text Available Abstract Background The rising prevalence of type 2 diabetes underlines the importance of secondary strategies for the prevention of target organ damage. While access to diabetes education centers and diabetes intensification management has been shown to improve blood glucose control, these services are not available to all that require them, particularly in rural and northern areas. The provision of these services through the Home Care team is an advance that can overcome these barriers. Transfer of blood glucose data electronically from the home to the health care provider may improve diabetes management. Methods and design The study population will consist of patients with type 2 diabetes with uncontrolled A1c levels living on reserve in the Battlefords region of Saskatchewan, Canada. This pilot study will take place over three phases. In the first phase over three months the impact of the introduction of the Bluetooth enabled glucose monitor will be assessed. In the second phase over three months, the development of guidelines based treatment algorithms for diabetes intensification will be completed. In the third phase lasting 18 months, study subjects will have diabetes intensification according to the algorithms developed. Discussion The first phase will determine if the use of the Bluetooth enabled blood glucose devices which can transmit results electronically will lead to changes in A1c levels. It will also determine the feasibility of recruiting subjects to use this technology. The rest of the Diabetes Risk Evaluation and Management Tele-monitoring (DreamTel study will determine if the delivery of a diabetes intensification management program by the Home Care team supported by the Bluetooth enabled glucose meters leads to improvements in diabetes management. Trial Registration Protocol NCT00325624

Can verbal instruction enhance the recall of an everyday task and promote error-monitoring in people with dementia of the Alzheimer-type?

Science.gov (United States)

Balouch, Sara; Rusted, Jennifer M

2017-03-01

People with dementia of the Alzheimer-type (DAT) have difficulties with performing everyday tasks, and error awareness is poor. Here we investigate whether recall of actions and error monitoring in everyday task performance improved when they instructed another person on how to make tea. In this situation, both visual and motor cues are present, and attention is sustained by the requirement to keep instructing. The data were drawn from a longitudinal study recording performance in four participants with DAT, filmed regularly for five years in their own homes, completing three tea-making conditions: performed-recall (they made tea themselves); instructed-recall (they instructed the experimenter on how to make tea); and verbal-recall (they described how to make tea). Accomplishment scores (percentage of task they correctly recalled), errors and error-monitoring were coded. Task accomplishment was comparable in the performed-recall and instructed-recall conditions, but both were significantly better than task accomplishment in the verbal-recall condition. Third person instruction did not improve error-monitoring. This study has implications for everyday task rehabilitation for people with DAT.

Parsimonious model for blood glucose level monitoring in type 2 diabetes patients.

Science.gov (United States)

Zhao, Fang; Ma, Yan Fen; Wen, Jing Xiao; DU, Yan Fang; Li, Chun Lin; Li, Guang Wei

2014-07-01

To establish the parsimonious model for blood glucose monitoring in patients with type 2 diabetes receiving oral hypoglycemic agent treatment. One hundred and fifty-nine adult Chinese type 2 diabetes patients were randomized to receive rapid-acting or sustained-release gliclazide therapy for 12 weeks. Their blood glucose levels were measured at 10 time points in a 24 h period before and after treatment, and the 24 h mean blood glucose levels were measured. Contribution of blood glucose levels to the mean blood glucose level and HbA1c was assessed by multiple regression analysis. The correlation coefficients of blood glucose level measured at 10 time points to the daily MBG were 0.58-0.74 and 0.59-0.79, respectively, before and after treatment (Pblood glucose levels measured at 6 of the 10 time points could explain 95% and 97% of the changes in MBG before and after treatment. The three blood glucose levels, which were measured at fasting, 2 h after breakfast and before dinner, of the 10 time points could explain 84% and 86% of the changes in MBG before and after treatment, but could only explain 36% and 26% of the changes in HbA1c before and after treatment, and they had a poorer correlation with the HbA1c than with the 24 h MBG. The blood glucose levels measured at fasting, 2 h after breakfast and before dinner truly reflected the change 24 h blood glucose level, suggesting that they are appropriate for the self-monitoring of blood glucose levels in diabetes patients receiving oral anti-diabetes therapy. Copyright © 2014 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.

Study on the forest vegetation restoration monitoring using HJ-1A hyperspectral data

International Nuclear Information System (INIS)

Chuan, Zhang; Fawang, Ye; Hongcheng, Liu; Haixia, He

2014-01-01

In this paper, Xunke County was studied using HJ-1A hyperspectral data for monitoring vegetation restoration after forest fires. The pre-processing procedure including data format conversion, image mosaicing and atmospheric correction. Support vector machine classification was used to perform surface feature identification based on the extracted spectral end-members. On that basis, the image area was divided into seven categories and statistical analysis of classification types was performed. The results showed that HJ-1A hyperspectral data had great potential in fine classification of surface features and the accuracy of classification was 91.8%. The mild and severe fire-affected area extraction provided useful reference for disaster recovery monitoring. Furthermore, the distinction between coniferous forest and broadleaved forest can offer useful information for forest fire prevention and early warning to some extent

Noninvasive pulmonary artery pressure monitoring by EIT: a model-based feasibility study.

Science.gov (United States)

Proença, Martin; Braun, Fabian; Solà, Josep; Thiran, Jean-Philippe; Lemay, Mathieu

2017-06-01

Current monitoring modalities for patients with pulmonary hypertension (PH) are limited to invasive solutions. A novel approach for the noninvasive and unsupervised monitoring of pulmonary artery pressure (PAP) in patients with PH was proposed and investigated. The approach was based on the use of electrical impedance tomography (EIT), a noninvasive and safe monitoring technique, and was tested through simulations on a realistic 4D bio-impedance model of the human thorax. Changes in PAP were induced in the model by simulating multiple types of hypertensive conditions. A timing parameter physiologically linked to the PAP via the so-called pulse wave velocity principle was automatically estimated from the EIT data. It was found that changes in PAP could indeed be reliably monitored by EIT, irrespective of the pathophysiological condition that caused them. If confirmed clinically, these findings could open the way for a new generation of noninvasive PAP monitoring solutions for the follow-up of patients with PH.

The FOBIMO (FOraminiferal BIo-MOnitoring) initiative—Towards a standardised protocol for soft-bottom benthic foraminiferal monitoring studies

Science.gov (United States)

Schoenfeld, Joachim; Alve, Elisabeth; Geslin, Emmanuelle; Jorissen, Frans; Korsun, Sergei; Spezzaferri, Silva; Abramovich, Sigal; Almogi-Labin, Ahuva; Armynot du Chatelet, Eric; Barras, Christine; Bergamin, Luisa; Bicchi, Erica; Bouchet, Vincent; Cearreta, Alejandro; Di Bella, Letizia; Dijkstra, Noortje; Trevisan Disaro, Sibelle; Ferraro, Luciana; Frontalini, Fabrizio; Gennari, Giordana; Golikova, Elena; Haynert, Kristin; Hess, Silvia; Husum, Katrine; Martins, Virginia; McGann, Mary; Oron, Shai; Romano, Elena; Mello Sousa, Silvia; Tsujimoto, Akira

2012-01-01

The European Community Marine Strategy Framework Directive (MSFD) was established to provide guidelines for monitoring the quality of marine ecosystems. Monitoring the status of marine environments is traditionally based on macrofauna surveys, for which standardised methods have been established. Benthic foraminifera are also good indicators of environmental status because of their fast turnover rates, high degree of specialisation, and the preservation of dead assemblages in the fossil record. In spite of the growing interest in foraminiferal bio-monitoring during the last decades, no standardised methodology has been proposed until today. The aim of the FOraminiferal BIo-MOnitoring (FOBIMO) expert workshop, held in June 2011 at Fribourg, Switzerland, which assembled 37 scientists from 24 research groups and 13 countries, was to develop a suite of standard methods. This paper presents the main outcome of the workshop, a list of motivated recommendations with respect to sampling devices, sample storage, treatment, faunal analysis and documentation. Our recommendations fulfil the criteria imposed both by scientific rigour and by the practical limitations of routine studies. Hence, our aim is to standardise methodologies used in bio-monitoring only and not to limit the use of different methods in pure scientific studies. Unless otherwise stated, all recommendations concern living (stained) benthic foraminiferal assemblages. We have chosen to propose two types of recommendations. Mandatory recommendations have to be followed if a study wants to qualify as sound and compatible to the norms. The most important of these recommendations are the interval from 0 to 1 cm below the sediment surface has to be sampled, and an interface corer or box corer that keeps the sediment surface intact is to be used for offshore surveys. A grab sampler must not be deployed in soft sediments. Three replicate samples are to be taken and analysed separately. Samples are to be washed on a

Studies of beam position monitor stability

International Nuclear Information System (INIS)

Tenenbaum, P.

1998-05-01

The authors present the result s from two studies of the time stability between the mechanical center of a beam position monitor and its electrical/electronic center. In the first study, a group of 93 BPM processors was calibrated via Test Pulse Generator once per hour in order to measure the contribution of the readout electronics to offset drifts. In the second study, a triplet of stripline BPMs in the Final Focus Test Beam, separated only by drift spaces, was read out every 6 minutes during 1 week of beam operation. In both cases offset stability was observed to be on the order of microns over time spans ranging from hours to days, although during the beam study much worse performance was also observed. Implications for the beam position monitor system of future linear collider systems are discussed

Monitoring system for gamma radiation of porch type for vehicles; Sistema de monitoreo de radiacion gamma tipo portal para vehiculos

Energy Technology Data Exchange (ETDEWEB)

Vazquez C, R.M.; Molina, G.; Gutierrez O, E.; Ramirez J, F.J.; Garcia H, J.M.; Aguilar B, M.A.; Vilchis P, A.E.; Cruz E, P.; Torres B, M.A. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

2005-07-01

A monitoring system of gamma radiation for vehicles of the porch type developed in the ININ is presented. This system carries out the radiological monitoring of the vehicles in continuous form, detecting the bottom radiological environment and the presence of nuclear material transported in vehicles. The vehicles are monitored while they pass to low speed through the porch. The detectors are plastic scintillators of great volume that allow high sensibility detection. The arrangement of detecting is interconnected in net, and the data are concentrated on a personal computer whose interface man-machine can be accessed from any personal computer connected to Internet. The system monitoring in real time with options of sampling times from 50 ms configurable up to 500 ms. (Author)

The laboratory-type data input and processing subsystem of the country-wide environmental radiation monitoring system in Hungary

International Nuclear Information System (INIS)

Kanyar, B.; Fulop, N.; Glavatszkih, N.; Nemeth, A.

1996-01-01

The countrywide radiation monitoring activity in Hungary is shared among the national networks as agriculture, environmental protection and public health ones. They are mostly involved in the environmental sampling and laboratory type determinations of the radioactive pollution, meanwhile the organisations mainly from the Army and Civil Defence are responsible to the early warning system. A moderately effective collaboration is established only around the Nuclear Power Plant Paks. Based on more than 10 years experience in collaboration around the NPP the Hungarian Atomic Energy Commission initiated some centralism in the countrywide monitoring activity as well. As the first step the National Research Institute for Radiobiology and Radiohygiene has been charged to establish an Information Center for laboratory-type data collection, processing, analysis and informing regularly the proper organizations on the results. The Information Centre is equipped with a computer type of SUN SPARCserver-20 and the laboratories are planned to be linked on line by PC stations. The main user programs for data collection, control and restricted processing are written in INGRES data manager software. The semiprocessed results can be transformed in a readable form for general statistical etc. packages

Use of real time continuous glucose monitoring and intravenous insulin in type 1 diabetic mothers to prevent respiratory distress and hypoglycaemia in infants

Directory of Open Access Journals (Sweden)

Passaro Patrizia

2008-07-01

Full Text Available Abstract Background Pregnancy in Type 1 diabetic patients is a precarious condition, both for mother and fetus with increased the risk of prematurity and, immediately after delivery with risk of respiratory distress syndrome and hypoglycaemia in newborns. A strict control and monitoring of diabetes throughout pregnancy is important in reducing the impact of the disease on the fetus and newborn. In recent years many new technologies have been introduced to ameliorate diabetes monitoring, where the last is the Real-time Continuous Glucose Monitoring System (RT-CGMS. Methods In the last three years, 72 h continuous glucose monitoring system (RT-CGMS (Medtronic, CA was performed in 18 pregnant women with Type 1 diabetes in two moments of pregnancy: during treatment with betamethasone to prevent respiratory distress and during delivery. In both cases insulin was administered intravenous and the dose was changed on the basis of glycaemia. Results The results present the use of this new technique during two topics moments of pregnancy of type 1 diabetes patients when is very important intensively to monitor diabetes and to obtain the well being of the fetus. No infant experimented hypoglycaemia or respiratory distress syndrome at the moment and in the first hours after the birth. Conclusion We wish to stress the importance reducing glycaemia during administration of betamethasone and during labor. It is conceivable that the scarce attention paid to monitoring glucose levels in diabetic mothers during labor in gynaecological world may be due to the difficulty in glucose monitoring with the devices until now available. Hopefully, our anecdotal account may prompt improvements with RT-CGMS, and may lead to a better approach to the problem, thereby changing the prognosis of infants born to diabetic mothers.

A 12-week pilot study of acceptance of a computer-based chronic disease self-monitoring system among patients with type 2 diabetes mellitus and/or hypertension.

Science.gov (United States)

Yan, Mian; Or, Calvin

2017-08-01

This study tested a structural model examining the effects of perceived usefulness, perceived ease of use, attitude, subjective norm, perceived behavioral control, health consciousness, and application-specific self-efficacy on the acceptance (i.e. behavioral intention and actual usage) of a computer-based chronic disease self-monitoring system among patients with type 2 diabetes mellitus and/or hypertension. The model was tested using partial least squares structural equation modeling, with 119 observations that were obtained by pooling data across three time points over a 12-week period. The results indicate that all of the seven constructs examined had a significant total effect on behavioral intention and explained 74 percent of the variance. Also, application-specific self-efficacy and behavioral intention had a significant total effect on actual usage and explained 17 percent of the variance. This study demonstrates that technology acceptance is determined by patient characteristics, technology attributes, and social influences. Applying the findings may increase the likelihood of acceptance.

Continuous Glucose Monitoring Can Uncover Mistakes in Self-Treatment of Hypoglycemia in Patients with Type I Diabetes Mellitus

Czech Academy of Sciences Publication Activity Database

Brož, J.; Urbanová, J.; Janíčková Žďárská, D.; Doničová, V.; Brabec, Marek

2014-01-01

Roč. 63, Supplement 1 (2014), A221-A221 ISSN 0012-1797. [American Diabetes Association. Scientific Sessions /74./. 13.06.2014-17.06.2014, San Francisco] Institutional support: RVO:67985807 Keywords : continuous monitoring * type I diabetes * semiparametric modeling Subject RIV: FB - Endocrinology, Diabetology, Metabolism, Nutrition

Continuous Glucose Monitoring Can Uncover Mistakes in Self-Treatment of Hypoglycemia in Patients with Type I Diabetes Mellitus

Czech Academy of Sciences Publication Activity Database

Brož, J.; Urbanová, J.; Janíčková Žďárská, D.; Doničová, V.; Brabec, Marek

2014-01-01

Roč. 16, Supplement 1 (2014), A35-A35 ISSN 1520-9156. [American Diabetes Association. Scientific Sessions /74./. 13.06.2014-17.06.2014, San Francisco] Institutional support: RVO:67985807 Keywords : continuous monitoring * type I diabetes * semiparametric modeling Subject RIV: FB - Endocrinology, Diabetology, Metabolism, Nutrition

[The implications of the automatic blood pressure monitoring (ABPM) in the type I diabetes].

Science.gov (United States)

Cobuz, C

2009-01-01

The connection between hypertension and diabetes emerges, in medical practice, from the current belief imposed by the European Society of Cardiology adding to the notion of total cardiovascular risk. An increse in the systolic blood pressure at night time is the first detectable manifestation of the regulation disorders of the blood pressure in type I diabetes. An early increase of the nocturnal blood pressure can play a key role in the detection of the evolution towards diabetic nephropathy. This modification can be a valuable potential marker for the diabetic nephropathy and could provide a reason for treating the high risk patients before the onset of microalbuminuria. The evaluation of the nefropathy risk in the early stages of type I diabetes using Ambulatory Blood Pressure Monitoring (ABPM) method offers the best premisses for preventing the progression of the disease towards microalbuminuria and hypertension.

Source Monitoring in Alzheimer's Disease

Science.gov (United States)

El Haj, Mohamad; Fasotti, Luciano; Allain, Philippe

2012-01-01

Source monitoring is the process of making judgments about the origin of memories. There are three categories of source monitoring: reality monitoring (discrimination between self- versus other-generated sources), external monitoring (discrimination between several external sources), and internal monitoring (discrimination between two types of…

A Comprehensive Study on Technologies of Tyre Monitoring Systems and Possible Energy Solutions

Directory of Open Access Journals (Sweden)

Ali E. Kubba

2014-06-01

Full Text Available This article presents an overview on the state of the art of Tyre Pressure Monitoring System related technologies. This includes examining the latest pressure sensing methods and comparing different types of pressure transducers, particularly their power consumption and measuring range. Having the aim of this research to investigate possible means to obtain a tyre condition monitoring system (TCMS powered by energy harvesting, various approaches of energy harvesting techniques were evaluated to determine which approach is the most applicable for generating energy within the pneumatic tyre domain and under rolling tyre dynamic conditions. This article starts with an historical review of pneumatic tyre development and demonstrates the reasons and explains the need for using a tyre condition monitoring system. Following this, different tyre pressure measurement approaches are compared in order to determine what type of pressure sensor is best to consider in the research proposal plan. Then possible energy harvesting means inside land vehicle pneumatic tyres are reviewed. Following this, state of the art battery-less tyre pressure monitoring systems developed by individual researchers or by world leading tyre manufacturers are presented. Finally conclusions are drawn based on the reviewed documents cited in this article and a research proposal plan is presented.

BH2201 type leakage monitoring equipment of reactor fuel elements

International Nuclear Information System (INIS)

Ji Changsong; Dai Zhude; Xie Liangnian; Zhang Shulan; Zhang Shuheng

1999-01-01

A high-sensitive equipment monitoring leakage of the reactor fuel elements has been developed. The delayed neutrons emitted from fission product-pioneer nucleus are monitored in the 1st circle water. An array of 3 He proportional counter tubes is designed as a neutron detector for delayed neutrons, the detection geometry of which is near to 4π. In order to reduce the influence of interference factors the monitoring of fission product is carried out with 75s delay. The 87 Br delayed neutron pioneer nucleus is chosen as a monitoring object. The neutron detection efficiency of the developed equipment is 6.1%, which is 3 times higher than one of all available advanced equipment of the same function both at home and abroad

Solar weather monitoring

Directory of Open Access Journals (Sweden)

J.-F. Hochedez

2005-11-01

Full Text Available Space Weather nowcasting and forecasting require solar observations because geoeffective disturbances can arise from three types of solar phenomena: coronal mass ejections (CMEs, flares and coronal holes. For each, we discuss their definition and review their precursors in terms of remote sensing and in-situ observations. The objectives of Space Weather require some specific instrumental features, which we list using the experience gained from the daily operations of the Solar Influences Data analysis Centre (SIDC at the Royal Observatory of Belgium. Nowcasting requires real-time monitoring to assess quickly and reliably the severity of any potentially geoeffective solar event. Both research and forecasting could incorporate more observations in order to feed case studies and data assimilation respectively. Numerical models will result in better predictions of geomagnetic storms and solar energetic particle (SEP events. We review the data types available to monitor solar activity and interplanetary conditions. They come from space missions and ground observatories and range from sequences of dopplergrams, magnetograms, white-light, chromospheric, coronal, coronagraphic and radio images, to irradiance and in-situ time-series. Their role is summarized together with indications about current and future solar monitoring instruments.

Measurement of outdoor radioactivities of radon and thoron by the passive radon-thoron monitor of cup type with cellulose nitrate film

International Nuclear Information System (INIS)

Ogawa, Y.; Kimura, Y.; Iida, T.; Yamasaki, K.; Tsujimoto, T.

1993-01-01

In order to get information as to effective dose of radon and thoron for the public, we investigated the dosimetry of the average outdoor concentrations of radon and thoron by the cup type radon/thoron monitor using cellulose nitrate film. To overcome the disadvantages of cup monitors which are the relatively low sensitivity and the relatively high detection limit, the present dosimetry is based on the usage of several pairs of cup monitors and the statistical treatments (significant test). Because the detection limit could be lowered using the present dosimetry, we could measure the outdoor concentration levels more precisely. (1 tab.)

Monitoring in beeld: een studie naar de doorwerking van monitors in interbestuurlijke relaties

NARCIS (Netherlands)

D. de Kool (Dennis)

2007-01-01

textabstractMonitoring in the Dutch public sector An increasing stream of monitoring activities has entered the public sector. A lot of different monitors have been implemented in the Netherlands, like the police monitor, drugs monitor, integration monitor and the emancipation monitor. Although

Workshop 3.5: Closing the gap between exposure and effects in monitoring studies

Science.gov (United States)

Tillitt, Donald E.; Papoulias, Diana M.

2003-01-01

A major challenge to contaminant monitoring programs is the selection of an appropriate suite of measurements for assessing exposure and effects. Early monitoring programs relied solely on residue analysis to detect the organochlorine compounds that were in use at that time. A shift to the use of more transient, less persistent chemicals required that a new set of tools be developed to determine if an organism had been exposed. This led to the development of cellular and biochemical assays that could indicate the presence of these types of chemicals in biota and the environment. However, it was recognized that measures of contaminant presence alone were insufficient to assess the health of biota. As a result, considerable research began to be directed toward development of diagnostic tools for measuring chemical effects in fish and wildlife. Today, contaminant monitoring programs follow a paradigm for study design that emphasizes not only the use of measures of exposure, but also measures of effect. Using data from our monitoring and research studies for hormonally active substances, we discuss a variety of metrics of exposure and effects and their application to specific chemicals, and the current information gaps. We conclude that although several bioindicators of exposure and effect have been promoted and used, to date there continues to be a poor association between cause and effect for endocrine active substances. In part, this is due to the limited number of diagnostic tools that are available and to a lack of basic toxicological information concerning toxicokinetics and mechanisms of action of hormonally active chemicals in fish and wildlife species. In the foreseeable future, both tissue and environmental residue data, despite the many limitations, will continue to be an important component of monitoring programs for hormonally active chemicals as we continue to develop and validate more specific bioindicators of exposure and effects.

Suitability study of using a coincidence monitor for room air radioactivity monitoring in a PET center

International Nuclear Information System (INIS)

Roellig, D.; Reichelt, C.; Iwatschenko-Borho, M.

2001-01-01

The application of radioactive nuclides in medicine may cause as well radioactive exposure of personnel (Medical Technical Assistants). In the present case the exposure of personnel in the area of medical positron-emission tomography (PET) within the Research Center of Rossendorf due to exhalation of the injected activity by the patient shall be investigated. For this purpose it is necessary to measure the activity concentration of the room air. Conventional methods such as collecting samples on special filters are not suitable due to the short half-life time of the used nuclides. Standard type continuous monitors are hardly suitable as well, because the injected activity of the patient and various radioactive sources required for the calibration of the PET-Camera produce an increased gamma background. In order to eliminate these disturbing influences a monitor has been constructed which uses CCM (cobalt coincidence method) developed by the company Thermo Eberline ESM. This method is specially suitable because upon each radioactive decay of PET nuclides positrons are emitted which in turn annihilate via the simultaneous emission of two 511 keV gamma quanta under an angle of 180 . The air to be measured is sucked through a cavity with two scintillation detectors on opposite sides. The coincident pulses produced by annihilating positrons inside the cavity are counted by a suitable electronic. Gamma quanta from outside the cavity can produce a pulse only in one detector and are rejected. Therefore no heavy lead shielding is required. Besides the mechanical construction of the monitor optimization and calibration for different PET-nuclides had to be performed. Special attention was paid to the sampling system. The air intake had to be close to the breathing zone of the MTA. The hose to the monitor had to be as short as possible. The target of the work was to design a model for an industrial monitor. (orig.) [de

SNP-based typing: a useful tool to study Bordetella pertussis populations.

Directory of Open Access Journals (Sweden)

Marjolein van Gent

Full Text Available To monitor changes in Bordetella pertussis populations, mainly two typing methods are used; Pulsed-Field Gel Electrophoresis (PFGE and Multiple-Locus Variable-Number Tandem Repeat Analysis (MLVA. In this study, a single nucleotide polymorphism (SNP typing method, based on 87 SNPs, was developed and compared with PFGE and MLVA. The discriminatory indices of SNP typing, PFGE and MLVA were found to be 0.85, 0.95 and 0.83, respectively. Phylogenetic analysis, using SNP typing as Gold Standard, revealed false homoplasies in the PFGE and MLVA trees. Further, in contrast to the SNP-based tree, the PFGE- and MLVA-based trees did not reveal a positive correlation between root-to-tip distance and the isolation year of strains. Thus PFGE and MLVA do not allow an estimation of the relative age of the selected strains. In conclusion, SNP typing was found to be phylogenetically more informative than PFGE and more discriminative than MLVA. Further, in contrast to PFGE, it is readily standardized allowing interlaboratory comparisons. We applied SNP typing to study strains with a novel allele for the pertussis toxin promoter, ptxP3, which have a worldwide distribution and which have replaced the resident ptxP1 strains in the last 20 years. Previously, we showed that ptxP3 strains showed increased pertussis toxin expression and that their emergence was associated with increased notification in The Netherlands. SNP typing showed that the ptxP3 strains isolated in the Americas, Asia, Australia and Europe formed a monophyletic branch which recently diverged from ptxP1 strains. Two predominant ptxP3 SNP types were identified which spread worldwide. The widespread use of SNP typing will enhance our understanding of the evolution and global epidemiology of B. pertussis.

SNP-Based Typing: A Useful Tool to Study Bordetella pertussis Populations

Science.gov (United States)

van der Heide, Han G. J.; Heuvelman, Kees J.; Kallonen, Teemu; He, Qiushui; Mertsola, Jussi; Advani, Abdolreza; Hallander, Hans O.; Janssens, Koen; Hermans, Peter W.; Mooi, Frits R.

2011-01-01

To monitor changes in Bordetella pertussis populations, mainly two typing methods are used; Pulsed-Field Gel Electrophoresis (PFGE) and Multiple-Locus Variable-Number Tandem Repeat Analysis (MLVA). In this study, a single nucleotide polymorphism (SNP) typing method, based on 87 SNPs, was developed and compared with PFGE and MLVA. The discriminatory indices of SNP typing, PFGE and MLVA were found to be 0.85, 0.95 and 0.83, respectively. Phylogenetic analysis, using SNP typing as Gold Standard, revealed false homoplasies in the PFGE and MLVA trees. Further, in contrast to the SNP-based tree, the PFGE- and MLVA-based trees did not reveal a positive correlation between root-to-tip distance and the isolation year of strains. Thus PFGE and MLVA do not allow an estimation of the relative age of the selected strains. In conclusion, SNP typing was found to be phylogenetically more informative than PFGE and more discriminative than MLVA. Further, in contrast to PFGE, it is readily standardized allowing interlaboratory comparisons. We applied SNP typing to study strains with a novel allele for the pertussis toxin promoter, ptxP3, which have a worldwide distribution and which have replaced the resident ptxP1 strains in the last 20 years. Previously, we showed that ptxP3 strains showed increased pertussis toxin expression and that their emergence was associated with increased notification in the Netherlands. SNP typing showed that the ptxP3 strains isolated in the Americas, Asia, Australia and Europe formed a monophyletic branch which recently diverged from ptxP1 strains. Two predominant ptxP3 SNP types were identified which spread worldwide. The widespread use of SNP typing will enhance our understanding of the evolution and global epidemiology of B. pertussis. PMID:21647370

Optimizing study design for multi-species avian monitoring programmes

Science.gov (United States)

Jamie S. Sanderlin; William M. Block; Joseph L. Ganey

2014-01-01

Many monitoring programmes are successful at monitoring common species, whereas rare species, which are often of highest conservation concern, may be detected infrequently. Study designs that increase the probability of detecting rare species at least once over the study period, while collecting adequate data on common species, strengthen programme ability to address...

[Monitoring the use of health-related quality of life measurements in Korean studies of patients with diabetes].

Science.gov (United States)

Lee, Eun-Hyun; Kim, Chun-Ja; Cho, Soo-Yeon; Chae, Hyun-Ju; Lee, Sunhee; Kim, Eun Jung

2011-08-01

The purpose of this study was to monitor the use of health-related quality of life (HRQOL) instruments in Korean studies of patients with diabetes. Of 86 Korean studies initially identified, 17 studies met the inclusion criteria. For each study, a description of the instrument and its psychometric properties were monitored by the Instrument Review Criteria of the Scientific Advisory Committee. These criteria include conceptual definition, attributes, taxonomy, reliability, validity, responsiveness, administrative mode, and language adaptations. Five generic and one diabetes specific type questionnaires were identified from the 17 studies. Of those studies, conceptual definitions with the attributes of multi-dimension and subjectiveness were provided for 11 studies (71%). In the analysis of conceptual taxonomy, only 6 studies were classified as HRQOL, while other studies were done as QOL or health status. In monitoring of psychometric properties, reliability, validity, and responsiveness were reported for 88.2%, 64.7%, and 29.4%, respectively. One generic instrument was developed with a Korean population, while the other instruments were developed for Western countries. However, language adaptations were performed for only a few of the instruments. The psychometric properties including responsiveness of most instruments warrants further research, and the development of diabetes-specific HRQOL measurements should be sought to facilitate intervention outcomes across Korean studies of patients with diabetes.

In situ monitoring of stacking fault formation and its carrier lifetime mediation in p-type 4H-SiC

Energy Technology Data Exchange (ETDEWEB)

Chen, Bin, E-mail: chenbinmse@gmail.com; Chen, Jun; Yao, Yuanzhao; Sekiguchi, Takashi [National Institute for Materials Science, Tsukuba, Ibaraki 305-0044 (Japan); Matsuhata, Hirofumi; Okumura, Hajime [National Institute of Advanced Industrial Science and Technology, Tsukuba, Ibaraki 305-8568 (Japan)

2014-07-28

Using the fine control of an electron beam (e-beam) in scanning electron microscopy with the capabilities of both electrical and optical imaging, the stacking fault (SF) formation together with its tuning of carrier lifetime was in situ monitored and investigated in p-type 4H-SiC homoepitaxial films. The SFs were formed through engineering basal plane dislocations with the energy supplied by the e-beam. The e-beam intensity required for the SF formation in the p-type films was ∼100 times higher than that in the n-type ones. The SFs reduced the minority-carrier lifetime in the p-type films, which was opposite to that observed in the n-type case. The reason for the peculiar SF behavior in the p-type 4H-SiC is discussed with the cathodoluminescence results.

Twenty-four-hour variations in blood glucose level in Japanese type 2 diabetes patients based on continuous glucose monitoring.

Science.gov (United States)

Hajime, Maiko; Okada, Yosuke; Mori, Hiroko; Otsuka, Takashi; Kawaguchi, Mayuko; Miyazaki, Megumi; Kuno, Fumi; Sugai, Kei; Sonoda, Satomi; Tanaka, Kenichi; Kurozumi, Akira; Narisawa, Manabu; Torimoto, Keiichi; Arao, Tadashi; Tanaka, Yoshiya

2018-01-01

High fluctuations in blood glucose are associated with various complications. The correlation between glycated hemoglobin (HbA1c) level and fluctuations in blood glucose level has not been studied in Japanese patients with type 2 diabetes. In the present study, blood glucose profile stratified by HbA1c level was evaluated by continuous glucose monitoring (CGM) in Japanese type 2 diabetes patients. Our retrospective study included 294 patients with type 2 diabetes who were divided by HbA1c level into five groups (≥6.0 to level and CGM data was analyzed. The primary end-point was the difference in blood glucose fluctuations among the HbA1c groups. The mean blood glucose level increased significantly with increasing HbA1c (P trend  levels of maximum blood glucose, minimum blood glucose, each preprandial blood glucose, each postprandial maximum blood glucose, range of increase in postprandial glucose from pre-meal to after breakfast, the area under the blood concentration-time curve >180 mg/dL and percentage of the area under the blood concentration-time curve >180 mg/dL were higher with higher HbA1c. Mean glucose level and pre-breakfast blood glucose level were significant and independent determinants of HbA1c. In Japanese patients treated for type 2 diabetes, the mean amplitude of glycemic excursions did not correlate with HbA1c, making it difficult to assess blood glucose fluctuations using HbA1c. Parameters other than HbA1c are required to evaluate fluctuations in blood glucose level in patients receiving treatment for type 2 diabetes. © 2017 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.

Wide area monitoring study

International Nuclear Information System (INIS)

Wogman, N.A.; Holdren, G.R. Jr.

1999-01-01

Environmental sampling can be used to complement the safeguarding of nuclear material, especially in the detection of undeclared nuclear activities. Routine monitoring of nuclear installations has provided valuable information about the fate of key signature materials within different environmental settings. The approach collates information regarding the generation of individual radiochemical signatures within different nuclear processes, the potential for release of these signatures to the environment and, the chemical form and mobility of the signatures in environmental media along which the material could migrate. Meteorological, geological and hydrological information is used to determine where to sample, what to sample, and how often to sample to provide the greatest likelihood for detection. Multiple strategies can be used to implement wide area monitoring for safeguards purposes. The most complex, and expensive of these, involves establishing extensive networks of fixed location sampling sites. The sites would be operated continuously, and would be instrumented with automated sampling, analysis, and communication equipment to relay information regarding potential anomalies to control centers in near-real time. Alternative strategies can be used to supplement fixed location monitoring equipment, especially in regions that cannot support (financially or logistically) the fixed stations. Through combinations of these various strategies, using a variety of environmental media to monitor a region, we believe that a competent network, one with a quantifiable probability for detecting undeclared nuclear activities, can be designed. While this approach cannot and should not replace other inspection and monitoring activities, it can potentially contribute valuable information to an international safeguards system. (author)

Risk-adapted monitoring is not inferior to extensive on-site monitoring: Results of the ADAMON cluster-randomised study.

Science.gov (United States)

Brosteanu, Oana; Schwarz, Gabriele; Houben, Peggy; Paulus, Ursula; Strenge-Hesse, Anke; Zettelmeyer, Ulrike; Schneider, Anja; Hasenclever, Dirk

2017-12-01

Background According to Good Clinical Practice, clinical trials must protect rights and safety of patients and make sure that the trial results are valid and interpretable. Monitoring on-site has an important role in achieving these objectives; it controls trial conduct at trial sites and informs the sponsor on systematic problems. In the past, extensive on-site monitoring with a particular focus on formal source data verification often lost sight of systematic problems in study procedures that endanger Good Clinical Practice objectives. ADAMON is a prospective, stratified, cluster-randomised, controlled study comparing extensive on-site monitoring with risk-adapted monitoring according to a previously published approach. Methods In all, 213 sites from 11 academic trials were cluster-randomised between extensive on-site monitoring (104) and risk-adapted monitoring (109). Independent post-trial audits using structured manuals were performed to determine the frequency of major Good Clinical Practice findings at the patient level. The primary outcome measure is the proportion of audited patients with at least one major audit finding. Analysis relies on logistic regression incorporating trial and monitoring arm as fixed effects and site as random effect. The hypothesis was that risk-adapted monitoring is non-inferior to extensive on-site monitoring with a non-inferiority margin of 0.60 (logit scale). Results Average number of monitoring visits and time spent on-site was 2.1 and 2.7 times higher in extensive on-site monitoring than in risk-adapted monitoring, respectively. A total of 156 (extensive on-site monitoring: 76; risk-adapted monitoring: 80) sites were audited. In 996 of 1618 audited patients, a total of 2456 major audit findings were documented. Depending on the trial, findings were identified in 18%-99% of the audited patients, with no marked monitoring effect in any of the trials. The estimated monitoring effect is -0.04 on the logit scale with two-sided 95

Monitoring Activities Review action report for the Environmental Monitoring Program

International Nuclear Information System (INIS)

Wilhelmsen, R.N.; Wright, K.C.

1990-12-01

To improve program planning and to provide bases for technical improvement of the monitoring program, the EG ampersand G Environmental Monitoring (EM) organization has regularly used the Monitoring Activities Review (MAR) process since 1982. Each MAR is conducted by a committee of individuals selected for their experience in the various types of monitoring performed by the EM organization. An MAR of the Environmental Monitoring Program was conducted in 1988. This action report identifies and discusses the recommendations of this MAR committee. This action report also identifies the actions already taken by the EM Unit in response to these recommendations, as well as the actions and schedules to be taken. 10 refs

Remote monitoring technologies for the prevention of metabolic syndrome: the Diabetes and Technology for Increased Activity (DaTA) study.

Science.gov (United States)

Stuckey, Melanie; Fulkerson, Robyn; Read, Emily; Russell-Minda, Elizabeth; Munoz, Claudio; Kleinstiver, Peter; Petrella, Robert

2011-07-01

Remote monitoring technologies are ideally suited for rural communities with limited access to health care. In an 8-week pilot study, we examined the feasibility of implementing and conducting a technology-intensive intervention in an underserviced rural setting. Our goal was to test the utility of self-monitoring technologies, physical activity, and education as tools to manage health indicators for the development of the cardiovascular complications (CVCs) of type 2 diabetes. The Diabetes and Technology for Increased Activity study was an open single-center study conducted in a community-based research setting. All 24 participants were provided with a Blackberry™ Smartphone, blood pressure monitor, glucometer, and pedometer. Smartphones transmitted measurements and survey results to the database, interfaced participants with the clinical team, and allowed for self-monitoring. Outcomes were improved body composition, improved markers of CVC risk factors, increased daily exercise, and interest in or awareness of lifestyle changes that impact health outcomes. Participants had excellent compliance for measurements, as self-monitoring provided a sense of security that improved from week 4 to week 8. Our team gained substantial insight into the operational requirements of technology-facilitated health care, including redefined hours of service; data reporting, management, and access protocols; and the utility of real-time clinical measures by remote monitoring. We developed an understanding of knowledge translation strategies as well as successful motivational and educational tools. Importantly, remote monitoring technology was found to be feasible and accepted in a rural setting. © 2011 Diabetes Technology Society.

Automatic vibration monitoring system for the diagnostic inspection of the WWER-440 type nuclear power plants

International Nuclear Information System (INIS)

Hollo, E.; Siklossy, P.; Toth, Zs.

1982-01-01

In the Hungarian Research Institute for Electric Power Industry (VEIKI) an automatic vibration monitoring system for diagnostics and inspection of nuclear power plants of type WWER-440 was developed. The paper summarizes the results of this work and investigates the use of mechanical vibrations and oscillations induced by flow for fault diagnosis. The design of the hardware system, the present software possibilities, the laboratory experiments and the guidelines for future software developments are also described in detail. (A.L.)

Habitat suitability of patch types: a case study of the Yosemite toad

Science.gov (United States)

Liang, Christina T.; Stohlgren, Thomas J.

2011-01-01

Understanding patch variability is crucial in understanding the spatial population structure of wildlife species, especially for rare or threatened species. We used a well-tested maximum entropy species distribution model (Maxent) to map the Yosemite toad (Anaxyrus (= Bufo) canorus) in the Sierra Nevada mountains of California. Twenty-six environmental variables were included in the model representing climate, topography, land cover type, and disturbance factors (e.g., distances to agricultural lands, fire perimeters, and timber harvest areas) throughout the historic range of the toad. We then took a novel approach to the study of spatially structured populations by applying the species-environmental matching model separately for 49 consistently occupied sites of the Yosemite toad compared to 27 intermittently occupied sites. We found that the distribution of the entire population was highly predictable (AUC = 0.95±0.03 SD), and associated with low slopes, specific vegetation types (wet meadow, alpine-dwarf shrub, montane chaparral, red fir, and subalpine conifer), and warm temperatures. The consistently occupied sites were also associated with these same factors, and they were also highly predictable (AUC = 0.95±0.05 SD). However, the intermittently occupied sites were associated with distance to fire perimeter, a slightly different response to vegetation types, distance to timber harvests, and a much broader set of aspect classes (AUC = 0.90±0.11 SD). We conclude that many studies of species distributions may benefit by modeling spatially structured populations separately. Modeling and monitoring consistently-occupied sites may provide a realistic snapshot of current species-environment relationships, important climatic and topographic patterns associated with species persistence patterns, and an understanding of the plasticity of the species to respond to varying climate regimes across its range. Meanwhile, modeling and monitoring of widely dispersing

Monitoring with MonAMI: a case study

Energy Technology Data Exchange (ETDEWEB)

Millar, A P; Stewart, G A [Department of Physics and Astronomy, University of Glasgow, University Avenue, Glasgow, G12 8QQ (United Kingdom); Cowan, G A [Department of Physics, University of Edinburgh, Edinburgh (United Kingdom)], E-mail: p.millar@physics.gla.ac.uk

2008-07-15

Computing resources in HEP are increasingly delivered utilising grid technologies, which presents new challenges in terms of monitoring. Monitoring involves the flow of information between different communities: the various resource-providers and the different user communities. The challenge is providing information so everyone can find what they need: from the local site administrators, regional operational centres through to end-users. To meet this challenge, MonAMI was developed. MonAMI aims to be a universal sensor framework with a plugin architecture. This plugin structure allows flexibility in what is monitored and how the gathered information is reported. MonAMI supports gathering statistics from many standard daemons, such as MySQL and Apache, and system data, such as network sockets and memory consumption. The gathered data can be sent to many monitoring systems, including Ganglia, Nagios, MonALISA and R-GMA. This flexibility allows MonAMI to be integrated into whatever monitoring system is being used. This avoids the current duplication of sensors and allows the gathered statistics to be presented within a greater diversity of monitoring systems. Using the MonAMI framework, sensors have been developed for the DPM and dCache storage systems, both common at HEP grid centres. The development of these tools specifically to tackle the challenges of high availability storage is described. We illustrate how MonAMI's architecture allows a single sensor to both deliver long term trend information and to trigger alarms in abnormal conditions. The use of MonAMI within the ScotGrid distributed Tier-2 is examined as a case study, illustrating both the ease with which MonAMI integrates into existing systems and helps provide a framework for extending monitoring where necessary.

Monitoring with MonAMI: a case study

International Nuclear Information System (INIS)

Millar, A P; Stewart, G A; Cowan, G A

2008-01-01

Computing resources in HEP are increasingly delivered utilising grid technologies, which presents new challenges in terms of monitoring. Monitoring involves the flow of information between different communities: the various resource-providers and the different user communities. The challenge is providing information so everyone can find what they need: from the local site administrators, regional operational centres through to end-users. To meet this challenge, MonAMI was developed. MonAMI aims to be a universal sensor framework with a plugin architecture. This plugin structure allows flexibility in what is monitored and how the gathered information is reported. MonAMI supports gathering statistics from many standard daemons, such as MySQL and Apache, and system data, such as network sockets and memory consumption. The gathered data can be sent to many monitoring systems, including Ganglia, Nagios, MonALISA and R-GMA. This flexibility allows MonAMI to be integrated into whatever monitoring system is being used. This avoids the current duplication of sensors and allows the gathered statistics to be presented within a greater diversity of monitoring systems. Using the MonAMI framework, sensors have been developed for the DPM and dCache storage systems, both common at HEP grid centres. The development of these tools specifically to tackle the challenges of high availability storage is described. We illustrate how MonAMI's architecture allows a single sensor to both deliver long term trend information and to trigger alarms in abnormal conditions. The use of MonAMI within the ScotGrid distributed Tier-2 is examined as a case study, illustrating both the ease with which MonAMI integrates into existing systems and helps provide a framework for extending monitoring where necessary

Radioisotope dust pollution monitor

International Nuclear Information System (INIS)

Szepke, R.; Harasimczuk, J.; Dobrowiecki, J.

1990-01-01

Measuring principles and specification of two dust monitors: station-type AMIZ and portable-type PIK-10 for ambient air pollution are presented. The first one, a fully automatic instrument is destined for permanent monitoring of air pollution in preset sampling time from .25 to 24 hours. The second one was developed as a portable working model. Both instruments display their results in digital form in dust concentration units. (author)

Specialist Cohort Event Monitoring studies: a new study method for risk management in pharmacovigilance.

Science.gov (United States)

Layton, Deborah; Shakir, Saad A W

2015-02-01

The evolving regulatory landscape has heightened the need for innovative, proactive, efficient and more meaningful solutions for 'real-world' post-authorization safety studies (PASS) that not only align with risk management objectives to gather additional safety monitoring information or assess a pattern of drug utilization, but also satisfy key regulatory requirements for marketing authorization holder risk management planning and execution needs. There is a need for data capture across the primary care and secondary care interface, or for exploring use of new medicines in secondary care to support conducting PASS. To fulfil this need, event monitoring has evolved. The Specialist Cohort Event Monitoring (SCEM) study is a new application that enables a cohort of patients prescribed a medicine in the hospital and secondary care settings to be monitored. The method also permits the inclusion of a comparator cohort of patients receiving standard care, or another counterfactual comparator group, to be monitored concurrently, depending on the study question. The approach has been developed in parallel with the new legislative requirement for pharmaceutical companies to undertake a risk management plan as part of post-authorization safety monitoring. SCEM studies recognize that the study population comprises those patients who may have treatment initiated under the care of specialist health care professionals and who are more complex in terms of underlying disease, co-morbidities and concomitant medications than the general disease population treated in primary care. The aims of this paper are to discuss the SCEM new-user study design, rationale and features that aim to address possible bias (such as selection bias) and current applications.

A 3-Month Randomized Controlled Pilot Trial of a Patient-Centered, Computer-Based Self-Monitoring System for the Care of Type 2 Diabetes Mellitus and Hypertension.

Science.gov (United States)

Or, Calvin; Tao, Da

2016-04-01

This study was performed to evaluate the effects of a patient-centered, tablet computer-based self-monitoring system for chronic disease care. A 3-month randomized controlled pilot trial was conducted to compare the use of a computer-based self-monitoring system in disease self-care (intervention group; n = 33) with a conventional self-monitoring method (control group; n = 30) in patients with type 2 diabetes mellitus and/or hypertension. The system was equipped with a 2-in-1 blood glucose and blood pressure monitor, a reminder feature, and video-based educational materials for the care of the two chronic diseases. The control patients were given only the 2-in-1 monitor for self-monitoring. The outcomes reported here included the glycated hemoglobin (HbA1c) level, fasting blood glucose level, systolic blood pressure, diastolic blood pressure, chronic disease knowledge, and frequency of self-monitoring. The data were collected at baseline and at 1-, 2-, and 3-month follow-up visits. The patients in the intervention group had a significant decrease in mean systolic blood pressure from baseline to 1 month (p computer-assisted and conventional disease self-monitoring appear to be useful to support/maintain blood pressure and diabetes control. The beneficial effects of the use of electronic self-care resources and support provided via mobile technologies require further confirmation in longer-term, larger trials.

Occupational monitoring program

International Nuclear Information System (INIS)

Sordi, G.-M.A.A.

1988-10-01

After to give the principal aim of a monitoring program it gives the philosophy in force in our country and the new one, international. It shows the different monitoring types and the classification related to their functions. The functions are deal with, separately, for workplace and individual monitoring. It shows, also, that the individual monitoring can be used to assess the workplace conditions. It discusses the models that can be introduced to assess the quantities used in the results interpretation from the quantities used in the measurements. It gives an example. Finally it discusses the supplementary functions of monitoring as such reassessment of monitoring programs, selection of the controlled areas and the extent form of medical supervision. (author) [pt

Advanced hemodynamic monitoring in intensive care medicine : A German web-based survey study.

Science.gov (United States)

Saugel, B; Reese, P C; Wagner, J Y; Buerke, M; Huber, W; Kluge, S; Prondzinsky, R

2018-04-01

Advanced hemodynamic monitoring is recommended in patients with complex circulatory shock. To evaluate the current attitudes and beliefs among German intensivists, regarding advanced hemodynamic monitoring, the actual hemodynamic management in clinical practice, and the barriers to using it. Web-based survey among members of the German Society of Medical Intensive Care and Emergency Medicine. Of 284 respondents, 249 (87%) agreed that further hemodynamic assessment is needed to determine the type of circulatory shock if no clear clinical diagnosis can be made. In all, 281 (99%) agreed that echocardiography is helpful for this purpose (transpulmonary thermodilution: 225 [79%]; pulmonary artery catheterization: 126 [45%]). More than 70% of respondents agreed that blood flow variables (cardiac output, stroke volume) should be measured in patients with hemodynamic instability. The parameters most respondents agreed should be assessed in a patient with hemodynamic instability were mean arterial pressure, cardiac output, and serum lactate. Echocardiography is available in 99% of ICUs (transpulmonary thermodilution: 91%; pulmonary artery catheter: 63%). The respondents stated that, in clinical practice, invasive arterial pressure measurements and serum lactate measurements are performed in more than 90% of patients with hemodynamic instability (cardiac output monitoring in about 50%; transpulmonary thermodilution in about 40%). The respondents did not feel strong barriers to the use of advanced hemodynamic monitoring in clinical practice. This survey study shows that German intensivists deem advanced hemodynamic assessment necessary for the differential diagnosis of circulatory shock and to guide therapy with fluids, vasopressors, and inotropes in ICU patients.

A study on impact monitoring using a piezoelectric paint sensor

International Nuclear Information System (INIS)

Choi, Kyung Woo; Kang, Dong Hoon; Park, Seung Bok; Kang, Lae Hyong

2015-01-01

The piezoelectric paint sensor is a paint type sensor comprising of an epoxy and piezoelectric powder, which is the main component of a piezoelectric material. This sensor can be easily attached to any type of structure as compared to other sensors because it is viable to directly apply it on structures, as in the case with a typical paint. In this study, the capability of piezoelectric paint sensor for impact detection was evaluated. In Particular, the applications of the piezoelectric paint sensor for railroad vehicles were considered. There have been various cases reported about the damages caused by flying gravel to the under-cover of the railroad vehicle during operation. In order to prevent this, real-time monitoring of the large under-cover surface of the railroad vehicle is unavoidable. Under the assumption of vehicle application, sensor sensitivities were measured after multiple and prolonged exposure to thermal cycle environment -20⁓60 degrees Celsius). Sensitivity evaluation of paint sensor under environmental conditions was conducted in an aluminum specimen. In results, despite the small variations in sensitivity, we could confirm the applicability of this paint sensor for impact detection even after a severe environmental exposure test

Radiological assessments, environmental monitoring, and study design

International Nuclear Information System (INIS)

Hansen, W.R.; Elle, D.R.

1980-01-01

Studies of the behavior of transuranic elements in the environment form the basic data for applied programs in radiological assessment, environmental monitoring, derivation of radiation-protection standards, and environmental impact statements. This chapter introduces some of the major information requirements of these applications of transuranic research data. Characteristics of the source terms from nuclear activities usually are needed for an analysis of environmental pathways or deployment of monitoring systems. Major inhalation and ingestion pathways are considered in assessments of hazards from transuranics and are discussed from the viewpoint of research needed

Sticker-type ECG/PPG concurrent monitoring system hybrid integration of CMOS SoC and organic sensor device.

Science.gov (United States)

Yongsu Lee; Hyeonwoo Lee; Seunghyup Yoo; Hoi-Jun Yoo

2016-08-01

The sticker-type sensor system is proposed targeting ECG/PPG concurrent monitoring for cardiovascular diseases. The stickers are composed of two types: Hub and Sensor-node (SN) sticker. Low-power CMOS SoC for measuring ECG and PPG signal is hybrid integrated with organic light emitting diodes (OLEDs) and organic photo detector (OPD). The sticker has only 2g weight and only consumes 141μW. The optical calibration loop is adopted for maintaining SNR of PPG signal higher than 30dB. The pulse arrival time (PAT) and SpO2 value can be extracted from various body parts and verified comparing with the reference device from 20 people in-vivo experiments.

Cost calculation for a flash glucose monitoring system for UK adults with type 1 diabetes mellitus receiving intensive insulin treatment.

Science.gov (United States)

Hellmund, Richard; Weitgasser, Raimund; Blissett, Deirdre

2018-04-01

To estimate the costs associated with a flash glucose monitoring system as a replacement for routine self-monitoring of blood glucose (SMBG) in patients with type 1 diabetes mellitus (T1DM) using intensive insulin, from a UK National Health Service (NHS) perspective. The base-case cost calculation was created using the maximum frequency of glucose monitoring recommended by the 2015 National Institute for Health and Care Excellence guidelines (4-10 tests per day). Scenario analyses considered SMBG at the frequency observed in the IMPACT clinical trial (5.6 tests per day) and at the frequency of flash monitoring observed in a real-world analysis (16 tests per day). A further scenario included potential costs associated with severe hypoglycaemia. In the base case, the annual cost per patient using flash monitoring was £234 (19%) lower compared with routine SMBG (10 tests per day). In scenario analyses, the annual cost per patient of flash monitoring compared with 5.6 and 16 SMBG tests per day was £296 higher and £957 lower, respectively. The annual cost of severe hypoglycaemia for flash monitoring users was estimated to be £221 per patient, compared with £428 for routine SMBG users (based on 5.6 tests/day), corresponding to a reduction in costs of £207. The flash monitoring system has a modest impact on glucose monitoring costs for the UK NHS for patients with T1DM using intensive insulin. For people requiring frequent tests, flash monitoring may be cost saving, especially when taking into account potential reductions in the rate of severe hypoglycaemia. Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

Strategy for assessing occupational radiation monitoring data from many facilities for use in epidemiologic studies

International Nuclear Information System (INIS)

Strom, D.J.

1983-01-01

A comprehensive strategy for dose assessment at US DOE facilities was developed. The strategy includes a determination of what data are available at each site, and what form they are in for the various times and types of monitoring. At the same time, information is gathered regarding the radiation hazards as a function of time, in order to judge the adequacy of monitoring. Information is collected on documentation of the personnel monitoring programs at each site. After this information is compiled and analyzed, site-specific data retrieval criteria and methods are finalized and meshed with general criteria and methods. Concurrently, Standard Assessment Procedures (SAP) are developed. Detailed steps are presented for the inference of annual doses from the kinds of occupational records found at DOE facilities, and when such inferences are too uncertain to be useful, guidance is provided for use of results in the control of confounding by undetermined exposures. The strategy was tested on a facility in the US Department of Energy (DOE) Health and Mortality Study, the Y-12 plant in Oak Ridge, Tennessee. 156 references, 53 figures, 45 tables

Intraesophageal impedance monitoring: clinical studies

NARCIS (Netherlands)

Conchillo Armendáriz, J.M.

2007-01-01

Electrical impedance (Z) between two electrodes is the ratio between applied voltage (U) and resulting current (I). In electrical impedance monitoring the resistance to electrical flow in an alternating current circuit is measured. Multichannel esophageal monitoring can be measured by using an

Brief Computer-Delivered Intervention to Increase Parental Monitoring in Families of African American Adolescents with Type 1 Diabetes: A Randomized Controlled Trial.

Science.gov (United States)

Ellis, Deborah A; Idalski Carcone, April; Ondersma, Steven J; Naar-King, Sylvie; Dekelbab, Bassem; Moltz, Kathleen

2017-06-01

African American adolescents with type 1 diabetes (T1D) are at elevated risk for poor diabetes management and metabolic control. Parental supervision and monitoring of adolescent diabetes management have been shown to promote better diabetes management among adolescents, but parents typically decrease their oversight during the transition to independent diabetes care. The purpose of the study was to conduct a randomized clinical trial to test the feasibility and efficacy of a three-session, computer-delivered motivational intervention (The 3Ms) to promote increased parental monitoring among primary caregivers of young African American adolescents with T1D. The intervention was brief and optimized for delivery during routine diabetes clinic visits. Sixty-seven adolescents with T1D aged 11-14 and their primary caregiver were randomly assigned to one of three arms: adolescent and parent motivational intervention (Arm 1), adolescent control and parent motivational intervention (Arm 2), or adolescent and parent control (Arm 3). Intervention effects were assessed 1 month after intervention completion. Parents in Arm 1 and Arm 2 had significant increases in knowledge of the importance of monitoring adolescents' diabetes care. Parents in Arm 2 also had trend to significant increases in direct observation and monitoring of adolescent diabetes care, and adolescents in Arm 2 had significant improvements in glycemic control. Findings from the present study provide preliminary support for the efficacy of a brief, computer-delivered parenting intervention for improving family management practices and adolescent health outcomes among African American adolescents with T1D and their caregivers.

Digital radiography with computerized conventional monitors compared to medical monitors in vertical root fracture diagnosis.

Science.gov (United States)

Tofangchiha, Maryam; Adel, Mamak; Bakhshi, Mahin; Esfehani, Mahsa; Nazeman, Pantea; Ghorbani Elizeyi, Mojgan; Javadi, Amir

2013-01-01

Vertical root fracture (VRF) is a complication which is chiefly diagnosed radiographically. Recently, film-based radiography has been substituted with digital radiography. At the moment, there is a wide range of monitors available in the market for viewing digital images. The present study aims to compare the diagnostic accuracy, sensitivity and specificity of medical and conventional monitors in detection of vertical root fractures. In this in vitro study 228 extracted single-rooted human teeth were endodontically treated. Vertical root fractures were induced in 114 samples. The teeth were imaged by a digital charge-coupled device radiography using parallel technique. The images were evaluated by a radiologist and an endodontist on two medical and conventional liquid-crystal display (LCD) monitors twice. Z-test was used to analyze the sensitivity, accuracy and specificity of each monitor. Significance level was set at 0.05. Inter and intra observer agreements were calculated by Cohen's kappa. Accuracy, specificity and sensitivity for conventional monitor were calculated as 67.5%, 72%, 62.5% respectively; and data for medical grade monitor were 67.5%, 66.5% and 68% respectively. Statistical analysis showed no significant differences in detecting VRF between the two techniques. Inter-observer agreement for conventional and medical monitor was 0.47 and 0.55 respectively (moderate). Intra-observer agreement was 0.78 for medical monitor and 0.87 for conventional one (substantial). The type of monitor does not influence diagnosis of vertical root fractures.

Continuous monitoring of back wall stress corrosion cracking growth in sensitized type 304 stainless steel weldment by means of potential drop techniques

OpenAIRE

SATO, Y; ATSUMI, T; SHOJI, T

2007-01-01

Stress corrosion cracking (SCC) tests on welded specimens of sensitized type 304SS with a thickness of 20 mm were performed in sodium thiosulphate solution at room temperature, with continuous monitoring of the SCC growth, using the techniques of modified induced current potential drop (MICPD), alternating current potential drop (ACPD) and direct current potential drop (DCPD). The MICPD and DCPD techniques permit continuous monitoring of the back wall SCC, which initiates from a fatigue pre-c...

A Versatile Vector for In Vivo Monitoring of Type I Interferon Induction and Signaling.

Directory of Open Access Journals (Sweden)

Estanislao Nistal-Villan

Full Text Available Development of reporter systems for in vivo examination of IFN-β induction or signaling of type I interferon (IFN-I pathways is of great interest in order to characterize biological responses to different inducers such as viral infections. Several reporter mice have been developed to monitor the induction of both pathways in response to different agonists. However, alternative strategies that do not require transgenic mice breeding have to date not been reported. In addition, detection of these pathways in vivo in animal species other than mice has not yet been addressed. Herein we describe a simple method based on the use of an adeno-associated viral vector (AAV8-3xIRF-ISRE-Luc containing an IFN-β induction and signaling-sensitive promoter sequence controlling the expression of the reporter gene luciferase. This vector is valid for monitoring IFN-I responses in vivo elicited by diverse stimuli in different organs. Intravenous administration of the vector in C57BL/6 mice and Syrian hamsters was able to detect activation of the IFN pathway in the liver upon systemic treatment with different pro-inflammatory agents and infection with Newcastle disease virus (NDV. In addition, intranasal instillation of AAV8-3xIRF-ISRE-Luc showed a rapid and transient IFN-I response in the respiratory tract of mice infected with the influenza A/PR8/34 virus lacking the NS1 protein. In comparison, this response was delayed and exacerbated in mice infected with influenza A/PR/8 wild type virus. In conclusion, the AAV8-3xIRF-ISRE-Luc vector offers the possibility of detecting IFN-I activation in response to different stimuli and in different animal models with no need for reporter transgenic animals.

Type 2 diabetes and impaired glucose tolerance are associated with word memory source monitoring recollection deficits but not simple recognition familiarity deficits following water, low glycaemic load, and high glycaemic load breakfasts.

Science.gov (United States)

Lamport, Daniel J; Lawton, Clare L; Mansfield, Michael W; Moulin, Chris A J; Dye, Louise

2014-01-30

It has been established that type 2 diabetes, and to some extent, impaired glucose tolerance (IGT), are associated with general neuropsychological impairments in episodic memory. However, the effect of abnormalities in glucose metabolism on specific retrieval processes such as source monitoring has not been investigated. The primary aim was to investigate the impact of type 2 diabetes and IGT on simple word recognition (familiarity) and complex source monitoring (recollection). A secondary aim was to examine the effect of acute breakfast glycaemic load manipulations on episodic memory. Data are presented from two separate studies; (i) 24 adults with type 2 diabetes and 12 controls aged 45-75years, (ii) 18 females with IGT and 47 female controls aged 30-50years. Controls were matched for age, IQ, BMI, waist circumference, and depression. Recognition of previously learned words and memory for specifically which list a previously learned word had appeared in (source monitoring) was examined at two test sessions during the morning after consumption of low glycaemic load, high glycaemic load and water breakfasts according to a counterbalanced, crossover design. Type 2 diabetes (pglucose metabolism are not detrimental for global episodic memory processes. This enhances our understanding of how metabolic disorders are associated with memory impairments. © 2013.

Analytical & Experimental Study of Radio Frequency Cavity Beam Profile Monitor

Energy Technology Data Exchange (ETDEWEB)

Balcazar, Mario D. [Fermilab; Yonehara, Katsuya [Fermilab

2017-10-22

The purpose of this analytical and experimental study is multifold: 1) To explore a new, radiation-robust, hadron beam profile monitor for intense neutrino beam applications; 2) To test, demonstrate, and develop a novel gas-filled Radio-Frequency (RF) cavity to use in this monitoring system. Within this context, the first section of the study analyzes the beam distribution across the hadron monitor as well as the ion-production rate inside the RF cavity. Furthermore a more effecient pixel configuration across the hadron monitor is proposed to provide higher sensitivity to changes in beam displacement. Finally, the results of a benchtop test of the tunable quality factor RF cavity will be presented. The proposed hadron monitor configuration consists of a circular array of RF cavities located at a radial distance of 7cm { corresponding to the standard deviation of the beam due to scatering { and a gas-filled RF cavity with a quality factor in the range 400 - 800.

Effects of self-monitoring of glucose on distress and self-efficacy in people with non-insulin-treated Type 2 diabetes: a randomized controlled trial

NARCIS (Netherlands)

Malanda, U. L.; Bot, S. D. M.; Kostense, P. J.; Snoek, F. J.; Dekker, J. M.; Nijpels, G.

2016-01-01

To investigate the effects of self-monitoring of glucose in blood or urine, on diabetes-specific distress and self-efficacy, compared with usual care in people with non-insulin-treated Type 2 diabetes mellitus. One hundred and eighty-one participants with non-insulin-treated Type 2 diabetes mellitus

Study of an integrated electronic monitor for neutron beams

International Nuclear Information System (INIS)

Barelaud, B.; Nexon-Mokhtari, F.; Barrau, C.; Decossac, J.L.; Vareille, J.C.; Sarrabayrouse, G.

1994-01-01

Many neutron beams monitors in 10 keV - 50 keV range are perturbed by gamma radiation impact. This new monitor uses two silicon (junction) diodes operating coincidence detection, combined with an electronic threshold to eliminate gamma background noise. The results and analyses presented here only concern feasibility studies. (D.L.)

Study of an integrated electronic monitor for neutron beams

Energy Technology Data Exchange (ETDEWEB)

Barelaud, B.; Nexon-Mokhtari, F.; Barrau, C.; Decossac, J.L.; Vareille, J.C. [Limoges Univ., 87 (France); Sarrabayrouse, G. [Centre National de la Recherche Scientifique (CNRS), 31 - Toulouse (France). Lab. d`Automatique et d`Analyse des Systemes

1994-12-31

Many neutron beams monitors in 10 keV - 50 keV range are perturbed by gamma radiation impact. This new monitor uses two silicon (junction) diodes operating coincidence detection, combined with an electronic threshold to eliminate gamma background noise. The results and analyses presented here only concern feasibility studies. (D.L.). 11 refs.

HIV-1 drug resistance mutations among antiretroviral-naive HIV-1-infected patients in Asia: results from the TREAT Asia Studies to Evaluate Resistance-Monitoring Study.

Science.gov (United States)

Sungkanuparph, Somnuek; Oyomopito, Rebecca; Sirivichayakul, Sunee; Sirisanthana, Thira; Li, Patrick C K; Kantipong, Pacharee; Lee, Christopher K C; Kamarulzaman, Adeeba; Messerschmidt, Liesl; Law, Matthew G; Phanuphak, Praphan

2011-04-15

Of 682 antiretroviral-naïve patients initiating antiretroviral therapy in a prospective, multicenter human immunodeficiency virus type 1 (HIV-1) drug resistance monitoring study involving 8 sites in Hong Kong, Malaysia, and Thailand, the prevalence of patients with ≥1 drug resistance mutation was 13.8%. Primary HIV drug resistance is emerging after rapid scaling-up of antiretroviral therapy use in Asia.

Continuous glucose monitoring and HbA1c in the evaluation of glucose metabolism in children at high risk for type 1 diabetes mellitus.

Science.gov (United States)

Helminen, Olli; Pokka, Tytti; Tossavainen, Päivi; Ilonen, Jorma; Knip, Mikael; Veijola, Riitta

2016-10-01

Continuous glucose monitoring (CGM) parameters, self-monitored blood glucose (SMBG), HbA1c and oral glucose tolerance test (OGTT) were studied during preclinical type 1 diabetes mellitus. Ten asymptomatic children with multiple (⩾2) islet autoantibodies (cases) and 10 age and sex-matched autoantibody-negative controls from the Type 1 Diabetes Prediction and Prevention (DIPP) Study were invited to 7-day CGM with Dexcom G4 Platinum Sensor. HbA1c and two daily SMBG values (morning and evening) were analyzed. Five-point OGTTs were performed and carbohydrate intake was assessed by food records. The matched pairs were compared with the paired sample t-test. The cases showed higher mean values and higher variation in glucose levels during CGM compared to the controls. The time spent ⩾7.8mmol/l was 5.8% in the cases compared to 0.4% in the controls (p=0.040). Postprandial CGM values were similar except after the dinner (6.6mmol/l in cases vs. 6.1mmol/l in controls; p=0.023). When analyzing the SMBG values higher mean level, higher evening levels, as well as higher variation were observed in the cases when compared to the controls. HbA1c was significantly higher in the cases [5.7% (39mmol/mol) vs. 5.3% (34mmol/mol); p=0.045]. No differences were observed in glucose or C-peptide levels during OGTT. Daily carbohydrate intake was slightly higher in the cases (254.2g vs. 217.7g; p=0.034). Glucose levels measured by CGM and SMBG are useful indicators of dysglycemia during preclinical type 1 diabetes mellitus. Increased evening glucose values seem to be common in children with preclinical type 1 diabetes mellitus. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Comparative study of gas-analyzing systems designed for continuous monitoring of TPP emissions

Science.gov (United States)

Kondrat'eva, O. E.; Roslyakov, P. V.

2017-06-01

Determining the composition of combustion products is important in terms of both control of emissions into the atmosphere from thermal power plants and optimization of fuel combustion processes in electric power plants. For this purpose, the concentration of oxygen, carbon monoxide, nitrogen, and sulfur oxides in flue gases is monitored; in case of solid fuel combustion, fly ash concentration is monitored as well. According to the new nature conservation law in Russia, all large TPPs shall be equipped with continuous emission monitoring and measurement systems (CEMMS) into the atmosphere. In order to ensure the continuous monitoring of pollutant emissions, direct round-the-clock measurements are conducted with the use of either domestically produced or imported gas analyzers and analysis systems, the operation of which is based on various physicochemical methods and which can be generally used when introducing CEMMS. Depending on the type and purposes of measurement, various kinds of instruments having different features may be used. This article represents a comparative study of gas-analysis systems for measuring the content of polluting substances in exhaust gases based on various physical and physicochemical analysis methods. It lists basic characteristics of the methods commonly applied in the area of gas analysis. It is proven that, considering the necessity of the long-term, continuous operation of gas analyzers for monitoring and measurement of pollutant emissions into the atmosphere, as well as the requirements for reliability and independence from aggressive components and temperature of the gas flow, it is preferable to use optical gas analyzers for the aforementioned purposes. In order to reduce the costs of equipment comprising a CEMMS at a TPP and optimize the combustion processes, electrochemical and thermomagnetic gas analyzers may also be used.

Fetal Heart Rate Monitoring during Labor

Science.gov (United States)

... What are the types of monitoring? • How is auscultation performed? • How is electronic fetal monitoring performed? • How ... methods of fetal heart rate monitoring in labor. Auscultation is a method of periodically listening to the ...

THE EFFECT OF TELE-MONITORING ON EXERCISE TRAINING ADHERENCE, FUNCTIONAL CAPACITY, QUALITY OF LIFE AND GLYCEMIC CONTROL IN PATIENTS WITH TYPE II DIABETES

Directory of Open Access Journals (Sweden)

Tracy Marios

2012-03-01

Full Text Available We used tele-monitoring to attempt to improve exercise adherence (number of hours of exercise completed, peak VO2, HbA1c% and quality of life in an unsupervised, home based exercise program in people with type II diabetes, a cost analysis was also conducted. Thirty-nine patients with type II diabetes were randomized to tele-monitoring (TELE or control (CON groups. All patients were asked to complete 6 months exercise training and complete an exercise activity diary. The TELE group was instructed to record their exercise heart rates using a monitor and received weekly telephone calls from an exercise physiologist. Six TELE patients and seven CON patients did not complete the 6 month testing. TELE patients completed a mean weekly volume of 138 minutes, moderate intensity exercise, while CON patients completed 58 minutes weekly (p < 0.02. Neither group achieved the American Heart Association statement guideline for weekly exercise volume of 150 minutes. TELE patients improved peak VO2 (5.5 %, but neither group improved HbA1c% or quality of life. The CON group showed a 4.9% reduction in peak VO2. While tele-monitored patients completed more hours of exercise and demonstrated improved peak VO2 compared to controls, the exercise volume completed was insufficient to improve glycemic control. There is the potential via tele-monitoring to enable people with diabetes to meet exercise training guidelines.

The use of industrial type control and monitoring components for a large fusion experiment

International Nuclear Information System (INIS)

Hemming, O.N.; Manduchi, G.; Luchetta, A.; Schmidt, V.; Vitturi, S.

1994-01-01

RFX is one of the large nuclear fusion experiments within the framework of the co-ordinated nuclear fusion research programme of the European Community. During the control system design phase in 1986, the increase in power and flexibility of industrial type programmable controllers lead to the decision for a complete physical split of control, monitoring and data acquisition functions according to speed requirements, allowing the exploitation of the relative advantages of both CAMAC and programmable controllers. The 'slow' control and monitoring functions (for about 4000 digital and 200 analog I/O signals with scanning times of similar 1 second) have been implemented using a series of networked industrial PLCs and personal computers. This has allowed us to choose from a wide range of off-the-shelf hardware and software components for the plant interface and to utilize specialized expertise from the industrial field for the application software implementation. The paper gives the expectations and results gained from this design choice and how it has influenced the decisions for the evolution of the system over the next few years with the utilization of new industrial hardware components. Details are also given regarding the system integration (via the Ethernet network) with the VAX-based CAMAC frontend fast control and data-acquisition system. ((orig.))

Application of an automated patrol-type monitoring system in the reinforced concrete containment vessel at Kashiwazaki-Kariwa Nuclear Power Plant Units 6 and 7

International Nuclear Information System (INIS)

Kimoto, T.; Senoh, M.; Hirakawa, H.; Tanaka, K.; Takahashi, M.

1996-01-01

An automated patrol-type monitoring system was applied to the first Advanced Boiling Water Reactor (ABWR) plants in the world, Kashiwazaki-Kariwa Nuclear Power Plant Units 6 and 7. The system consists of two robots traveling along monorail and several ITV systems. This monitoring system is used to watch the operating incident of key components of ABWR, such as water leakage from packing in Fine Motion Control Rod Drive (FM-CRD), Reactor Internal Pump (RIP) etc. which are located in the reinforced concrete containment and usually could not be accessible under operation. The traveling robots are equipped with the three kinds of sensors, an infrared camera, a color TV camera and a microphone, and have a capability to inspect the pre-determined inspection points guided by the monorail. This monitoring system is automatically turned on to start inspection at a scheduled time. For Units 6 and 7, this monitoring system, two robots and several ITV systems, can be controlled from one common control desk and one handy-type remote control panel. Since this monitoring system was installed at Kashiwazaki-Kariwa Nuclear Power Plant Units 6 and 7, this system has been operating successfully. (The installation and testing of the system for Unit 6 was finished completely and the testing the system for Unit 7 has been carrying out.) (author)

Monitoring post-fire recovery of shrublands in Mediterranean-type ecosystems using MODIS and TM/ETM+ data

Science.gov (United States)

Hope, Allen; Albers, Noah; Bart, Ryan

2010-05-01

Wildland fires in Mediterranean-Type Ecosystems (MTEs) are episodic events that dramatically alter land-cover conditions. Monitoring post-fire vegetation recovery is important for land management applications such as the scheduling of prescribed burns, post-fire resource management and soil erosion control. Full recovery of MTE shrublands may take many years and have a prolonged effect on water, energy and carbon fluxes in these ecosystems. Comparative studies of fynbos ecosystems in the Cape Floristic Region of South Africa (Western Cape Region) and chaparral ecosystems of California have demonstrated that there is a considerable degree of convergence in some aspects of post-fire vegetation regeneration and marked differences in other aspects. Since these MTEs have contrasting rainfall and soil nutrient conditions, an obvious question arises as to the similarity or dissimilarity in remotely sensed post-fire recovery pathways of vegetation stands in these two regions and the extent to which fire severity and drought impact the rate of vegetation recovery. Post-fire recovery pathways of chaparral and fynbos vegetation stands were characterized using the normalized difference vegetation index (NDVI) based on TM/ETM+ and MODIS (250 m) data. Procedures based on stands of unburned vegetation (control) were implemented to normalize the NDVI for variations associated with inter-annual differences in rainfall. Only vegetation stands that had not burned for 20 years were examined in this study to eliminate potential effects of variable fire histories on the recovery pathways. Post-fire recovery patterns of vegetation in both regions and across different vegetation types were found to be very similar. Post-fire stand age was the primary control over vegetation recovery and the NDVI returned to pre-fire values within seven to 10 years of the fires. Droughts were shown to cause slight interruptions in recovery rates while fire severity had no discernable effect. Intra

Analysis of the Accuracy and Performance of a Continuous Glucose Monitoring Sensor Prototype: An In-Silico Study Using the UVA/PADOVA Type 1 Diabetes Simulator.

Science.gov (United States)

Breton, Marc D; Hinzmann, Rolf; Campos-Nañez, Enrique; Riddle, Susan; Schoemaker, Michael; Schmelzeisen-Redeker, Guenther

2017-05-01

Computer simulation has been shown over the past decade to be a powerful tool to study the impact of medical devices characteristics on clinical outcomes. Specifically, in type 1 diabetes (T1D), computer simulation platforms have all but replaced preclinical studies and are commonly used to study the impact of measurement errors on glycemia. We use complex mathematical models to represent the characteristics of 3 continuous glucose monitoring systems using previously acquired data. Leveraging these models within the framework of the UVa/Padova T1D simulator, we study the impact of CGM errors in 6 simulation scenarios designed to generate a wide variety of glycemic conditions. Assessment of the simulated accuracy of each different CGM systems is performed using mean absolute relative deviation (MARD) and precision absolute relative deviation (PARD). We also quantify the capacity of each system to detect hypoglycemic events. The simulated Roche CGM sensor prototype (RCGM) outperformed the 2 alternate systems (CGM-1 & CGM-2) in accuracy (MARD = 8% vs 11.4% vs 18%) and precision (PARD = 6.4% vs 9.4% vs 14.1%). These results held for all studied glucose and rate of change ranges. Moreover, it detected more than 90% of hypoglycemia, with a mean time lag less than 4 minutes (CGM-1: 86%/15 min, CGM-2: 57%/24 min). The RCGM system model led to strong performances in these simulation studies, with higher accuracy and precision than alternate systems. Its characteristics placed it firmly as a strong candidate for CGM based therapy, and should be confirmed in large clinical studies.

Aerosol monitoring during work inside the 'object shelter': Analysis of dispersion and concentration for different work types

International Nuclear Information System (INIS)

Aryasov, P.; Nechaev, S.; Tsygankov, N.; Dmitrienko, A.

2007-01-01

Results of aerosol monitoring during work inside the object shelter (OS) are presented. Taking into account the fact that dispersion of the aerosol is one of the main factors affecting internal dose [Annals of the ICRP, ICRP Publication 66, Human Respiratory Tract Model for Radiological Protection, Pergamon Press, 1993], principal task of the investigation was the determination of the aerodynamic diameter (AD) distribution of the radioactive aerosol. Special attention was paid to transuranium elements' content in the aerosol since they are the major dose-producing radionuclides for the OS conditions. At present, work on stabilization of unstable constructions of the OS is in the active stage. Most of the work inside the OS leads to increased generation of radioactive aerosols. This work is carried out in the highly contaminated premises of the OS, where radioactive situation has been formed during the accident. Present work contains earliest results of the aerosol monitoring program for the period from September 2005 untill February 2006. Data obtained shows that for most types of work, radionuclides mainly located in the coarse aerosol fraction, activity median aerodynamic diameter (AMAD) range 8-12 μm. Work on the program continues at present time (actual data accumulation and analysis). Further widening of the program with the goal of type of material determination is described

Management and monitoring recommendations for the use of eliglustat in adults with type 1 Gaucher disease in Europe.

Science.gov (United States)

Belmatoug, Nadia; Di Rocco, Maja; Fraga, Cristina; Giraldo, Pilar; Hughes, Derralynn; Lukina, Elena; Maison-Blanche, Pierre; Merkel, Martin; Niederau, Claus; Plӧckinger, Ursula; Richter, Johan; Stulnig, Thomas M; Vom Dahl, Stephan; Cox, Timothy M

2017-01-01

In Gaucher disease, diminished activity of the lysosomal enzyme, acid β-glucosidase, leads to accumulation of glucosylceramides and related substrates, primarily in the spleen, liver, and bone marrow. Eliglustat is an oral substrate reduction therapy approved in the European Union and the United States as a first-line treatment for adults with type 1 Gaucher disease who have compatible CYP2D6 metabolism phenotypes. A European Advisory Council of experts in Gaucher disease describes the characteristics of eliglustat that are distinct from enzyme augmentation therapy (the standard of care) and miglustat (the other approved substrate reduction therapy) and recommends investigations and monitoring for patients on eliglustat therapy within the context of current recommendations for Gaucher disease management. Eliglustat is a selective, potent inhibitor of glucosylceramide synthase, the enzyme responsible for biosynthesis of glucosylceramides which accumulate in Gaucher disease. Extensive metabolism of eliglustat by CYP2D6, and, to a lesser extent, CYP3A of the cytochrome P450 pathway, necessitates careful consideration of the patient's CYP2D6 metaboliser status and use of concomitant medications which share metabolism by these pathways. Guidance on specific assessments and monitoring required for eliglustat therapy, including an algorithm to determine eligibility for eliglustat, are provided. As a first-line therapy for type 1 Gaucher disease, eliglustat offers eligible patients a daily oral therapy alternative to biweekly infusions of enzyme therapy. Physicians will need to carefully assess individual Gaucher patients to determine their appropriateness for eliglustat therapy. The therapeutic response to eliglustat and use of concomitant medications will require long-term monitoring. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

Factors Associated with Visual Fatigue from Curved Monitor Use: A Prospective Study of Healthy Subjects.

Directory of Open Access Journals (Sweden)

Haeng Jin Lee

Full Text Available To investigate the factors associated with visual fatigue using monitors with various radii of curvature.Twenty normal healthy adults (8 men, 12 women; mean age, 26.2 ± 2.5 years prospectively watched five types of monitors including flat, 4000R, 3000R, 2000R, and 1000R curved monitors for 30 min. An experienced examiner measured the ophthalmological factors including near point of accommodation (NPA, near point of convergence (NPC, refraction, parameters during pupil response at light and saccadic movement just before and after the visual tasks. The questionnaires about subjective ocular symptoms were also investigated just before and after the visual tasks.The NPA increased after the visual tasks with a flat monitor compared with the curved monitors, with the 1000R curved monitor showing the smallest change (p = 0.020. The NPC increased for every monitor after the visual tasks; the largest increase occurred with the flat monitor (p = 0.001. There was no difference in refractive error, pupil response, or saccadic movement in the comparison of before and after the visual tasks. Among the nine factors in the questionnaire, the score of "eye pain" was significantly higher for the flat monitor versus the 1000R curved monitor after the visual tasks (p = 0.034.We identified NPA, NPC, and eye pain as factors associated with visual fatigue. Also, the curvature of the monitor was related to the visual fatigue.

The Argonne Radiological Impact Program (ARIP). Part II. MONITOR: A Program and Data Base for Retrieval and Utilization of Pollutant Monitoring Data

Energy Technology Data Exchange (ETDEWEB)

Eckerman, Keith F.; Stowe, Ralph F.; Frigerio, Norman A.

1977-02-01

The Argonne Radiological Impact Program (ARIP) is an ongoing project of the Laboratory's Division of Environmental Impact Studies that aims at developing methodologies for assessing the carcinogenic hazards associated with nuclear power development. The project's first report (ANL/ES-26, Part I), published in September.l973, discussed models of radiation carcinogenesis and the contribution of U .. S. background radiation levels to hazardous dose rates. The current report (Part II) treats the storage and access of available data on radiation and radioactivity levels in the u. S. A compute-r code. (the MONITOR program) is prf!sented, which can serve as a ready-access data. bank for all monitoring data acquired over the past two decades. The MONITOR program currently stores data on monitoring locations, types of monitoring efforts, and types of monitoring data. reported in Radiation Data and Reports by the various state and federal ne-tworks; expansion of this data base to include nuclear power facilities in operation or on order is ongoing ·. The MONITOR code retrieves information within a search radius, or rectangl.e ,. circumscribed by parameters of latitude and longitude, and l:.ists or maps the data_as: requested. The code, with examples, is given in full in the report ..

Absolute beam current monitoring in endstation c

International Nuclear Information System (INIS)

Bochna, C.

1995-01-01

The first few experiments at CEBAF require approximately 1% absolute measurements of beam currents expected to range from 10-25μA. This represents errors of 100-250 nA. The initial complement of beam current monitors are of the non intercepting type. CEBAF accelerator division has provided a stripline monitor and a cavity monitor, and the authors have installed an Unser monitor (parametric current transformer or PCT). After calibrating the Unser monitor with a precision current reference, the authors plan to transfer this calibration using CW beam to the stripline monitors and cavity monitors. It is important that this be done fairly rapidly because while the gain of the Unser monitor is quite stable, the offset may drift on the order of .5μA per hour. A summary of what the authors have learned about the linearity, zero drift, and gain drift of each type of current monitor will be presented

Type of equipment in an air monitoring station

International Nuclear Information System (INIS)

Levy, F.

1999-01-01

This poster communication presents a general view of the station, the different materials used for the air and precipitations monitoring. The methods for gas measurements (tritium, krypton, iodine) are given. The collecting of dusts, dust and tritium mixed together, or rainwater and pluviometry are reviewed and the measurement of ambient radioactivity is made by beacon. (N.C.)

Short-term use of continuous glucose monitoring system adds to glycemic control in young type 1 diabetes mellitus patients in the long run: A clinical trial

Directory of Open Access Journals (Sweden)

Bukara-Radujković Gordana

2011-01-01

Full Text Available Background/Aim. Balancing strict glycemic control with setting realistic goals for each individual child and family can optimize growth, ensure normal pubertal development and emotional maturation, and control long term complications in children with type 1 diabetes (T1DM. The aim of this study was to evaluate the efficacy of short-term continuous glucose monitoring system (CGMS application in improvement of glycemic control in pediatric type 1 diabetes mellitus (T1DM patients. Methods. A total of 80 pediatric T1DM patients were randomly assigned into the experimental and the control group. The experimental group wore CGMS sensor for 72 hours at the beginning of the study. Self-monitored blood glucose (SMBG levels and hemoglobin A1c (HbA1c levels were obtained for both groups at baseline, and at 3 and 6 months. Results. There was a significant improvement in HbA1c (p < 0.001, in both the experimental and the control group, without a significant difference between the groups. Nevertheless, after 6 months the improvement of mean glycemia was noticed only in the experimental group. This finding was accompanied with a decrease in the number of hyperglycemic events and no increase in the number of hypoglycemic events in the experimental group. Conclusions. The results suggest that the CGMS can be considered as a valuable tool in treating pediatric T1DM patients, however further research is needed to more accurately estimate to what extent, if any, it outperforms intensive self-monitoring of blood glucose.

Advanced inoperable type B3 thymoma: monitoring of a novel therapeutic approach with radio-chemotherapy and sorafenib by FDG-PET and CT

International Nuclear Information System (INIS)

Winder, T.; Gasser, K.; Schuster, A.; Becherer, A.; Vries, A. de; Gruber-Moesenbacher, U.; Muendlein, A.; Drexel, H.; Lang, A.

2010-01-01

This report highlights the benefit of radio-chemotherapy followed by sorafenib in a 55 years old woman, diagnosed with an inoperable type B3 thymoma and illustrates the potential usefulness of 18 F-FDG in monitoring treatment with sorafenib. (orig.)

Microcontroller based motion control interface unit for double slit type beam emittance monitor for H- ion source

International Nuclear Information System (INIS)

Holikatti, A.C.; Jain, Rahul; Karnewar, A.K.; Sonawane, B.B.; Maurya, N.K.; Puntambekar, T.A.

2015-01-01

The Indian Spallation Neutron Source (ISNS), proposed to be developed at RRCAT, will use a 1 GeV H - linac and an accumulator ring to produce high flux of pulsed neutrons via spallation process. The development activity of front end of 1H - linac for ISNS is under progress at RRCAT, for which a pulsed H - ion source of 50 keV energy, 30 mA current with pulse width of 500 μs has been developed at RRCAT. In this paper, we present the design and development of a microcontroller based motion control interface unit for double slit type beam emittance monitor for the H - ion source. This is an interceptive type of beam diagnostic device, which is used for the quantitative measurement of transverse emittance and beam intensity profile

Blade-type X-ray beam position monitors for SPring-8 undulator beamlines

CERN Document Server

Aoyagi, H; Kitamura, H

2001-01-01

The X-ray beam position monitors had been designed and installed for SPring-8 insertion device beamlines. These monitors are being utilized for photon beam diagnostics. The beam from the standard undulator in SPring-8 has the total power of 11 kW and the power density of 470 kW/mrad sup 2 , typically. Each monitor has four CVD diamond blades coated with metal for detector heads. We have already introduced three styles of monitors to match various insertion devices in SPring-8. A standard style, or a fixed-blade style, is used mainly for a standard in-vacuum undulator beamlines. A horizontal-blade-drive style and a four-blade-drive style are used for beamlines of a wiggler and a twin helical undulator that have wide power distributions, and for figure-8 undulators that have asymmetric power distributions, respectively. This report describes the design and the structure of these monitors and the beam-tests for the photon beam diagnostics in detail.

Reconfigurable Sensor Monitoring System

Science.gov (United States)

Alhorn, Dean C. (Inventor); Dutton, Kenneth R. (Inventor); Howard, David E. (Inventor); Smith, Dennis A. (Inventor)

2017-01-01

A reconfigurable sensor monitoring system includes software tunable filters, each of which is programmable to condition one type of analog signal. A processor coupled to the software tunable filters receives each type of analog signal so-conditioned.

Dual vs. single computer monitor in a Canadian hospital Archiving Department: a study of efficiency and satisfaction.

Science.gov (United States)

Poder, Thomas G; Godbout, Sylvie T; Bellemare, Christian

This paper describes a comparative study of clinical coding by Archivists (also known as Clinical Coders in some other countries) using single and dual computer monitors. In the present context, processing a record corresponds to checking the available information; searching for the missing physician information; and finally, performing clinical coding. We collected data for each Archivist during her use of the single monitor for 40 hours and during her use of the dual monitor for 20 hours. During the experimental periods, Archivists did not perform other related duties, so we were able to measure the real-time processing of records. To control for the type of records and their impact on the process time required, we categorised the cases as major or minor, based on whether acute care or day surgery was involved. Overall results show that 1,234 records were processed using a single monitor and 647 records using a dual monitor. The time required to process a record was significantly higher (p= .071) with a single monitor compared to a dual monitor (19.83 vs.18.73 minutes). However, the percentage of major cases was significantly higher (p= .000) in the single monitor group compared to the dual monitor group (78% vs. 69%). As a consequence, we adjusted our results, which reduced the difference in time required to process a record between the two systems from 1.1 to 0.61 minutes. Thus, the net real-time difference was only 37 seconds in favour of the dual monitor system. Extrapolated over a 5-year period, this would represent a time savings of 3.1% and generate a net cost savings of $7,729 CAD (Canadian dollars) for each workstation that devoted 35 hours per week to the processing of records. Finally, satisfaction questionnaire responses indicated a high level of satisfaction and support for the dual-monitor system. The implementation of a dual-monitor system in a hospital archiving department is an efficient option in the context of scarce human resources and has the

Mobile communication using a mobile phone with a glucometer for glucose control in Type 2 patients with diabetes: as effective as an Internet-based glucose monitoring system.

Science.gov (United States)

Cho, Jae-Hyoung; Lee, Hye-Chung; Lim, Dong-Jun; Kwon, Hyuk-Sang; Yoon, Kun-Ho

2009-01-01

A mobile phone with a glucometer integrated into the battery pack (the 'Diabetes Phone') was launched in Korea in 2003. We compared its effect on management of type 2 diabetes to the Internet-based glucose monitoring system (IBGMS), which had been studied previously. We conducted a randomized trial involving 69 patients for three months. Participants were assigned to an Internet group or a phone group. The phone group communicated with medical staff through the mobile phone only. Their glucose-monitoring data were automatically transferred to individual, web-based charts and they received medical recommendations by short message service. The Internet group used the IBGMS. There were no significant differences between the groups at baseline. After three months' intervention, HbA(1c) levels of both groups had decreased significantly, from 7.6% to 6.9% for the Internet group and from 8.3% to 7.1% for the phone group (P glucose control as the previously-studied Internet-based monitoring system and it was good for patient satisfaction and adherence.

Economics important in selecting monitoring techniques

International Nuclear Information System (INIS)

Moore, D.P.; Byars, H.G.

1990-01-01

Failure/risk costs need to be considered when deciding on the type of corrosion monitoring and inspection. Locations with high-pressure, high-velocity streams need closer monitoring. This article discusses the risks associated with different types of fluid streams and the various inspection techniques that can range from a low-cost visual examination to mechanical calipers and electromagnetic, radiographic, and ultrasonic tools

Type GQS-1 high pressure steam manifold water level monitoring system

International Nuclear Information System (INIS)

Li Nianzu; Li Beicheng; Jia Shengming

1993-10-01

The GQS-1 high pressure steam manifold water level monitoring system is an advanced nuclear gauge that is suitable for on-line detecting and monitor in high pressure steam manifold water level. The physical variable of water level is transformed into electrical pulses by the nuclear sensor. A computer is equipped for data acquisition, analysis and processing and the results are displayed on a 14 inch color monitor. In addition, a 4 ∼ 20 mA output current is used for the recording and regulation of water level. The main application of this gauge is for on-line measurement of high pressure steam manifold water level in fossil-fired power plant and other industries

UHV photoelectron x-ray beam position monitor

International Nuclear Information System (INIS)

Johnson, E.D.; Oversluizen, T.

1989-01-01

As part of our research program to develop viable beam position monitors for both the X-ray and VUV beamlines at the NSLS, we have constructed vertical photon beam position monitors which are presently mounted in two front-ends in the X-ray ring. These area-type detectors are located before the safety shutters and are, therefore, able to monitor the beam position even during injection. The features of this type of monitor which contribute to its long-term stability, position sensitivity, and immunity to horizontal beam motion have been examined and will be discussed. 6 refs., 4 figs

Monitored Retrievable Storage conceptual system studies: closed-cycle vault

International Nuclear Information System (INIS)

Washington, J.A.; Ganley, J.T.

1984-02-01

The Nuclear Waste Policy Act of 1982 requires the DOE to submit a proposal to Congress by June 1985 for the construction of one or more Monitored Retrieval Storage (MRS) facilities. In response, the DOE initiated studies to develop system descriptions and cost estimates for preconceptual designs of storage concepts suitable for use at MRS facilities. This report provides a system description and cost estimates for a Closed-Cycle Vault (CCV) MRS facility. The facility description is divided into four parts: (1) the R and H area, (2) the interface facility, (3) the on-site transport system, and (4) the storage system. The MRS facility has been designed to meet handling rates of 1800 and 3000 MTU/yr. The corresponding peak inventories are 15,000 and 72,000 MTU. Three types of cases were considered, based on the material to be stored: (1) Spent fuel only; (2) HLW and TRU waste; and (3) HLW only. For each of these three types, a cost estimate was done for a 15,000 and a 72,000 MTU facility, resulting in six different cost estimates. Section 4 presents the cost analysis of the CCV MRS system. Tables 4-2 through 4-7 give the construction or capital costs for the six cases. Tables 4-8 through 4-13 show the total discounted life-cycle costs for each of the six cases. These life-cycle costs include operating and decommissioning costs. These tables also show the time distribution of the capital costs. Table 2-1 summarizes the capital, operating, and discounted costs for the six cases studied. 2 references, 15 figures, 18 tables

Direct-reading inhalable dust monitoring--an assessment of current measurement methods.

Science.gov (United States)

Thorpe, Andrew; Walsh, Peter T

2013-08-01

Direct-reading dust monitors designed specifically to measure the inhalable fraction of airborne dust are not widely available. Current practice therefore often involves comparing the response of photometer-type dust monitors with the concentration measured with a reference gravimetric inhalable sampler, which is used to adjust the dust monitor measurement. However, changes in airborne particle size can result in significant errors in the estimation of inhalable concentration by this method. The main aim of this study was to assess how these dust monitors behave when challenged with airborne dust containing particles in the inhalable size range and also to investigate alternative dust monitors whose response might not be as prone to variations in particle size or that could be adapted to measure inhalable dust concentration. Several photometer-type dust monitors and a Respicon TM, tapered element oscillating microbalance (TEOM) personal dust monitor (PDM) 3600, TEOM 1400, and Dustrak DRX were assessed for the measurement of airborne inhalable dust during laboratory and field trials. The PDM was modified to allow it to sample and measure larger particles in the inhalable size range. During the laboratory tests, the dust monitors and reference gravimetric samplers were challenged inside a large dust tunnel with aerosols of industrial dusts known to present an inhalable hazard and aluminium oxide powders with a range of discrete particle sizes. A constant concentration of each dust type was generated and peak concentrations of larger particles were periodically introduced to investigate the effects of sudden changes in particle size on monitor calibration. The PDM, Respicon, and DataRam photometer were also assessed during field trials at a bakery, joinery, and a grain mill. Laboratory results showed that the Respicon, modified PDM, and TEOM 1400 observed good linearity for all types of dust when compared with measurements made with a reference IOM sampler; the

Feasibility study of patient motion monitoring using tactile array sensor

International Nuclear Information System (INIS)

Kim, Tae Ho; Kang, Seong Hee; Kim, Dong Su; Cho, Min Seok; Kim, Kyeong Hyeon; Suh, Tae Suk; Kim, Si Yong

2014-01-01

The aim of this study is to evaluate patient pretreatment set-up error and intra-fraction motion using the tactile array sensors (Pressure Profile Systems Inc, Los Angeles, CA) which could measure distributed pressure profiles along the contacting surface and to check a feasibility of the sensor (tactile array sensor) in the patient motion monitoring. Laser alignment and optical camera based monitoring system are very useful for reduce patient set-up error but these systems could not monitor the blind area like patient's back position. Actually after patient alignment using laser or optical monitoring system, it was assumed that there is no error in the patient's back position (pressure profile distribution). But if an error occurs in the patient's back position, it will affect the radiation therapy accuracy. In spite of optical motion monitoring or using the immobilization tool, distributed pressure profiles of patient's back position was changed during inter and intra-fraction. For more accurate patient set-up, blind area (patient's back) monitoring was necessary. We expect that the proposed method will be very useful for make up for the weakness of optical monitoring method

Feasibility study of patient motion monitoring using tactile array sensor

Energy Technology Data Exchange (ETDEWEB)

Kim, Tae Ho; Kang, Seong Hee; Kim, Dong Su; Cho, Min Seok; Kim, Kyeong Hyeon; Suh, Tae Suk [Dept. of Biomedical Engineering, Research Institute of Biomedical Engineering, the Catholic University of Korea, Seoul (Korea, Republic of); Kim, Si Yong [Dept. of Radiation Oncology, Virginia Commonwealth University, Richmond (United States)

2014-11-15

The aim of this study is to evaluate patient pretreatment set-up error and intra-fraction motion using the tactile array sensors (Pressure Profile Systems Inc, Los Angeles, CA) which could measure distributed pressure profiles along the contacting surface and to check a feasibility of the sensor (tactile array sensor) in the patient motion monitoring. Laser alignment and optical camera based monitoring system are very useful for reduce patient set-up error but these systems could not monitor the blind area like patient's back position. Actually after patient alignment using laser or optical monitoring system, it was assumed that there is no error in the patient's back position (pressure profile distribution). But if an error occurs in the patient's back position, it will affect the radiation therapy accuracy. In spite of optical motion monitoring or using the immobilization tool, distributed pressure profiles of patient's back position was changed during inter and intra-fraction. For more accurate patient set-up, blind area (patient's back) monitoring was necessary. We expect that the proposed method will be very useful for make up for the weakness of optical monitoring method.

Gastroesophageal reflux: comparison of barium studies with 24-h pH monitoring

International Nuclear Information System (INIS)

Pan, John J.; Levine, Marc S.; Redfern, Regina O.; Rubesin, Stephen E.; Laufer, Igor; Katzka, David A.

2003-01-01

Objective: To determine the correlation between massive gastroesophageal reflux (GER) on barium studies and pathologic acid reflux on 24-h pH monitoring. Methods: A search of hospital records from January 1997 to January 2001 revealed 28 patients who underwent both barium studies and 24-h pH monitoring. The radiologic reports were reviewed to determine the presence and degree of GER. Patients with reflux to or above the thoracic inlet either spontaneously or with provocative maneuvers in the recumbent position were classified as having massive reflux, whereas the remaining patients with reflux below the thoracic inlet or no reflux comprised the control group. The pH monitoring reports were also reviewed to determine if pathologic acid reflux was present in the recumbent position. The findings on these studies were then compared to determine the frequency of pathologic acid reflux in the recumbent position on pH monitoring in patients with massive reflux on barium studies compared with the control group. Results: Massive GER was observed on barium studies in 11 (39%) of the 28 patients and reflux below the thoracic inlet or no reflux in the remaining 17 patients (61%) who comprised the control group. All 11 patients (100%) with massive reflux on barium studies had pathologic acid reflux on pH monitoring in the recumbent position compared with six (35%) of 17 patients in the control group (P=0.0009). The pH in the distal esophagus on pH monitoring was less than 4.0 for 13.1% of the recumbent period for patients with massive GER on barium studies compared with 6.2% of the recumbent period for the control group (P=0.0076). Conclusion: Although 24-h pH monitoring remains the gold standard for the detection of GER, our experience suggests that patients with massive reflux on barium studies are so likely to have pathologic acid reflux in the recumbent position that these individuals can be further evaluated and treated for their gastroesophageal reflux disease (GERD

Gastroesophageal reflux: comparison of barium studies with 24-h pH monitoring

Energy Technology Data Exchange (ETDEWEB)

Pan, John J.; Levine, Marc S. E-mail: levine@oasis.rad.upenn.edu; Redfern, Regina O.; Rubesin, Stephen E.; Laufer, Igor; Katzka, David A

2003-08-01

Objective: To determine the correlation between massive gastroesophageal reflux (GER) on barium studies and pathologic acid reflux on 24-h pH monitoring. Methods: A search of hospital records from January 1997 to January 2001 revealed 28 patients who underwent both barium studies and 24-h pH monitoring. The radiologic reports were reviewed to determine the presence and degree of GER. Patients with reflux to or above the thoracic inlet either spontaneously or with provocative maneuvers in the recumbent position were classified as having massive reflux, whereas the remaining patients with reflux below the thoracic inlet or no reflux comprised the control group. The pH monitoring reports were also reviewed to determine if pathologic acid reflux was present in the recumbent position. The findings on these studies were then compared to determine the frequency of pathologic acid reflux in the recumbent position on pH monitoring in patients with massive reflux on barium studies compared with the control group. Results: Massive GER was observed on barium studies in 11 (39%) of the 28 patients and reflux below the thoracic inlet or no reflux in the remaining 17 patients (61%) who comprised the control group. All 11 patients (100%) with massive reflux on barium studies had pathologic acid reflux on pH monitoring in the recumbent position compared with six (35%) of 17 patients in the control group (P=0.0009). The pH in the distal esophagus on pH monitoring was less than 4.0 for 13.1% of the recumbent period for patients with massive GER on barium studies compared with 6.2% of the recumbent period for the control group (P=0.0076). Conclusion: Although 24-h pH monitoring remains the gold standard for the detection of GER, our experience suggests that patients with massive reflux on barium studies are so likely to have pathologic acid reflux in the recumbent position that these individuals can be further evaluated and treated for their gastroesophageal reflux disease (GERD

Surveillance systems (PWR) - loose parts monitoring - vibration monitoring - leakage detection

International Nuclear Information System (INIS)

Schuette, A.; Blaesig, H.

1982-01-01

The contribution is engaged in the task and the results of the loose parts monitoring and the vibration monitoring following from the practice at the PWR of Biblis. First a description of both systems - location and type of the sensors used, the treatment of the measurements and the indications - is given. The results of the analysis of some events picked up by the surveillance systems are presented showing applicabilty and benefit of such systems. (orig.)

Studies of jet fuel additives using the quartz crystal microbalance and pressure monitoring at 140 C

Energy Technology Data Exchange (ETDEWEB)

Zabarnick, S.; Grinstead, R.R. [Univ. of Dayton Research Institute, OH (United States)

1995-05-01

The quartz crystal microbalance (QCM) and pressure monitoring are used for the evaluation of jet fuel additives for the improvement of jet fuel thermal stability. The mechanisms of additive behavior are determined by measuring the time dependent deposition with the QCM and oxidation by pressure measurements. Studies at various additive concentrations permits the determination of optimum additive concentrations. Additive packages made of mixtures of antioxidants, detergent/dispersants, and metal deactivators are shown to yield good improvements in thermal stability over a wide range of jet fuel types.

Comparison of image quality between mammography dedicated monitor and UHD 4K monitor, using standard mammographic phantom: A preliminary study

Energy Technology Data Exchange (ETDEWEB)

Lee, Ji Young; Cha, Soon Joo; Hong, Sung Hwan; Kim, Su Young; Kim, Yong Hoon; Kim, You Sung; Kim, Jeong A [Dept. of Radiology, Inje Unveristy Ilsan Paik Hospital, Goyang (Korea, Republic of)

2017-03-15

Using standard mammographic phantom images, we compared the image quality obtained between a mammography dedicated 5 megapixel monitor (5M) and a UHD 4K (4K) monitor with digital imaging and communications in medicine display, to investigate the possibility of clinical application of 4K monitors. Three different exposures (autoexposure, overexposure and underexposure) images of mammographic phantom were obtained, and six radiologists independently evaluated the images in 5M and 4K without image modulation, by scoring of fibers, groups of specks and masses within the phantom image. The mean score of each object on both monitors was independently analyzed, using t-test and interobserver reliability by intraclass correlation coefficient (ICC) of SPSS. The overall mean scores of fiber, group of specks, and mass in 5M were 4.25, 3.92, and 3.28 respectively, and scores obtained in 4K monitor were 3.81, 3.58, and 3.14, respectively. No statistical difference was seen in scores of fiber and mass between the two monitors at all exposure conditions, but the score of group of specks in 4K was statistically lower in the overall (p = 0.0492) and in underexposure conditions (p = 0.012). The ICC for interobserver reliability was excellent (0.874). Our study suggests that since the mammographic phantom images are appropriate with no significant difference in image quality observed between the two monitors, the 4K monitor could be used for clinical studies. Since this is a small preliminary study using phantom images, the result may differ in actual mammographic images, and subsequent investigation with clinical mammographic images is required.

A Behavioral Lifestyle Intervention Enhanced With Multiple-Behavior Self-Monitoring Using Mobile and Connected Tools for Underserved Individuals With Type 2 Diabetes and Comorbid Overweight or Obesity: Pilot Comparative Effectiveness Trial.

Science.gov (United States)

Wang, Jing; Cai, Chunyan; Padhye, Nikhil; Orlander, Philip; Zare, Mohammad

2018-04-10

Self-monitoring is a cornerstone of behavioral lifestyle interventions for obesity and type 2 diabetes mellitus. Mobile technology has the potential to improve adherence to self-monitoring and patient outcomes. However, no study has tested the use of a smartphone to facilitate self-monitoring in overweight or obese adults with type 2 diabetes mellitus living in the underserved community. The aim of this study was to examine the feasibility of and compare preliminary efficacy of a behavioral lifestyle intervention using smartphone- or paper-based self-monitoring of multiple behaviors on weight loss and glycemic control in a sample of overweight or obese adults with type 2 diabetes mellitus living in underserved communities. We conducted a randomized controlled trial to examine the feasibility and preliminary efficacy of a behavioral lifestyle intervention. Overweight or obese patients with type 2 diabetes mellitus were recruited from an underserved minority community health center in Houston, Texas. They were randomly assigned to one of the three groups: (1) behavior intervention with smartphone-based self-monitoring, (2) behavior intervention with paper diary-based self-monitoring, and (3) usual care group. Both the mobile and paper groups received a total of 11 face-to-face group sessions in a 6-month intervention. The mobile group received an Android-based smartphone with 2 apps loaded to help them record their diet, physical activity, weight, and blood glucose, along with a connected glucometer, whereas the paper group used paper diaries for these recordings. Primary outcomes of the study included percentage weight loss and glycated hemoglobin (HbA 1c ) changes over 6 months. A total of 26 patients were enrolled: 11 in the mobile group, 9 in the paper group, and 6 in the control group. We had 92% (24/26) retention rate at 6 months. The sample is predominantly African Americans with an average age of 56.4 years and body mass index of 38.1. Participants lost an

The Effect of Monitoring: How Data Collection Type and Frequency Boosts Participation and the Adoption of Best Practices in a Coffee Agronomy Training Program in Rwanda.

Science.gov (United States)

Gathani, Sachin; Gomez, Maria Paula; Sabates, Ricardo; Stoelinga, Dimitri

2015-12-01

The impact of surveying on individuals' behavior and decision making has been widely studied in academic literature on market research but not so much the impact of monitoring on economic development interventions. To estimate whether different monitoring strategies lead to improvement in participation levels and adoption of best practices for coffee production for farmer who participated in TechnoServe Agronomy Training Program in Rwanda. Farmers were identified randomly for monitoring purposes to belong to two different groups and then selected depending on the additional criterion of having productive coffee trees. We estimate treatment-on-the-treated and intention-to-treat effects on training attendance rates and farmers best-practice adoptions using difference-in-differences estimation techniques. Farmers were randomly identified to a high or low monitoring with different type and frequency of data collection and selected if they had productive coffee trees as part of the monitoring strategy. Attendance to training sessions by all farmers in the program and best-practice adoption data for improving coffee yield. We find that monitoring led to surprisingly large increases in farmer participation levels in the project and also improved best-practice adoption rates. We also find that higher frequency of data collection has long-lasting effects and are more pronounced for low-attendance farmers. Monitoring not only provides more data and a better understanding of project dynamics, which in turn can help improve design, but can also improve processes and outcomes, in particular for the least engaged. © The Author(s) 2016.

Personality correlates of the Five-Factor Model for a sample of business owners/managers: associations with scores on Self-Monitoring, Type A Behavior, Locus of Control, and Subjective Well-being.

Science.gov (United States)

Morrison, K A

1997-02-01

Bivariate relationships were examined between scores on the Five-Factor Model of personality and four personality dimensions including Self-monitoring, Locus of Control, Type A Behavior, and Subjective Well-being. Data were collected from 307 franchise business owner/managers from four different industries. Scores for Self-monitoring were positively related to those on Extraversion; Self-monitoring was the only personality measure significantly correlated with scores on Openness to Experience. Scores for Type A Behavior, measured by the Jenkins Activity Survey, were negatively correlated with Agreeableness and positively correlated with those for Extraversion. Somewhat surprisingly, the score for Type A Behavior had a relatively low correlation with the score for Conscientiousness. Scores for Subjective Well-being and Locus of Control were most strongly correlated with the positive pole of Neuroticism (Emotional Stability), Conscientiousness, and Extraversion. Possible explanations for the observed relationships are discussed.

Continuous glucose monitoring for patients with diabetes: an evidence-based analysis.

Science.gov (United States)

2011-01-01

sensor is required. The device is equipped with alarms which warn the patient of impending hypo-or hyperglycemia. Two types of CGM are available: Systems that is stored in a monitor and can be downloaded later.Real time systems that continuously provide the actual glucose concentration on a display. What is the effectiveness and cost-effectiveness of CGM combined with SMBG compared with SMBG alone in the management of diabetes? A literature search was performed on September 15, 2010 using OVID MEDLINE, MEDLINE In-Process and Other Non-Indexed Citations, EMBASE, the Cumulative Index to Nursing & Allied Health Literature (CINAHL), the Cochrane Library, and the International Agency for Health Technology Assessment (INAHTA) for studies published from January 1, 2002 until September 15, 2010. Abstracts were reviewed by a single reviewer and, for those studies meeting the eligibility criteria, full-text articles were obtained. Reference lists were also examined for any additional relevant studies not identified through the search. Articles with unknown eligibility were reviewed with a second clinical epidemiologist, then a group of epidemiologists until consensus was established. The quality of evidence was assessed as high, moderate, low or very low according to GRADE methodology. English languageRandomized controlled trials (N>30 patients)Adults or pediatric patients with insulin dependent diabetes (type 1 or 2 or gestational)Studies comparing CGM plus SMBG versus SMBG alone Case studiesStudies that did not compare CGM plus SMBG versus SMBG aloneStudies that did not report statistical analysis of outcomes or data was unextractable Change in glycosylated hemoglobin (HbA1c)Frequency or duration of hypo-or hyperglycemic episodes or euglycemiaAdverse effects Moderate quality evidence that CGM + SMBG: is not more effective than self monitoring of blood glucose (SMBG) alone in the reduction of HbA1c using insulin infusion pumps for Type 1 diabetes.is not more effective than SMBG

Study of monitoring protection of radionuclides contamination in organism by autoradiography

International Nuclear Information System (INIS)

Zhu Shoupeng; Kang Baoan; He Guangren

1987-01-01

In view of the exceptionally important role of the medical radiation protection in human health, the authors try to study on the monitoring of internal contamination of radionuclides in organism by different autoradiographic methods, such as: monitoring of the body retention of isolated or combined radionuclides by freezing microautoradiography; monitoring of blood, bone marrow and excreta radioactive samples by smear autoradiography; differentiation of two radionuclides contamination by double radionuclide autoradiography; especially, monitoring of low level of radionuclides contamination by fluorescence sensitization autoradiography. The sensitivity of autoradiographic formation was increased by the scintillator by 10 times

Statistical monitoring of linear antenna arrays

KAUST Repository

Harrou, Fouzi

2016-11-03

The paper concerns the problem of monitoring linear antenna arrays using the generalized likelihood ratio (GLR) test. When an abnormal event (fault) affects an array of antenna elements, the radiation pattern changes and significant deviation from the desired design performance specifications can resulted. In this paper, the detection of faults is addressed from a statistical point of view as a fault detection problem. Specifically, a statistical method rested on the GLR principle is used to detect potential faults in linear arrays. To assess the strength of the GLR-based monitoring scheme, three case studies involving different types of faults were performed. Simulation results clearly shown the effectiveness of the GLR-based fault-detection method to monitor the performance of linear antenna arrays.

Study on a monitoring strategy to support decision making for geological repository closure

International Nuclear Information System (INIS)

Suyama, Yasuhiro; Tanabe, Hiromi; Eto, Jiro; Yoshimura, Kimitaka

2010-01-01

Japan currently plans to dispose of high-level radioactive wastes (vitrified HLWs) produced from the reprocessing of spent nuclear fuel in deep geological formations, in order to isolate the radioactive wastes from the human environment for tens of thousands of years. Such a geological repository must be designed to ensure operational safety and post-closure safety. Then, following the closure of the geological repository, post-closure safety will be provided by an engineered barrier system (EBS) and a natural barrier system (NBS) without relying on monitoring or institutional control. However, from a technical standpoint, monitoring has been required during backfilling in current studies. Additionally, there has been strong social pressure to continue monitoring during all the phases including post-closure. On the basis of the current situations, a monitoring strategy for geological disposal must be studied to ensure the long term safety of geological disposal. Focusing on decision making for geological repository closure, the authors have created a basic logical structure for the decision making process with the principles for ensuring safety and have developed a monitoring strategy based on the logical structure. The monitoring strategy is founded on three key aspects: the role of monitoring, boundary conditions of monitoring at the time of decision making, and a methodology for monitoring planning. Then, the monitoring strategy becomes a starting point of monitoring planning during site characterization, construction, operation and staged closure, as well as post-closure with institutional control, and of social science studies. (author)

Monitoring and discussing health-related quality of life in adolescents with type 1 diabetes improve psychosocial well-being: a randomized controlled trial

NARCIS (Netherlands)

de Wit, M.; Delemarre-van d Waal, H.A.; Bokma, J.A.; Haasnoot, K.; Houdijk, M.C.; Gemke, R.J.B.J.; Snoek, F.J.

2008-01-01

OBJECTIVE - To test the effects of monitoring and discussing of health-related quality of life (HRQoL) in adolescents with type 1 diabetes in a multicenter randomized controlled trial. RESEARCH DESIGN AND METHODS - Four centers were randomly assigned to the HRQoL intervention (46 adolescents) or

New technologies in the treatment of type 1 diabetes

DEFF Research Database (Denmark)

Schmidt, Signe

2013-01-01

Type 1 diabetes is a chronic condition characterized by insufficient production of insulin, a hormone needed for proper control of blood glucose levels. People with type 1 diabetes must monitor their blood glucose throughout the day using a glucose meter or a continuous glucose monitor, calculate...... how much insulin is needed to maintain normal blood glucose levels, and administer the insulin dose by pen injection or insulin pump infusion into the subcutaneous tissue. In recent years, several new technologies for the treatment of type 1 diabetes have been developed. This PhD thesis covers two...... studies of the effects of commercially available technologies--sensor-augmented pump therapy and automated insulin bolus calculators--when used in clinical practice. Both studies demonstrated that these technologies have the potential to improve diabetes care. In addition, two in-clinic studies related...

Direct Application of Rep-PCR on Type I Sourdough Matrix to Monitor the Dominance and Persistence of a Lactobacillus plantarum Starter Throughout Back-Slopping.

Science.gov (United States)

Dolci, Paola; Cocolin, Luca

2017-08-01

This study describes the optimization and application of repetitive element-PCR (rep-PCR) technique directly on microbial DNA extracted from type I sourdoughs for fast monitoring of a Lb. plantarum starter strain (P1FMC) throughout daily back-slopping. The challenge was to follow and study the performance of a starter culture directly in sourdoughs without cultivation on selective media. The extraction of good quality microbial DNA suitable for amplification from a complex matrix such as dough was the first target. In addition, the objective to obtain a clear rep-PCR profile referable to a specific starter strain among a microbial community was pursued. Co-inoculum trials, in flour matrix, with Lb. plantarum P1FMC and L. lactis LC71 strains and, subsequently, type I sourdough back-slopping trials were performed. The rep-PCR amplification profiles obtained were clearly referable to that of Lb. plantarum P1FMC starter in both co-inoculum trials (also when it was present with one order of magnitude less with respect to L. lactis LC71) and back-slopping trials where it dominated the fermentation process with loads of 10 8 cfu g -1 and prevailed on the autochthonous microbiota. Thus, the approach proposed in this paper could be considered a methodological advancement, based on a culture-independent one-step rep-PCR, suitable for fast monitoring of starter performance. © 2017 Institute of Food Technologists®.

HbA1c monitoring interval in patients on treatment for stable type 2 diabetes. A ten-year retrospective, open cohort study.

Science.gov (United States)

Ohde, Sachiko; Deshpande, Gautam A; Yokomichi, Hiroshi; Takahashi, Osamu; Fukui, Tsuguya; Yamagata, Zentaro

2018-01-01

[Aims] This study aims to suggest an informative interval for HbA1c in DM patients with stable glycemic control, based on test characteristics of the HbA1C assay using the signal-to-noise ratio method. [Methods] This was a retrospective, open cohort study. Data were collected between January 2005 to December 2014 at a tertiary-level community hospital in Japan. All adult patients aged under 75 years, with stable glycemic control on a first pharmaceutical regimen for Type II diabetes, and at least two HbA1c measurements after they achieved glycemic stability, were included in the analysis. We defined stable glycemic control as HbA1c HbA1c. The screening interval for HbA1c was defined as informative when the signal-to-noise ratio exceeded 1. [Results] Among 1066 adults with diabetes, 639 patients (18.5%) were identified as achieving stable glycemic control (511 male (67.3%)), with a mean HbA1c (SD) of 6.4 (0.4)% (46 mmol/mol). Patients with stable glycemic control increase their HbA1c 0.27% (3 mmol/mol) every year while HbA1c has 0.32% (3.5 mmol/mol) noise, as testing characteristics. Signal exceeds noise after 1.2 years (95%CI: 0.9-1.6). [Conclusion] Once patients achieve stable glycemic control at their HbA1c goal, an informative interval for HbA1c monitoring is once every year. Current guidelines, which suggest testing every six months, may contribute to substantial over-testing. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Blood pressure self-monitoring in pregnancy: examining feasibility in a prospective cohort study.

Science.gov (United States)

Tucker, Katherine L; Taylor, Kathryn S; Crawford, Carole; Hodgkinson, James A; Bankhead, Clare; Carver, Tricia; Ewers, Elizabeth; Glogowska, Margaret; Greenfield, Sheila M; Ingram, Lucy; Hinton, Lisa; Khan, Khalid S; Locock, Louise; Mackillop, Lucy; McCourt, Christine; Pirie, Alexander M; Stevens, Richard; McManus, Richard J

2017-12-28

Raised blood pressure (BP) affects approximately 10% of pregnancies worldwide, and a high proportion of affected women develop pre-eclampsia. This study aimed to evaluate the feasibility of self-monitoring of BP in pregnancy in women at higher risk of pre-eclampsia. This prospective cohort study of self-monitoring BP in pregnancy was carried out in two hospital trusts in Birmingham and Oxford and thirteen primary care practices in Oxfordshire. Eligible women were those defined by the UK National Institute for Health and Care Excellence (NICE) guidelines as at higher risk of pre-eclampsia. A total of 201 participants were recruited between 12 and 16 weeks of pregnancy and were asked to take two BP readings twice daily three times a week through their pregnancy. Primary outcomes were recruitment, retention and persistence of self-monitoring. Study recruitment and retention were analysed with descriptive statistics. Survival analysis was used to evaluate the persistence of self-monitoring and the performance of self-monitoring in the early detection of gestational hypertension, compared to clinic BP monitoring. Secondary outcomes were the mean clinic and self-monitored BP readings and the performance of self-monitoring in the detection of gestational hypertension and pre-eclampsia compared to clinic BP. Of 201 women recruited, 161 (80%) remained in the study at 36 weeks or to the end of their pregnancy, 162 (81%) provided any home readings suitable for analysis, 148 (74%) continued to self-monitor at 20 weeks and 107 (66%) at 36 weeks. Self-monitored readings were similar in value to contemporaneous matched clinic readings for both systolic and diastolic BP. Of the 23 who developed gestational hypertension or pre-eclampsia and self-monitored, 9 (39%) had a raised home BP prior to a raised clinic BP. Self-monitoring of BP in pregnancy is feasible and has potential to be useful in the early detection of gestational hypertensive disorders but maintaining self-monitoring

Blood pressure self-monitoring in pregnancy (BuMP) feasibility study; a qualitative analysis of women's experiences of self-monitoring.

Science.gov (United States)

Hinton, Lisa; Tucker, Katherine L; Greenfield, Sheila M; Hodgkinson, James A; Mackillop, Lucy; McCourt, Christine; Carver, Trisha; Crawford, Carole; Glogowska, Margaret; Locock, Louise; Selwood, Mary; Taylor, Kathryn S; McManus, Richard J

2017-12-19

Hypertensive disorders in pregnancy are a leading cause of maternal and fetal morbidity worldwide. Raised blood pressure (BP) affects 10% of pregnancies worldwide, of which almost half develop pre-eclampsia. The proportion of pregnant women who have risk factors for pre-eclampsia (such as pre-existing hypertension, obesity and advanced maternal age) is increasing. Pre-eclampsia can manifest itself before women experience symptoms and can develop between antenatal visits. Incentives to improve early detection of gestational hypertensive disorders are therefore strong and self-monitoring of blood pressure (SMBP) in pregnancy might be one means to achieve this, whilst improving women's involvement in antenatal care. The Blood Pressure Self-Monitoring in Pregnancy (BuMP) study aimed to evaluate the feasibility and acceptability of SMBP in pregnancy. To understand women's experiences of SMBP during pregnancy, we undertook a qualitative study embedded within the BuMP observational feasibility study. Women who were at higher risk of developing hypertension and/or pre-eclampsia were invited to take part in a study using SMBP and also invited to take part in an interview. Semi-structured interviews were conducted at the women's homes in Oxfordshire and Birmingham with women who were self-monitoring their BP as part of the BuMP feasibility study in 2014. Interviews were conducted by a qualitative researcher and transcribed verbatim. A framework approach was used for analysis. Fifteen women agreed to be interviewed. Respondents reported general willingness to engage with monitoring their own BP, feeling that it could reduce anxiety around their health during pregnancy, particularly if they had previous experience of raised BP or pre-eclampsia. They felt able to incorporate self-monitoring into their weekly routines, although this was harder post-partum. Self-monitoring of BP made them more aware of the risks of hypertension and pre-eclampsia in pregnancy. Feelings of

Memory-type control charts for monitoring the process dispersion

NARCIS (Netherlands)

Abbas, N.; Riaz, M.; Does, R.J.M.M.

2014-01-01

Control charts have been broadly used for monitoring the process mean and dispersion. Cumulative sum (CUSUM) and exponentially weighted moving average (EWMA) control charts are memory control charts as they utilize the past information in setting up the control structure. This makes CUSUM and

Monitoring occupational exposure to ionizing radiation

International Nuclear Information System (INIS)

Button, J.B.C.

1997-01-01

A brief overview is presented of methods of monitoring occupational exposure to ionizing radiation together with reasons for such monitoring and maintaining dose histories of radiation occupationally exposed persons. The various Australian providers of external radiation monitoring services and the types of dosemeters they supply are briefly described together with some monitoring results. Biological monitoring methods, are used to determine internal radiation dose. Whole body monitors, used for this purpose are available at Australian Radiation Lab., ANSTO and a few hospitals. Brief mention is made of the Australian National Radiation Dose Register and its objectives

Radiation monitoring: an introduction. Rev. ed.

International Nuclear Information System (INIS)

Hayward, P.; Arnott, D.

1987-01-01

This Greenpeace pamphlet has been produced in reponse to requests from members of the public wishing to set up monitoring groups. It lists some U.K. manufacturers of radiation monitoring equipment and the contributors have summarized information available from manufacturer's own catalogues describing the equipment, what it will and will not do and costing various programmes. Three types of monitoring are discussed: monitoring the level of background gamma radiation, monitoring radioactive contamination, (early warning systems), and monitoring food and environmental samples for very low levels of radiation. (UK)

Comparative study of two modes of gastroesophageal reflux measuring: conventional esophageal pH monitoring and wireless pH monitoring

Directory of Open Access Journals (Sweden)

Rimon Sobhi Azzam

2012-06-01

Full Text Available CONTEXT: Esophageal pH monitoring is considered to be the gold standard for the diagnosis of gastroesophageal acid reflux. However, this method is very troublesome and considerably limits the patient's routine activities. Wireless pH monitoring was developed to avoid these restrictions. OBJECTIVE: To compare the first 24 hours of the conventional and wireless pH monitoring, positioned 3 cm above the lower esophageal sphincter, in relation to: the occurrence of relevant technical failures, the ability to detect reflux and the ability to correlate the clinical symptoms to reflux. METHODS: Twenty-five patients referred for esophageal pH monitoring and with typical symptoms of gastroesophageal reflux disease were studied prospectively, underwent clinical interview, endoscopy, esophageal manometry and were submitted, with a simultaneous initial period, to 24-hour catheter pH monitoring and 48-hour wireless pH monitoring. RESULTS: Early capsule detachment occurred in one (4% case and there were no technical failures with the catheter pH monitoring (P = 0.463. Percentages of reflux time (total, upright and supine were higher with the wireless pH monitoring (P < 0.05. Pathological gastroesophageal reflux occurred in 16 (64% patients submitted to catheter and in 19 (76% to the capsule (P = 0.355. The symptom index was positive in 12 (48% patients with catheter pH monitoring and in 13 (52% with wireless pH monitoring (P = 0.777. CONCLUSIONS: 1 No significant differences were reported between the two methods of pH monitoring (capsule vs catheter, in regard to relevant technical failures; 2 Wireless pH monitoring detected higher percentages of reflux time than the conventional pH-metry; 3 The two methods of pH monitoring were comparable in diagnosis of pathological gastroesophageal reflux and comparable in correlating the clinical symptoms with the gastroesophageal reflux.

Tool wear and breakage monitoring in machining

International Nuclear Information System (INIS)

Madl, J.

1992-01-01

Risk minimization of metal cutting operations is one of the main problems of metal cutting technology. This paper describes some aspects in monitoring and control of machining processes. Tool monitoring is the fokus of machining process monitoring. Tool breakage and tool life recognition are the main problems of tool monitoring. All problems of this type of monitoring have not yet been fully solved. (orig.)

Fluid Status in Peritoneal Dialysis Patients: The European Body Composition Monitoring (EuroBCM) Study Cohort

Science.gov (United States)

Van Biesen, Wim; Williams, John D.; Covic, Adrian C.; Fan, Stanley; Claes, Kathleen; Lichodziejewska-Niemierko, Monika; Verger, Christian; Steiger, Jurg; Schoder, Volker; Wabel, Peter; Gauly, Adelheid; Himmele, Rainer

2011-01-01

Background Euvolemia is an important adequacy parameter in peritoneal dialysis (PD) patients. However, accurate tools to evaluate volume status in clinical practice and data on volume status in PD patients as compared to healthy population, and the associated factors, have not been available so far. Methods We used a bio-impedance spectroscopy device, the Body Composition Monitor (BCM) to assess volume status in a cross-sectional cohort of prevalent PD patients in different European countries. The results were compared to an age and gender matched healthy population. Results Only 40% out of 639 patients from 28 centres in 6 countries were normovolemic. Severe fluid overload was present in 25.2%. There was a wide scatter in the relation between blood pressure and volume status. In a multivariate analysis in the subgroup of patients from countries with unrestricted availability of all PD modalities and fluid types, older age, male gender, lower serum albumin, lower BMI, diabetes, higher systolic blood pressure, and use of at least one exchange per day with the highest hypertonic glucose were associated with higher relative tissue hydration. Neither urinary output nor ultrafiltration, PD fluid type or PD modality were retained in the model (total R2 of the model = 0.57). Conclusions The EuroBCM study demonstrates some interesting issues regarding volume status in PD. As in HD patients, hypervolemia is a frequent condition in PD patients and blood pressure can be a misleading clinical tool to evaluate volume status. To monitor fluid balance, not only fluid output but also dietary input should be considered. Close monitoring of volume status, a correct dialysis prescription adapted to the needs of the patient and dietary measures seem to be warranted to avoid hypervolemia. PMID:21390320

Monitoring of environmental radioactivity

International Nuclear Information System (INIS)

1986-01-01

The results are described of monitoring radioactivity of atmospheric fallout, surface waters, soils, plant feeds, cereals, and other agricultural produce. The results were obtained over a long time period. Radioactivity was also measured of milk, milk products, vegetables and fruits, meat and hen eggs, flour and bakery products with a view to radionuclide migration in the food chain. The daily intake of 90 Sr and 137 Cs from food was determined from the values obtained and the consumption of the individual types of food. Strontium-90 distribution was studied in the bones and the teeth of the population in Slovakia. With the commissioning of nuclear power plants, emissions and liquid wastes were monitored and their environmental impact assessed. (E.S.)

Hypoglycemia in type 2 diabetes patients treated with insulin: the advantages of continuous glucose monitoring

Directory of Open Access Journals (Sweden)

Vadim Valer'evich Klimontov

2014-03-01

Full Text Available Aims.  To determine the incidence and risk factors for hypoglycemia in elderly insulin-treated type 2 diabetes mellitus (T2DM patients by means of continuous glucose monitoring (CGM. Materials and Methods.  We observed seventy-six hospitalized patients with T2DM, aged 65 to 79 years. Treatment with basal insulin (n=36, premixed insulin (n=12 or basal-bolus insulin regimen (n=28 was followed by metformin (n=44, glimepiride (n=14 and dipeptidyl peptidase-4 inhibitors (n=14. 2-days CGM with retrospective data analysis was performed in all patients. During CGM, three fasting and three 2-h postprandial finger-prick glucose values were obtained daily with portable glucose meter. Results.  Hypoglycemia (identified as blood glucose

High-resolution stable isotope monitoring reveals differential vegetation-soil water feedbacks among plant functional types

Science.gov (United States)

Volkmann, T. H. M.; Haberer, K.; Troch, P. A. A.; Gessler, A.; Weiler, M.

2016-12-01

Understanding the linked dynamics of rain water recharge to soils and its utilization by plants is critical for predicting the impact of climate and land use changes on the productivity of ecosystems and the hydrologic cycle. While plants require vast quantities of water from the soil to sustain growth and function, they exert important direct and indirect controls on the movement of water through the rooted soil horizons, thereby potentially affecting their own resource availability. However, the specific ecohydrological belowground processes associated with different plant types and their rooting systems have been difficult to quantify with traditional methods. Here, we report on the use of techniques for monitoring stable isotopes in soil and plant water pools that allow us to track water infiltration and root uptake dynamics non-destructively and in high resolution. The techniques were applied in controlled rain pulse experiments with distinct plant types (grass, deciduous trees, grapevine) that we let develop on an initially uniform soil for two years. Our results show that plant species and types differed widely in their plasticity and pattern of root uptake under variable water availability. Thereby, and through notably co-acting indirect effects related to differential root system traits and co-evolution of soil properties, the different plants induced contrasting hydrological dynamics in the soil they had inhabited for only a short period of time. Taken together, our data suggest that the studied soil-vegetation systems evolved a positive infiltration-uptake feedback in which hydrological flow pathways underlying different species diverged in a way that complemented their specific water utilization strategy. Such a feedback could present an indirect competitive mechanism by which plants improve their own water supply and modulate hydrological cycling at the land surface. The ability to directly measure this feedback using in situ isotope methodology

High sensitivity on-line monitor for radioactive effluent

Energy Technology Data Exchange (ETDEWEB)

Sasaki, Toshimi [Tohoku Electric Power Co. Ltd., Sendai (Japan); Ishizuka, Akira; Abe, Eisuke; Inoue, Yasuhiko; Fujii, Masaaki; Kitaguchi, Hiroshi; Doi, Akira

1983-04-01

A new approach for a highly sensitive effluent monitor is presented. The free flow type monitor, which consists of a straightener, nozzle, monitoring section and ..gamma..-ray detector, is demonstrated to be effective in providing long term stability. The 160 start-and-stop cycles of effluent discharge were repeated in a 120-h testing period. Results showed a background increase was not observed for the free flow type monitor. The background count rate was calibrated to the lowest detection limit to be 2.2 x 10/sup -2/ Bq/ml for a 300 s measurement time.

Industrial chemical exposure: guidelines for biological monitoring

National Research Council Canada - National Science Library

Lauwerys, Robert R; Hoet, Perrine

2001-01-01

.... With Third Edition of Industrial Chemical Exposure you will understand the objectives of biological monitoring, the types of biological monitoring methods, their advantages and limitations, as well...

Ground-based photo monitoring

Science.gov (United States)

Frederick C. Hall

2000-01-01

Ground-based photo monitoring is repeat photography using ground-based cameras to document change in vegetation or soil. Assume those installing the photo location will not be the ones re-photographing it. This requires a protocol that includes: (1) a map to locate the monitoring area, (2) another map diagramming the photographic layout, (3) type and make of film such...

Implementation of the monitor concept

Energy Technology Data Exchange (ETDEWEB)

Gerstenberger, M.

1982-01-01

Sequential and parallel computer programs are contrasted, and the problems of implementing compilers are stated, with special reference to the Pascal language. Process and monitor data types in computer programming are described, various procedures are listed and the monitor concept is applied to a generator-user problem. A Pascal initiator program is listed. It is claimed that the monitor approach can yield lower fault levels than assembler or semaphore approaches. It is pointed out that monitors for program synchronisation are only applicable for common, and not for distributed, storage systems. 9 references.

A study of groundwater monitoring data analysis using Artificial Neural Network model

International Nuclear Information System (INIS)

Watanabe, Kunio; Gautam, M.R.; Saegusa, Hiromitsu

2003-05-01

The results of groundwater flow modeling are to be justified using groundwater monitoring data in the hydrogeological characterization. On the other hand, hydraulic continuities of the geological structures, all of which are considered to have great effect on groundwater flow and/or groundwater quality, are to be estimated using the groundwater flow monitoring data with hydraulic response to some impacts such as borehole drilling, pumping test and so on. Therefore, the groundwater monitoring is important for characterizing the geological and hydrogeological environments. In order to characterize of hydrogeological environment using the monitoring data, it is important to evaluate the influence of artificial and natural impact on the monitoring data. In this study, the following three research works are carried out based on the groundwater monitoring data collected at the Tono area. Artificial Neural Network (ANN) was adopted as the tool for monitoring data analysis. Runoff analysis for assessment of importance of soil moisture on runoff estimation in a catchment. Analysis of water level fluctuation for determination influence factors in the water level fluctuation and for filtering out the influence factors from the water level data . Analysis of hydraulic pressure fluctuation in deep geological formations for hydrogeological characterization and assessment of human influence on the pore pressure in deep formation. Through this study, applicability of ANN for analysis and interpretation of the groundwater monitoring data could be confirmed and methodology for utilization the monitoring data for understanding and characterization of hydrogeological environment could be developed. (author)

Feedback from physical activity monitors is not compatible with current recommendations: A recalibration study.

Science.gov (United States)

Thompson, Dylan; Batterham, Alan M; Peacock, Oliver J; Western, Max J; Booso, Rahuman

2016-10-01

Wearable devices to self-monitor physical activity have become popular with individuals and healthcare practitioners as a route to the prevention of chronic disease. It is not currently possible to reconcile feedback from these devices with activity recommendations because the guidelines refer to the amount of activity required on top of normal lifestyle activities (e.g., 150 minutes of moderate-to-vigorous intensity activity per week over-and-above normal moderate-to-vigorous lifestyle activities). The aim of this study was to recalibrate the feedback from self-monitoring. We pooled data from four studies conducted between 2006 and 2014 in patients and volunteers from the community that included both sophisticated measures of physical activity and 10-year risk for cardiovascular disease and type 2 diabetes (n=305). We determined the amount of moderate-to-vigorous intensity activity that corresponded to FAO/WHO/UNU guidance for a required PAL of 1.75 (Total Energy Expenditure/Basal Metabolic Rate). Our results show that, at the UK median PAL, total moderate-to-vigorous intensity physical activity will be around 735 minutes per week (~11% of waking time). We estimate that a 4% increase in moderate-to-vigorous intensity activity will achieve standardised guidance from FAO/WHO/UNU and will require ~1000 minutes of moderate-to-vigorous intensity activity per week. This study demonstrates that feedback from sophisticated wearable devices is incompatible with current physical activity recommendations. Without adjustment, people will erroneously form the view that they are exceeding recommendations by several fold. A more appropriate target from self-monitoring that accounts for normal moderate-to-vigorous lifestyle activities is ~1000 minutes per week, which represents ~15% of waking time. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Design and implementation air quality monitoring robot

Science.gov (United States)

Chen, Yuanhua; Li, Jie; Qi, Chunxue

2017-01-01

Robot applied in environmental protection can break through the limitations in working environment, scope and mode of the existing environmental monitoring and pollution abatement equipments, which undertake the innovation and improvement in the basin, atmosphere, emergency and pollution treatment facilities. Actually, the relevant technology is backward with limited research and investment. Though the device companies have achieved some results in the study on the water quality monitoring, pipeline monitoring and sewage disposal, this technological progress on the whole is still much slow, and the mature product has not been formed. As a result, the market urges a demand of a new type of device which is more suitable for environmental protection on the basis of robot successfully applied in other fields. This paper designs and realizes a tracked mobile robot of air quality monitoring, which can be used to monitor air quality for the pollution accident in industrial parks and regular management.

A communication and information technology infrastructure for real time monitoring and management of type 1 diabetes patients.

Science.gov (United States)

Skevofilakas, Marios; Mougiakakou, Stavroula G; Zarkogianni, Konstantia; Aslanoglou, Erika; Pavlopoulos, Sotiris A; Vazeou, Andriani; Bartsocas, Christos S; Nikita, Konstantina S

2007-01-01

This paper is focused on the integration of state-of-the-art technologies in the fields of telecommunications, simulation algorithms, and data mining in order to develop a Type 1 diabetes patient's semi to fully-automated monitoring and management system. The main components of the system are a glucose measurement device, an insulin delivery system (insulin injection or insulin pumps), a mobile phone for the GPRS network, and a PDA or laptop for the Internet. In the medical environment, appropriate infrastructure for storage, analysis and visualizing of patients' data has been implemented to facilitate treatment design by health care experts.

Soil monitoring as a part of environment monitoring in Slovakia

International Nuclear Information System (INIS)

Kobza, J.

1997-01-01

In frame of Soil monitoring system it is going about a lot of methods in advance as follows: methods of soil monitoring sites selection and soil monitoring network construction, as well; methods of soil survey and soil sampling; analytical methods (indicating of chemical, agrochemical and physical properties); soil database and methods of evaluation and interpretation of measured results. The monitoring network was constructed on the base of ecological principles - including the monitoring of all soil types and subtypes, various climatic and emission regions as well as relatively clean regions, lowland and highland. Soil monitoring network in forest land is regular (8 x 8 km) with regard to International monitoring system in Forestry. The soil monitoring network in Slovakia consist of 650 monitoring sites (312 sites in farming land and 338 sites in forest land). In addition soil monitoring network includes also 21 monitoring sites. All monitoring sites are geodesically located and reported on the map at a scale of 1:5000. There are the methods concerning the important soil parameters indication with regard to main soil degradation processes a s follows: soil contamination (heavy metals and organic contaminants); soil acidification; soil salinity; soil erosion (deluometrically by the Cs-137 and remote sensing methods); soil compaction; soil fertility and protection. Analytical control system was elaborated according to Good Laboratory Practice. Evaluation of soil monitoring network results is not simple because it depends on various monitored parameters, on aim of evaluation as well as on the scale of landscape which is object for evaluation. There are used the modern statistical methods in monitoring system which can be: universal; disjunctive; simulated. Used statistical methods are significant for interpretation of measured results as follows: trends in landscape; anisotropy; comparison. The evaluation and interpretation way is very significant with regard not

Inventory of current environmental monitoring projects in the US-Canadian transboundary region

Energy Technology Data Exchange (ETDEWEB)

Glantz, C.S.; Ballinger, M.Y.; Chapman, E.G.

1986-05-01

This document presents the results of a study commissioned to survey and summarize major environmental monitoring projects in the US-Canadian transboundary region. Projects with field sites located within 400 km (250 mi) of the border and active after 1980 were reviewed. The types of projects included: ambient air-quality monitoring, ambient water-quality monitoring, deposition monitoring, forest/vegetation monitoring and research, soil studies, and ecosystem studies. Ecosystem studies included projects involving the measurement of parameters from more than one monitoring category (e.g., studies that measured both water and soil chemistry). Individual descriptions were formulated for 184 projects meeting the spatial and temporal criteria. Descriptions included the official title for the project, its common abbreviation, program emphasis, monitoring site locations, time period conducted, parameters measured, protocols employed, frequency of sample collection, data storage information, and the principal contact for the project. A summary inventory subdivided according to the six monitoring categories was prepared using a computerized data management system. Information on major centralized data bases in the field of environmental monitoring was also obtained, and summary descriptions were prepared. The inventory and data base descriptions are presented in appendices to this document.

Monitoring occupational exposure to ionizing radiation

Energy Technology Data Exchange (ETDEWEB)

Button, J.B.C. [Radiation Safety Consultancy, Engadine, NSW (Australia)

1997-12-31

A brief overview is presented of methods of monitoring occupational exposure to ionizing radiation together with reasons for such monitoring and maintaining dose histories of radiation occupationally exposed persons. The various Australian providers of external radiation monitoring services and the types of dosemeters they supply are briefly described together with some monitoring results. Biological monitoring methods, are used to determine internal radiation dose. Whole body monitors, used for this purpose are available at Australian Radiation Lab., ANSTO and a few hospitals. Brief mention is made of the Australian National Radiation Dose Register and its objectives. 8 refs., 9 tabs.

Understanding Monitoring Technologies for Adults With Pain: Systematic Literature Review.

Science.gov (United States)

Rodríguez, Iyubanit; Herskovic, Valeria; Gerea, Carmen; Fuentes, Carolina; Rossel, Pedro O; Marques, Maíra; Campos, Mauricio

2017-10-27

Monitoring of patients may decrease treatment costs and improve quality of care. Pain is the most common health problem that people seek help for in hospitals. Therefore, monitoring patients with pain may have significant impact in improving treatment. Several studies have studied factors affecting pain; however, no previous study has reviewed the contextual information that a monitoring system may capture to characterize a patient's situation. The objective of this study was to conduct a systematic review to (1) determine what types of technologies have been used to monitor adults with pain, and (2) construct a model of the context information that may be used to implement apps and devices aimed at monitoring adults with pain. A literature search (2005-2015) was conducted in electronic databases pertaining to medical and computer science literature (PubMed, Science Direct, ACM Digital Library, and IEEE Xplore) using a defined search string. Article selection was done through a process of removing duplicates, analyzing title and abstract, and then reviewing the full text of the article. In the final analysis, 87 articles were included and 53 of them (61%) used technologies to collect contextual information. A total of 49 types of context information were found and a five-dimension (activity, identity, wellness, environment, physiological) model of context information to monitor adults with pain was proposed, expanding on a previous model. Most technological interfaces for pain monitoring were wearable, possibly because they can be used in more realistic contexts. Few studies focused on older adults, creating a relevant avenue of research on how to create devices for users that may have impaired cognitive skills or low digital literacy. The design of monitoring devices and interfaces for adults with pain must deal with the challenge of selecting relevant contextual information to understand the user's situation, and not overburdening or inconveniencing users with

Utility machinery vibration monitoring guide: Final report

International Nuclear Information System (INIS)

Moore, T.T.; Thomas, C.C.

1987-08-01

Section I of this guide presents a methodology for developing machinery vibration monitoring programs specifically designed for application within the utility industry. The methodology is designed to enhance a monitoring program and can be used at the outset of program development or as a reference after programs have been started. Section I evaluates all aspects of the monitoring program, including Objectives and Goals, Information Type, Timing and Format, Data Analysis, Data Acquisition, Measurement and Transducer Selection, Personnel and Organization, Program Instrumentation, Program Costs, Program Justification, and Implementation of a Monitoring Program. The methodology is then applied to two host utility plants in Section II, which contains the monitoring programs developed by Gulf States Utilities and Philadelphia Electric Company using this guide. Section III contains the histories of several different types of existing utility monitoring programs. Some of the lessons learned, including the recommendations of these ''mature'' programs for persons starting new programs, are included

Using Smartphones to Monitor Bipolar Disorder Symptoms: A Pilot Study.

Science.gov (United States)

Beiwinkel, Till; Kindermann, Sally; Maier, Andreas; Kerl, Christopher; Moock, Jörn; Barbian, Guido; Rössler, Wulf

2016-01-06

Relapse prevention in bipolar disorder can be improved by monitoring symptoms in patients' daily life. Smartphone apps are easy-to-use, low-cost tools that can be used to assess this information. To date, few studies have examined the usefulness of smartphone data for monitoring symptoms in bipolar disorder. We present results from a pilot test of a smartphone-based monitoring system, Social Information Monitoring for Patients with Bipolar Affective Disorder (SIMBA), that tracked daily mood, physical activity, and social communication in 13 patients. The objective of this study was to investigate whether smartphone measurements predicted clinical symptoms levels and clinical symptom change. The hypotheses that smartphone measurements are (1) negatively related to clinical depressive symptoms and (2) positively related to clinical manic symptoms were tested. Clinical rating scales were administered to assess clinical depressive and manic symptoms. Patients used a smartphone with the monitoring app for up to 12 months. Random-coefficient multilevel models were computed to analyze the relationship between smartphone data and externally rated manic and depressive symptoms. Overall clinical symptom levels and clinical symptom changes were predicted by separating between-patient and within-patient effects. Using established clinical thresholds from the literature, marginal effect plots displayed clinical relevance of smartphone data. Overall symptom levels and change in clinical symptoms were related to smartphone measures. Higher overall levels of clinical depressive symptoms were predicted by lower self-reported mood measured by the smartphone (beta=-.56, Psmartphone (ie, cell tower movements: beta=-.11, P=.03). Higher overall levels of clinical manic symptoms were predicted by lower physical activity on the smartphone (ie, distance travelled: beta=-.37, Psmartphone (beta=-.17, Psmartphone measurements, but not all smartphone measures predicted the occurrence of

Type studies in Basidiomycetes. X

NARCIS (Netherlands)

Singer, R.

1961-01-01

For the first time a systematic study of the types and authentic specimens of agarics and boletes preserved in the Persoon Herbarium has been carried out. Some aspects of the possibilities of type analysis with regard to specimens over 130 year old are discussed. 137 species were analyzed. The

Study of fatigue, depression, and associated factors in type 2 diabetes mellitus in industrial workers

Directory of Open Access Journals (Sweden)

Akhilesh Jain

2015-01-01

Full Text Available Introduction: Type 2 diabetes mellitus is a significant health problem and imposes great physical, financial and psychological burden among the affected population. Among people with diabetes, fatigue is a pervasive and distressing complaint, which is further accentuated by presence of depression. Objective: To assess the prevalence of fatigue and depression and associated clinical and socio demographic correlates in type 2diabetes. Materials and Methods: This cross sectional study included 100 patients of diabetes type 2 and equal number of healthy controls between the ages of 18 to 70 years . A detailed evaluation of socio demographic and clinical parameters was made. Participants were also assessed for presence of depression and fatigue using PHQ-9 and Fatigue Severity Scale(FSSrespectively. Results: Fatigue and depression was found in 68 % and 53 % of diabetic participants. Diabetic patients were 10.37 times and 4.80 times more likely to suffer from fatigue and depression respectively. Both fatigue and depression were found to be significantly associated with duration of illness, fasting and post prandial blood glucose level ,diabetic complications and Body Mass Index (BMI. Fatigue was also strongly correlated with depression in study sample. Conclusions: Fatigue and depression are reasonably correlated with type 2 diabetes. Various clinical parameters of diabetes are strongly associated with both fatigue and depression. Fatigue itself has significant correlation with depression in type 2 diabetes. Regular monitoring of biochemical parameters are paramount to predict the development of fatigue and depression in type 2 diabetes.

Vessel Monitoring Systems Study. Volume I - Technical Analysis.

Science.gov (United States)

1980-09-01

In the Port and Tanker Safety Act of 1978 the U.S. Conress directed the Department of Transportation to performa a study on the desirability and feasibility of a shore-station system for monitoring vessels (including fishing vessels)offshore within t...

Study of an integrated electronic monitor for neutron fields

Energy Technology Data Exchange (ETDEWEB)

Barelaud, B.; Nexon-Mokhtari, F.; Barrau, C.; Decossas, J.L.; Vareille, J.C. [Limoges Univ., 87 (France); Sarrabayrouse, G.J. [CNRS, 31 - Toulouse (France)

1995-12-31

The majority of the individual neutron monitors measure incorrectly in a certain energy range (10 keV-500 keV). For electronic devices, this problem is due to their high {gamma} sensitivity. To solve this problem a microelectronic detector design for neutron spectrometry is now being studied at LEPOFI. It is based on the measurement of the total energy which is deposited by {sup 6}Li (n, {alpha}) {sup 3}H or {sup 10}B (n {alpha}) {sup 7}Li reactions in silicon detectors. A new electronic sensor - for example a boron or lithium sandwich device -has been developed in collaboration with LAAS. Specific techniques for silicon sensor coating with boron have been developed and are briefly presented. The response of the detector has been computed using a model and a code developed at LEPOFI. Several parameters have been taken into account in the calculations: the type of layer, its thickness, the characteristics of the detector. The results of these simulations are discussed and calculated pulse height distributions for various designs are presented. The present status of the investigation only concerns thermal neutrons. (author).

40 CFR 75.48 - Petition for an alternative monitoring system.

Science.gov (United States)

2010-07-01

... method of ensuring an accurate assessment of operating hourly conditions on a real-time basis. (9) A...) Hourly test data for the alternative monitoring system at each required operating level and fuel type... continuous emissions monitoring system at each required operating level and fuel type. The fuel type...

Hypoglycaemia in patients with type 1 and type 2 diabetes mellitus on insulin therapy. Results of the global HAT study in Argentina

Directory of Open Access Journals (Sweden)

José E. Costa Gil

2017-12-01

Full Text Available We describe the results of the HAT study in 433 Argentinean patients with type 1 diabetes (T1D and 823 with type 2 diabetes (T2D. HAT was an international non-interventional study assessing severe and non-severe hypoglycaemia in patients with T1D and T2D under insulin treatment through a two-part self-assessment questionnaire (retrospective and prospective. The annual incidence of at least one hypoglycaemic episode was 46 episode/patient/year in T1D and 14.2 in T2D (retrospective, 96.5 and 24.6 episode/patient/year in T1D and T2D, respectively (prospective. Hypoglycaemia affected quality of life (on a scale of 0-10 for fear of hypoglycaemia: 60% in T1D and 37.6% in T2D scored 5 to 10, daily life, occupational or academic performance (2.1% with T1D and 3.2% with T2D did not attend to their work after hypoglycaemia, and induced an increased use of health resources (T1D: 66.1% increased glucose monitoring, 60.5% food intake, 51% consultations, 3.5% hospital admissions; 60.5% reduced insulin and 20.9% exercises; T2D increased 46.2% glucose monitoring, 43.8% consultations, 38.6% food intake, 24.1% reduced and 13.9% skipped the insulin dose and 14.3% suspended exercises. Greater numbers of episodes were recorded in the prospective period. An instrument to assess hypoglycaemia in clinical practice and strategies to reduce their risk are required. It is also important to ask about the episodes and reinforce the education of patients and close relatives on hypoglycaemia prevention and treatment

Four-Point Preprandial Self-Monitoring of Blood Glucose for the Assessment of Glycemic Control and Variability in Patients with Type 2 Diabetes Treated with Insulin and Vildagliptin

Directory of Open Access Journals (Sweden)

Andrea Tura

2015-01-01

Full Text Available The study explored the utility of four-point preprandial glucose self-monitoring to calculate several indices of glycemic control and variability in a study adding the DPP-4 inhibitor vildagliptin to ongoing insulin therapy. This analysis utilized data from a double-blind, randomized, placebo-controlled crossover study in 29 patients with type 2 diabetes treated with vildagliptin or placebo on top of stable insulin dose. During two 4-week treatment periods, self-monitoring of plasma glucose was undertaken at 4 occasions every day. Glucose values were used to assess several indices of glycemic control quality, such as glucose mean, GRADE, M-VALUE, hypoglycemia and hyperglycemia index, and indices of glycemic variability, such as standard deviation, CONGA, J-INDEX, and MAGE. We found that vildagliptin improved the glycemic condition compared to placebo: mean glycemic levels, and both GRADE and M-VALUE, were reduced by vildagliptin (P<0.01. Indices also showed that vildagliptin reduced glycemia without increasing the risk for hypoglycemia. Almost all indices of glycemic variability showed an improvement of the glycemic condition with vildagliptin (P<0.02, though more marked differences were shown by the more complex indices. In conclusion, the study shows that four-sample preprandial glucose self-monitoring is sufficient to yield information on the vildagliptin effects on glycemic control and variability.

A day in the life of a monitor!

Directory of Open Access Journals (Sweden)

Kunal Shah

2012-01-01

Full Text Available When at a site, the monitor will meet with the Study Coordinator, review the hospital medical records, use the internet database or paper to ′monitor′ their data versus their medical records, issue queries, check master files, count tablets or vials, provide the update to the doctor, and so on. When not traveling, the monitor will work in the office, printing letters, filing documents collected from sites, writing reports and follow-up letters, responding to e-mails, calling sites, to follow-up on the pending action items, in addition to calling sites not visited recently, attending study teleconferences, attending study and company training programs, reading standard operating procedures, completing excel spreadsheets or company specific software systems, and so on. The monitor is loaded with all these different types of work requirements and most importantly each and every task is important and time bound. Different skill sets are required for different tasks and the monitor plays different roles, while doing different tasks. This article enlists the tasks that are required to be done by the monitor, the different roles played by the monitor while doing these tasks, analyze which is the most important day for a monitor, what are the tasks performed during this day, and what knowledge and skills are required for performing these tasks.

Monitoring safety and use of old and new treatment options for type 2 diabetic patients: a two-year (2013-2016) analysis.

Science.gov (United States)

Leporini, Christian; Piro, Rosanna; Ursini, Francesco; Maida, Francesca; Palleria, Caterina; Arturi, Franco; Pavia, Maria; De Sarro, Giovambattista; Russo, Emilio

2016-12-01

To compare patients' and physicians' perceptions regarding effectiveness and tolerability of non-insulin hypoglycemic drugs in a cohort of type 2 diabetic patients; to verify whether a possible tridimensional link between effectiveness, tolerability, and adherence affects long-term therapeutic outcomes. A two-year observational study was performed in 1389 Type 2 diabetic patients by involving general practitioner clinics and Diabetes Centers. A decimal scale and the Morisky questionnaire were used, respectively, to assess effectiveness and tolerability perceptions, and medication adherence. Physicians perceived therapy as more efficacious compared to their patients: perceived effectiveness was steady for physicians during the study whereas patients' perception not significantly decreased (mean score from >8 to 7.84 ± 1.69). Physicians assigned higher tolerability scores compared to patients but only at the beginning of the study; interestingly, physicians' tolerability perception was poorer than patients' perception at last follow-up (mean score = 7.57 ± 1.40 vs. 7.88 ± 1.84). Favorable (score >7) patients' perceptions about treatment effectiveness and tolerability were associated with higher adherence. Patients showed medium adherence across the study. A mutual relationship between clinical effectiveness, adverse drug reactions, and adherence has been established, significantly impacting the clinical management of diabetic patients. A careful monitoring of this link by clinicians appears therefore necessary.

Low-temperature radiation damage in silicon - 1: Annealing studies on N-type material

International Nuclear Information System (INIS)

Awadelkarim, O.O.

1986-07-01

The presence of electrically active defects in electron-irradiated P-doped n-type silicon was monitored using capacitance and loss factor measurements. Irradiations were performed at temperatures c - 0.14) eV and (E c - 0.24) eV in the gap are ascribed to the carbon interstitial and the divacancy, respectively. (author)

[Correlation study between obesity and dawn phenomenon in patients with type 2 diabetes].

Science.gov (United States)

Guo, Zhenhong; Xu, Jie; Wang, Jingyu; Han, Fei; Zhang, Yi; Yang, X iaoyun; Yang, Shaohua; Chang, Bai; Yang, Juhong; Shan, Chunyan; Chen, Liming; Chang, Baocheng; Xu, Yanguang

2016-01-01

To investigate the correlation between the frequency of dawn phenomenon and obesity in patients with type 2 diabetes. This study was conducted in 98 patients with type 2 diabetes admitted to the Metabolic Disease Hospital of Tianjin Medical University from 2011 to 2014. The subjects were divided into 3 groups according to BMI: the normal weight (BMI 18.5-23.9 kg/m(2), n = 30), the overweight(BMI 24-27.9 kg/m(2), n = 33)and the obesity (BMI ≥ 28.0 kg/m(2), n = 35). All participants underwent continuous glucose monitoring for 72 h. Fasting plasma glucose(FPG), insulin and C-peptide were tested. Frequency of dawn phenomenon among the 3 groups was calculated, and the correlations between dawn phenomenon and its related factors were analyzed. The frequency of dawn phenomenon in type 2 diabetes increased with the increase of BMI in the 3 groups (P obesity groups, respectively. The dawn phenomenon was positively correlated with BMI (r = 0.424, P fasting C-peptide (r = 0.254, P 0.05). The dawn phenomenon is closely associated with obesity and insulin resistance. The frequency of dawn phenomenon increases with BMI.

Strategies of performance self-monitoring in automotive production.

Science.gov (United States)

Faye, Hélène; Falzon, Pierre

2009-09-01

Production in the automotive industry, based on assembly line work, is now characterized by lean manufacturing and customization. This results in greater flexibility and increased quality demands, including worker performance self-monitoring. The objectives of this study are to refine the concept of performance self-monitoring and to characterize the strategies developed by operators to achieve it. Data were collected based on the method of individual auto-confrontation, consisting of two steps: eleven assembly-line operators of a French automotive company were individually observed and video-taped while they were working; an interview then allowed each operator to discuss his/her activity based on the video-tape. This study expands the concept of performance self-monitoring by highlighting three types of strategies directly oriented toward quality: prevention, feedback control and control action strategies.

Multisensor remote sensing data and GIS techniques for monitoring preservation areas - A case study

International Nuclear Information System (INIS)

Shimabukuro, Y.E.; Lee, D.C.L.; Dos Santos, J.R.

1992-01-01

The capability of remote sensing and Geographic Information System techniques for detecting and monitoring the anthropic alterations which sometimes occur in preservation areas is discussed. Attention is given to the Emas National Park in the southwest Goias State, Brazil. TM/Landsat data from July 29, 1988 (before a fire that occurred there) and August 14, 1988, (after the fire) and AVHRR/NOAA data obtained in this period covered by TM images were used to monitor the biomass burning. The TM images were registered to a topographic map in order to compile a data base including information such as drainage, roads, elevation, and vegetation type for this park. Pixels classified as burned areas using band 3 of AVHRR images were overlayed on the map derived from the data base. The integration of elevation, TM multitemporal data, and information derived from AVHRR images is found to be a valuable tool for managers in detecting and evaluating damage and in monitoring the regeneration process of land cover. 15 refs

Monitoring the Variation in Ice-Cover Characteristics of the Slave River, Canada Using RADARSAT-2 Data—A Case Study

Directory of Open Access Journals (Sweden)

Thuan Chu

2015-10-01

Full Text Available The winter regime of river-ice covers in high northern latitude regions is often a determining factor in the management of water resources, conservation of aquatic ecosystems and preservation of traditional and cultural lifestyles of local peoples. As ground-based monitoring of river-ice regimes in high northern latitudes is expensive and restricted to a few locations due to limited accessibility to most places along rivers from shorelines, remote sensing techniques are a suitable approach for monitoring. This study developed a RADARSAT-2 based method to monitor the spatio-temporal variation of ice covers, as well as ice types during the freeze-up period, along the main channel of the Slave River Delta in the Northwest Territories of Canada. The spatio-temporal variation of ice covers along the river was analyzed using the backscatter-based coefficient of variation (CV in the 2013–2014 and 2014–2015 winters. As a consequence of weather and flow conditions, the ice cover in the 2013–2014 winter had the higher variation than the 2014–2015 winter, particularly in the potential areas of flooded/cracked ice covers. The river sections near active channels (e.g., Middle Channel and Nagle Channel, Big Eddy, and Great Slave Lake also yielded higher intra-annual variation of ice cover characteristics during the winters. With the inclusion of backscatter and texture analysis from RADARSAT-2 data, four water and ice cover classes consisting of open water, thermal ice, juxtaposed ice, and consolidated ice, were discriminated in the images acquired between November and March in both the studied winters. In addition to river geomorphology and climatic conditions such as river width, sinuosity or air temperature, the fluctuation of water flows during the winter has a significant impact on the variation of ice cover as well as the formation of different ice types in the Slave River. The RADARSAT-2 based monitoring algorithm can also be applied to other

Study of the core compaction effects and its monitoring in sodium cooled fast reactors

International Nuclear Information System (INIS)

Zylbersztejn, F.

2012-01-01

Conclusions: • On calculation of reactivity impacts of core compaction/flowering: → Upper bound of the reactivity coefficients for each type of deformation; → Uniform compaction model: significant reactivity impact; Circular symmetric model: small reactivity impact. • On the visibility of these phenomena by the neutron detectors: → The direct monitoring of the core compaction by neutron detector in the BCC is not possible. (the identification that the reactivity perturbations observed are due to variation of the core geometry). Perspectives of solutions: → Improved core design: reducing the effects. → Physical improvements: Steel resistance to deformations (irradiation, flexion); Direct devices: core constraint (prevents deformations). → Additional calculations: Considering more localized deformations; Advanced monitoring with neutron noise (in progress)

Core monitoring with analytical model adaption

International Nuclear Information System (INIS)

Linford, R.B.; Martin, C.L.; Parkos, G.R.; Rahnema, F.; Williams, R.D.

1992-01-01

The monitoring of BWR cores has evolved rapidly due to more capable computer systems, improved analytical models and new types of core instrumentation. Coupling of first principles diffusion theory models such as applied to design to the core instrumentation has been achieved by GE with an adaptive methodology in the 3D Minicore system. The adaptive methods allow definition of 'leakage parameters' which are incorporated directly into the diffusion models to enhance monitoring accuracy and predictions. These improved models for core monitoring allow for substitution of traversing in-core probe (TIP) and local power range monitor (LPRM) with calculations to continue monitoring with no loss of accuracy or reduction of thermal limits. Experience in small BWR cores has shown that with one out of three TIP machines failed there was no operating limitation or impact from the substitute calculations. Other capabilities exist in 3D Monicore to align TIPs more accurately and accommodate other types of system measurements or anomalies. 3D Monicore also includes an accurate predictive capability which uses the adaptive results from previous monitoring calculations and is used to plan and optimize reactor maneuvers/operations to improve operating efficiency and reduce support requirements

Cure monitoring of epoxy resin by using fiber bragg grating sensor

Energy Technology Data Exchange (ETDEWEB)

Lee, Jin Hyuk [KEPCO, Naju (Korea, Republic of); Kim, Dae Hyun [Dept. of Mechanical and Automotive Engineering, Seoul National University of Science and Technology, Seoul (Korea, Republic of)

2016-06-15

In several industrial fields, epoxy resin is widely used as an adhesive for co-curing and manufacturing various structures. Controlling the manufacturing process is required for ensuring robust bonding performance and the stability of the structures. A fiber optic sensor is suitable for the cure monitoring of epoxy resin owing to the thready shape of the sensor. In this paper, a fiber Bragg grating (FBG) sensor was applied for the cure monitoring of epoxy resin. Based on the experimental results, it was demonstrated that the FBG sensor can monitor the status of epoxy resin curing by measuring the strain caused by volume shrinkage and considering the compensation of temperature. In addition, two types of epoxy resin were used for the cure-monitoring; moreover, when compared to each other, it was found that the two types of epoxy had different cure-processes in terms of the change of strain during the curing. Therefore, the study proved that the FBG sensor is very profitable for the cure-monitoring of epoxy resin.

Reusable radiation monitor

International Nuclear Information System (INIS)

Fanselow, D.L.; Ersfeld, D.A.

1978-01-01

An integrating, reusable device for monitoring exposure to actinic radiation is disclosed. The device comprises a substrate having deposited thereon at least one photochromic aziridine compound which is sealed in an oxygen barrier to stabilize the color developed by the aziridine compound in response to actinic radiation. The device includes a spectral response shaping filter to transmit only actinic radiation of the type being monitored. A color standard is also provided with which to compare the color developed by the aziridine compound

Randomized trial of the ForeseeHome monitoring device for early detection of neovascular age-related macular degeneration. The HOme Monitoring of the Eye (HOME) study design - HOME Study report number 1.

Science.gov (United States)

Chew, Emily Y; Clemons, Traci E; Bressler, Susan B; Elman, Michael J; Danis, Ronald P; Domalpally, Amitha; Heier, Jeffrey S; Kim, Judy E; Garfinkel, Richard A

2014-03-01

To evaluate the effects of a home-monitoring device with tele-monitoring compared with standard care in detection of progression to choroidal neovascularization (CNV) associated with age-related macular degeneration (AMD), the leading cause of blindness in the US. Participants, aged 55 to 90 years, at high risk of developing CNV associated with AMD were recruited to the HOme Monitoring of Eye (HOME) Study, an unmasked, multi-center, randomized trial of the ForeseeHome (FH) device plus standard care vs. standard care alone. The FH device utilizes preferential hyperacuity perimetry and tele-monitoring to detect changes in vision function associated with development of CNV, potentially prior to symptom and visual acuity loss. After establishing baseline measurements, subsequent changes on follow-up are detected by the device, causing the monitoring center to alert the clinical center to recall participants for an exam. Standard care consists of instructions for self-monitoring visual changes with subsequent self-report to the clinical center. The primary objective of this study is to determine whether home monitoring plus standard care in comparison with standard care alone, results in earlier detection of incident CNV with better present visual acuity. The primary outcome is the decline in visual acuity at CNV diagnosis from baseline. Detection of CNV prior to substantial vision loss is critical as vision outcome following anti-angiogenic therapy is dependent on the visual acuity at initiation of treatment. HOME Study is the first large scale study to test the use of home tele-monitoring system in the management of AMD patients. Published by Elsevier Inc.

Blackbird Creek Monitoring Program to Study the impact of Climate Change and Land Use

Science.gov (United States)

Ozbay, G.; Chintapenta, L. K.; Roeske, K. P.; Stone, M.; Phalen, L.

2014-12-01

The Blackbird Creek Monitoring Program at Delaware State University continues to utilize various perspectives to study the dynamics of one of Delaware's most pristine ecosystems. The water quality of Blackbird Creek has been constantly monitored for 3 years and correlated with the rain and storm events. Soil nutrients composition has been studied by extracting the water associated with soil aggregates and analyzing the levels of different nutrients. Soil quality is also assessed for heavy metals to identify potential human impact that may affect the health of ecosystem. Within the Blackbird Creek there is a threat to native plant communities from invasive plant species as they alter the ecosystem dynamics. Saltmarsh cord grass (Spartina alterniflora) and common reed (Phragmites australius) are the common wetland plants. Aerial mapping of the creek has been conducted to determine the area covered by invasive plant species. The microbial community structure plays a key role in soil carbon and nitrogen cycles in the ecosystem. Molecular analysis has been performed to study the microbial diversity with respect to the type of marsh grasses. This program has also incorporated the use of diatoms as biological indicators to assess the health of ecosystem and correlate that data with physical and chemical water quality data. The abundance and diversity of macro fauna such as blue crabs, fish and other significant species has also been studied. Stable isotopic analysis of these macro fauna has also been performed to study the food web. The results from this program will be helpful in addressing environmental challenges and designing management strategies.

Acoustic monitoring of rotating machine by advanced signal processing technology

International Nuclear Information System (INIS)

Kanemoto, Shigeru

2010-01-01

The acoustic data remotely measured by hand held type microphones are investigated for monitoring and diagnosing the rotational machine integrity in nuclear power plants. The plant operator's patrol monitoring is one of the important activities for condition monitoring. However, remotely measured sound has some difficulties to be considered for precise diagnosis or quantitative judgment of rotating machine anomaly, since the measurement sensitivity is different in each measurement, and also, the sensitivity deteriorates in comparison with an attached type sensor. Hence, in the present study, several advanced signal processing methods are examined and compared in order to find optimum anomaly monitoring technology from the viewpoints of both sensitivity and robustness of performance. The dimension of pre-processed signal feature patterns are reduced into two-dimensional space for the visualization by using the standard principal component analysis (PCA) or the kernel based PCA. Then, the normal state is classified by using probabilistic neural network (PNN) or support vector data description (SVDD). By using the mockup test facility of rotating machine, it is shown that the appropriate combination of the above algorithms gives sensitive and robust anomaly monitoring performance. (author)

Basic requirements to the methods of personnel monitoring

International Nuclear Information System (INIS)

Keirim-Markus, I.B.

1981-01-01

Requirements to methods of personnel monitoring (PMM) depending on irradiation conditions are given. The irradiation conditions determine subjected to monitoring types of irradiation, measurement ranges, periodicity of monitoring, operativeness of obtaining results and required accuracy. The PMM based on the photographic effect of ionizing radiation is the main method of the mass monitoring [ru

Idaho National Laboratory Environmental Monitoring Plan

Energy Technology Data Exchange (ETDEWEB)

Joanne L. Knight

2008-04-01

This plan describes environmental monitoring as required by U.S. Department of Energy (DOE) Order 450.1, “Environmental Protection Program,” and additional environmental monitoring currently performed by other organizations in and around the Idaho National Laboratory (INL). The objective of DOE Order 450.1 is to implement sound stewardship practices that protect the air, water, land, and other natural and cultural resources that may be impacted by DOE operations. This plan describes the organizations responsible for conducting environmental monitoring across the INL, the rationale for monitoring, the types of media being monitored, where the monitoring is conducted, and where monitoring results can be obtained. This plan presents a summary of the overall environmental monitoring performed in and around the INL without duplicating detailed information in the various monitoring procedures and program plans currently used to conduct monitoring.

Radiation monitoring of nuclear census intelligent data management and mobile monitoring data acquisition system

International Nuclear Information System (INIS)

Huang Libin; Zhong Zhijing; Zhou Yinhang; Guo Hongbo

2014-01-01

The system, employing advanced intelligent terminal, mobile applications, database technology, can achieve all kinds of field monitoring, mobile radiation monitoring data collected for laboratory analysis; employing GPS technology, can achieve the geographic information of the radiation monitoring data, time tagging and other anti-cheating measures; the system also established a mass database management system; the system is suitable for all types of nuclear-related units with special adaptive functions; system will be extended to GIS-based management capabilities of nuclear contamination distribution in latter stage. (authors)

Pig herd monitoring and undesirable tripping and stepping prevention

DEFF Research Database (Denmark)

Gronskyte, Ruta; Clemmensen, Line Katrine Harder; Hviid, Marchen Sonja

2015-01-01

Humane handling and slaughter of livestock are of major concern in modern societies. Monitoring animal wellbeing in slaughterhouses is critical in preventing unnecessary stress and physical damage to livestock, which can also affect the meat quality. The goal of this study is to monitor pig herds...... at the slaughterhouse and identify undesirable events such as pigs tripping or stepping on each other. In this paper, we monitor pig behavior in color videos recorded during unloading from transportation trucks. We monitor the movement of a pig herd where the pigs enter and leave a surveyed area. The method is based...... on optical flow, which is not well explored for monitoring all types of animals, but is the method of choice for human crowd monitoring. We recommend using modified angular histograms to summarize the optical flow vectors. We show that the classification rate based on support vector machines is 93% of all...

Blood glucose monitoring and glycemic control in adolescents with type 1 diabetes: meter downloads versus self-report.

Science.gov (United States)

Guilfoyle, Shanna M; Crimmins, Nancy A; Hood, Korey K

2011-09-01

Reported frequencies of blood glucose monitoring (BGM) by both adolescents and their caregivers serve as adherence proxies when meter downloads are not available. Yet, correlates of reported BGM frequencies and their predictive utility are understudied. To identify sociodemographic, psychological, and disease-specific correlates of reported BGM frequencies in adolescents with type 1 diabetes and to explore the predictive utility of BGM indices on glycemic control. Study participants included caregivers and adolescents with type 1 diabetes (N=143, 13-18 yr) receiving diabetes treatment at a tertiary care setting. At the initial visit, adolescents and caregivers reported on daily BGM frequencies. A sub-sample provided meter downloads. Adolescents also completed a depression inventory. Three months later, adolescents provided blood sampling for A1c assessment. Multivariate general linear modeling identified that older adolescent age and more depressive symptoms were associated with reports of less frequent BGM. Two stepwise multivariate regression models examined the predictive utility of BGM indices (i.e., adolescent-reported BGM, caregiver-reported BGM, meter download) on glycemic control. Caregiver-reported BGM frequency predicted glycemic control in the absence of meter download data (pmeter download data were the most robust predictor of glycemic control (pMeter downloads have the most robust association with glycemic control when contextual variables are considered. Caregiver-reported BGM frequencies can serve as reliable substitutes in the absence of meter download, but they may not be as reliable in adolescents with depressive symptoms. © 2011 John Wiley & Sons A/S.

The effectiveness of continuous subcutaneous insulin pumps with continuous glucose monitoring in outpatient adolescents with type 1 diabetes: A systematic review.

Science.gov (United States)

Matsuda, Erin; Brennan, Patricia

2012-01-01

The review question is: Are metabolic outcomes improved in outpatient adolescents (aged 13 to 19 years) with type 1 diabetes on a Continuous Subcutaneous Insulin Infusion (CSII) when continuous glucose monitoring is used, compared to self-glucose monitoring alone? Type 1 diabetes is the most common childhood paediatric disease, characterised by impairment of insulin producing βeta-cells in the pancreas. Internationally, there is variation in the incidence of type 1 diabetes in paediatric patients. According to the Center for Disease Control and Prevention (CDC) and the SEARCH for Diabetes in Youth Study Group, the overall incidence rate of this autoimmune disease is 24.3/100,000 in those 19 years of age . Annually, more than 15,000 children and adolescents are diagnosed in the United States (US) . From 1990 to 1999, the World Health Organization (WHO) launched the Multinational Project for Childhood Diabetes (DIAMOND), which was tasked with assessing type 1 diabetes in those 14 years or younger worldwide . Finland was discovered to have the highest age-adjusted incidence at 40.9 cases per 100,000/year. The lowest age-adjusted incidence is in China and Venezuela at 0.1 cases per 100,000/year. Globally, the largest increase in incidence is in those aged 10 to 14 years . This systematic review will focus on adolescent patients with type 1 diabetes, aged 13 to 19 years who manage their diabetes with an insulin pump.Patients with type 1 diabetes mellitus typically present with a history of polydipsia, polyuria, polyphagia, and weight loss . Initial findings include hyperglycemia, glycosuria, and ketones in the blood or urine . In 2009, the International Expert Committee deemed a haemoglobin A1C (glycosylated haemoglobin) of 6.5% or higher to be the standard for diagnosis . The American Diabetes Association (ADA) as well as the International Diabetes Federation and the European Association Study of Diabetes (EASD) accept this measure as the diagnostic tool for diabetes

A feasibility study of a 3-day basal-bolus insulin delivery device in individuals with type 2 diabetes.

Science.gov (United States)

Mader, Julia K; Lilly, Leslie C; Aberer, Felix; Korsatko, Stefan; Strock, Ellie; Mazze, Roger S; Damsbo, Peter; Pieber, Thomas R

2014-05-01

This study tested the feasibility of transition from multiple daily injections (MDI) to a 3-day, basal-bolus insulin delivery device (PaQ) for type 2 diabetes (T2D). Twenty MDI-treated individuals with T2D with HbA(1c) ≤9% (75 mmol/mol) were enrolled in a single-center, single-arm pilot study, lasting three 2-week periods: baseline (MDI), transition to PaQ, and PaQ therapy. Feasibility of use, glycemic control, safety, and patient satisfaction were assessed. Nineteen participants transitioned to PaQ treatment and demonstrated competency in assembling, placing, and using the device. Self-monitored blood glucose and blinded continuous glucose-monitoring data showed glycemic control similar to MDI. Study participants reported high satisfaction and device acceptance. PaQ treatment is both feasible and acceptable in individuals with T2D. Transition from MDI is easy and safe. PaQ treatment might lead to better therapy adherence and improvements in glycemic control and clinical outcomes.

Development of radiation safety monitoring system at gamma greenhouse gamma facility

International Nuclear Information System (INIS)

Hairul Nizam Idris; Azimawati Ahmad, Ahmad Zaki Hussain; Ahmad Fairuz Mohd Nasir

2009-01-01

This paper is discussing about installation of radiation safety monitoring system at Gamma Greenhouse Gamma facility, Agrotechnology and Bioscience Division (BAB). This facility actually is an outdoor type irradiation facility, which first in Nuclear Malaysia and the only one in Malaysia. Source Cs-137 (801 Curie) was use as radiation source and it located at the centre of 30 metres diameter size of open irradiation area. The radiation measurement and monitoring system to be equipped in this facility were required the proper equipment and devices, specially purpose for application at outside of building. Research review, literature study and discussion with the equipment manufacturers was being carried out, in effort to identify the best system should be developed. Factors such as tropical climate, environment surrounding and security were considered during selecting the proper system. Since this facility involving with panoramic radiation type, several critical and strategic locations have been fixed with radiation detectors, up to the distance at 200 meter from the radiation source. Apart from that, this developed system also was built for capable to provide the online real-time reading (using internet). In general, it can be summarized that the radiation safety monitoring system for outdoor type irradiation facility was found much different and complex compared to the system for indoor type facility. Keyword: radiation monitoring, radiation safety, Gamma Greenhouse, outdoor irradiation facility, panoramic radiation. (Author)

Idaho National Laboratory Cultural Resource Monitoring Report for 2013

Energy Technology Data Exchange (ETDEWEB)

Williams, Julie B. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2013-10-01

This report describes the cultural resource monitoring activities of the Idaho National Laboratory’s (INL) Cultural Resource Management (CRM) Office during 2013. Throughout the year, thirty-eight cultural resource localities were revisited including: two locations with Native American human remains, one of which is also a cave; fourteen additional caves; seven prehistoric archaeological sites ; four historic archaeological sites; one historic trail; one nuclear resource (Experimental Breeder Reactor-I, a designated National Historic Landmark); and nine historic structures located at the Central Facilities Area. Of the monitored resources, thirty-three were routinely monitored, and five were monitored to assess project compliance with cultural resource recommendations along with the effects of ongoing project activities. On six occasions, ground disturbing activities within the boundaries of the Power Burst Facility/Critical Infrastructure Test Range Complex (PBF/CITRC) were observed by INL CRM staff prepared to respond to any additional finds of Native American human remains. In addition, two resources were visited more than once as part of the routine monitoring schedule or to monitor for additional damage. Throughout the year, most of the cultural resources monitored had no visual adverse changes resulting in Type 1determinations. However, Type 2 impacts were noted at eight sites, indicating that although impacts were noted or that a project was operating outside of culturally cleared limitations, cultural resources retained integrity and noted impacts did not threaten National Register eligibility. No new Type 3 or any Type 4 impacts that adversely impacted cultural resources and threatened National Register eligibility were observed at cultural resources monitored in 2013.

Study on Laser Welding Process Monitoring Method

OpenAIRE

Knag , Heeshin

2017-01-01

International audience; In this paper, a study of quality monitoring technology for the laser welding was conducted. The laser welding and the industrial robotic systems were used with robot-based laser welding systems. The laser system used in this study was 1.6 kW fiber laser, while the robot system was Industrial robot (pay-load : 130 kg). The robot-based laser welding system was equipped with a laser scanner system for remote laser welding. The welding joints of steel plate and steel plat...

Study on Laser Welding Process Monitoring Method

OpenAIRE

Heeshin Knag

2016-01-01

In this paper, a study of quality monitoring technology for the laser welding was conducted. The laser welding and the industrial robotic systems were used with robot-based laser welding systems. The laser system used in this study was 1.6 kW fiber laser, while the robot system was Industrial robot (pay-load : 130 kg). The robot-based laser welding system was equipped with a laser scanner system for remote laser welding. The welding joints of steel plate and steel plate coated with zinc were ...

Efficacy and safety of teneligliptin in addition to insulin therapy in type 2 diabetes mellitus patients on hemodialysis evaluated by continuous glucose monitoring.

Science.gov (United States)

Yajima, Takahiro; Yajima, Kumiko; Hayashi, Makoto; Takahashi, Hiroshi; Yasuda, Keigo

2016-12-01

Appropriate glycemic control without hypoglycemia is important in patients with type 2 diabetes on hemodialysis. Teneligliptin, a novel dipeptidyl peptidase-4 inhibitor, can be used without dose adjustment for these patients. Using continuous glucose monitoring (CGM), we evaluated the efficacy and safety of adding teneligliptin to insulin therapy. Twenty-one type 2 diabetes mellitus patients on hemodialysis treated with insulin were enrolled. After the adjustment of insulin dose, their blood glucose level was monitored by CGM. Insulin dose was reduced after teneligliptin administration. The median total daily insulin dose significantly reduced from 18 (9-24)U to 6 (0-14)U (p1). Maximum, mean, and standard deviation of blood glucose level on the hemodialysis and non-hemodialysis days did not change after teneligliptin administration. However, minimum blood glucose level was significantly elevated on the hemodialysis day after teneligliptin administration (from 3.9±1.0mmol/L to 4.4±0.9mmol/L, p=0.040). The incidence of asymptomatic hypoglycemia on the hemodialysis day detected by CGM significantly decreased from 38.1% to 19.0% (p=0.049). Teneligliptin may contribute toward reducing the total daily insulin dose and preventing hypoglycemic events on the hemodialysis day in type 2 diabetes mellitus patients. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

The Impact of Patient Education on Anthropometric, Lipidemic, and Glycemic Parameters Among Patients With Poorly Controlled Type II Diabetes Mellitus: A 3-Month Prospective Single-Center Turkish Study.

Science.gov (United States)

Cander, Soner; Gul, Ozen Oz; Gul, Cuma B; Keles, Saadet B; Yavas, Sibel; Ersoy, Canan

2014-12-01

This study evaluated the impact of patient education on adherence to a diabetes care plan (e.g., anthropometric, lipidemic, and glycemic parameters) among adults with type II diabetes mellitus without adequate glycemic control. A total of 61 ambulatory adults with type II diabetes mellitus (mean age: 53.6 ± 8.2 years, 70.5% female) were evaluated for anthropometrics, duration of diabetes mellitus, type of anti-diabetic treatment, blood biochemistry, and glycemic parameters in this 3-month prospective observational single-center study. During the course of the study, participants demonstrated a significant decrease in body weight and fat percentage and HbA1c (p diabetes mellitus who received education on adherence to routine self-monitoring of blood glucose, standard diabetic diet, and an exercise program delivered by certified diabetes educators had better glycemic control and significant decrease in body weight and fat percentage over a 3-month monitoring period. Copyright 2014, SLACK Incorporated.

A dose monitoring system for dental radiography

Energy Technology Data Exchange (ETDEWEB)

Lee, Chena; Lee, Sam Sun; Kim, Jo Eun; Huh, Kyung Hoe; Yi, Woo Jin; Heo, Min Suk; Choi, Soon Chul [Dept. of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul (Korea, Republic of); Symkhampha, Khanthaly [Dept. of Oral and Maxillofacial Radiology, Department of Basic Science, Faculty of Dentistry, University of Health Sciences, Vientiane (Lao People' s Democratic Republic); Lee, Woo Jin [Dept. of Interdisciplinary Program in Radiation, Applied Life Sciences Major, College of Medicine, BK21, and Dental Research Institute, Seoul National University, Seoul (Korea, Republic of); Yeom, Heon Young [School of Computer Science Engineering, Seoul National University, Seoul (Korea, Republic of)

2016-06-15

The current study investigates the feasibility of a platform for a nationwide dose monitoring system for dental radiography. The essential elements for an unerring system are also assessed. An intraoral radiographic machine with 14 X-ray generators and five sensors, 45 panoramic radiographic machines, and 23 cone-beam computed tomography (CBCT) models used in Korean dental clinics were surveyed to investigate the type of dose report. A main server for storing the dose data from each radiographic machine was prepared. The dose report transfer pathways from the radiographic machine to the main sever were constructed. An effective dose calculation method was created based on the machine specifications and the exposure parameters of three intraoral radiographic machines, five panoramic radiographic machines, and four CBCTs. A viewing system was developed for both dentists and patients to view the calculated effective dose. Each procedure and the main server were integrated into one system. The dose data from each type of radiographic machine was successfully transferred to the main server and converted into an effective dose. The effective dose stored in the main server is automatically connected to a viewing program for dentist and patient access. A patient radiation dose monitoring system is feasible for dental clinics. Future research in cooperation with clinicians, industry, and radiologists is needed to ensure format convertibility for an efficient dose monitoring system to monitor unexpected radiation dose.

A dose monitoring system for dental radiography

International Nuclear Information System (INIS)

Lee, Chena; Lee, Sam Sun; Kim, Jo Eun; Huh, Kyung Hoe; Yi, Woo Jin; Heo, Min Suk; Choi, Soon Chul; Symkhampha, Khanthaly; Lee, Woo Jin; Yeom, Heon Young

2016-01-01

The current study investigates the feasibility of a platform for a nationwide dose monitoring system for dental radiography. The essential elements for an unerring system are also assessed. An intraoral radiographic machine with 14 X-ray generators and five sensors, 45 panoramic radiographic machines, and 23 cone-beam computed tomography (CBCT) models used in Korean dental clinics were surveyed to investigate the type of dose report. A main server for storing the dose data from each radiographic machine was prepared. The dose report transfer pathways from the radiographic machine to the main sever were constructed. An effective dose calculation method was created based on the machine specifications and the exposure parameters of three intraoral radiographic machines, five panoramic radiographic machines, and four CBCTs. A viewing system was developed for both dentists and patients to view the calculated effective dose. Each procedure and the main server were integrated into one system. The dose data from each type of radiographic machine was successfully transferred to the main server and converted into an effective dose. The effective dose stored in the main server is automatically connected to a viewing program for dentist and patient access. A patient radiation dose monitoring system is feasible for dental clinics. Future research in cooperation with clinicians, industry, and radiologists is needed to ensure format convertibility for an efficient dose monitoring system to monitor unexpected radiation dose

A Scoping Review of Economic Evaluations Alongside Randomised Controlled Trials of Home Monitoring in Chronic Disease Management.

Science.gov (United States)

Kidholm, Kristian; Kristensen, Mie Borch Dahl

2018-04-01

Many countries have considered telemedicine and home monitoring of patients as a solution to the demographic challenges that health-care systems face. However, reviews of economic evaluations of telemedicine have identified methodological problems in many studies as they do not comply with guidelines. The aim of this study was to examine economic evaluations alongside randomised controlled trials of home monitoring in chronic disease management and hereby to explore the resources included in the programme costs, the types of health-care utilisation that change as a result of home monitoring and discuss the value of economic evaluation alongside randomised controlled trials of home monitoring on the basis of the studies identified. A scoping review of economic evaluations of home monitoring of patients with chronic disease based on randomised controlled trials and including information on the programme costs and the costs of equipment was carried out based on a Medline (PubMed) search. Nine studies met the inclusion criteria. All studies include both costs of equipment and use of staff, but there is large variation in the types of equipment and types of tasks for the staff included in the costs. Equipment costs constituted 16-73% of the total programme costs. In six of the nine studies, home monitoring resulted in a reduction in primary care or emergency contacts. However, in total, home monitoring resulted in increased average costs per patient in six studies and reduced costs in three of the nine studies. The review is limited by the small number of studies found and the restriction to randomised controlled trials, which can be problematic in this area due to lack of blinding of patients and healthcare professionals and the difficulty of implementing organisational changes in hospital departments for the limited period of a trial. Furthermore, our results may be based on assessments of older telemedicine interventions.

Comparative survey of site and personnel monitoring characteristics for operation of various types of diagnostic-X ray equipment

International Nuclear Information System (INIS)

Lyarskij, P.P.; Zol'nikova, N.I.

1977-01-01

Diagnostic X-ray machines in present use at medical facilities differ in design and operating parameters, this diversity producing, in turn, a variety of local radiological situations and levels of personnel exposure. Based on radiological safety characterization of working conditions, the authors present a breakdown of contemporary diagnostic X-ray equipment types, based on detailed examination of each group in terms of their associated site monitoring and dosimetry patterns. The paper reports data on personnel exposure levels not only as a function of equipment design and operating characteristics but also according to types of occupational activities for particular medical personnel groups (radiologists, surgeons, anesthesiologists, etc.). Included are health physics data for domestic and foreign X-ray equipment, levels of local and absorbed doses for radiologists, cardiovascular surgeons, neurosurgeons, urologists, traumatologists, anesthesiologists, etc. Measures are recommended for optimizing their activities from the standpoint of radiation safety. (author)

Monitoring system in reactor dry well

International Nuclear Information System (INIS)

Horie, Akira; Suzuki, Shun-ichi; Yamamoto, Shinji; Kubokawa, Toshihiko; Takagi, Sakae; Yokosawa, Makoto.

1991-01-01

A failed portion of a dry well in a BWR type reactor is monitored and identified from a remote place by a simple structure. That is, laser beams are irradiated under scanning to a portion to be monitored. Then, the reflection light is monitored by a light receiving and monitoring system, and abnormalities such as defects or leaks of monitored portion are optically detected by a remote viewing equipment. With such a constitution, the portion to be monitored in poor operation circumstances of the reactor dry well can always be monitored efficiently from a remote place. The device of the present invention does not undergo the effect of radiation noises, etc. and it is excellent in heat resistance and radiation resistance. (I.S.)

Radioactivity monitor for high-performance liquid chromatography

International Nuclear Information System (INIS)

Reeve, D.R.; Crozier, A.

1977-01-01

The coupling of a homogeneous radioactivity monitor to a liquid chromatograph involves compromises between the sensitivity of the monitor and the resolution and speed of analysis of the chromatograph. The theoretical relationships between these parameters are considered and expressions derived which make it possible to calculate suitable monitor operating conditions for most types of high-performance liquid chromatography

40 CFR 75.53 - Monitoring plan.

Science.gov (United States)

2010-07-01

... monitoring system under subpart E of this part, including a change in the automated data acquisition and... by boiler, fuel type start and end dates, primary/secondary/emergency/startup fuel indicator, and, if... excepted monitoring system (e.g., fuel flowmeter, data acquisition and handling system), including: (A...

Selection, application and monitoring of Lactobacillus paracasei strains as adjunct cultures in the production of Gouda-type cheeses.

Science.gov (United States)

Van Hoorde, Koenraad; Van Leuven, Isabelle; Dirinck, Patrick; Heyndrickx, Marc; Coudijzer, Kathleen; Vandamme, Peter; Huys, Geert

2010-12-15

Raw milk cheeses have more intense flavours than cheeses made from pasteurized milk and harbour strains with potential adjunct properties. Two Lactobacillus paracasei strains, R-40926 and R-40937, were selected as potential adjunct cultures from a total of 734 isolates from good quality artisan raw milk Gouda-type cheeses on the basis of their prevalence in different cheese types and/or over several production batches, safety and technological parameters. Conventional culturing, isolation and identification and a combined PCR-DGGE approach using total cheese DNA extracts and DNA extracts obtained from culturable fractions were employed to monitor viability of the introduced adjuncts and their effect on the cheese microbiota. The control cheese made without adjuncts was dominated by members of the starter, i.e. Lactococcus lactis and Leuconostoc pseudomesenteroides. In the cheeses containing either R-40926 or R-40937, the respective adjuncts increased in number as ripening progressed indicating that both strains are well adapted to the cheese environment and can survive in a competitive environment in the presence of a commercial starter culture. Principal component analysis of cheese volatiles determined by steam distillation-extraction and gas chromatography-mass spectrometry could differentiate cheeses made with different concentrations of adjunct R-40926 from the control cheese, and these differences could be correlated to the proteolytic and lipolytic properties of this strain. Collectively, results from microbiological and metabolic analyses indicate that the screening procedure followed throughout this study was successful in delivering potential adjunct candidates to enrich or extend the flavour palette of artisan Gouda-type cheeses under more controlled conditions. Copyright © 2010 Elsevier B.V. All rights reserved.

Monitoring for environmental mutagenesis in wild animals - lessons from human studies

International Nuclear Information System (INIS)

Tawn, E.J.

1999-01-01

The increasing realisation that environmental monitoring practices need to demonstrate radiological protection of the whole ecosystem has led to suggestions that genotoxic techniques derived from human monitoring of radiation exposure could be applied to other animal species. Human studies have highlighted the need to establish the relationship between exposure, genetic effect and biological consequence so that different study objectives, e.g. hazard identification, dose estimation, risk evaluation, can be addressed by the application of the most appropriate and informative assay. (author)

Security And Privacy Issues in Healthcare Monitoring Systems: A Case Study

DEFF Research Database (Denmark)

Handler, Daniel Tolboe; Hauge, Lotte; Spognardi, Angelo

2017-01-01

Security and privacy issues are rarely taken into account in automated systems for monitoring elderly people in their home, exposing inhabitants to a number of threats they are usually not aware of. As a case study to expose the major vulnerabilities these systems are exposed to, this paper reviews...... a generic example of automated healthcare monitoring system. The security and privacy issues identified in this case study can be easily generalised and regarded as alarm bells for all the pervasive healthcare professionals....

Insect Biometrics: Optoacoustic Signal Processing and Its Applications to Remote Monitoring of McPhail Type Traps.

Science.gov (United States)

Potamitis, Ilyas; Rigakis, Iraklis; Fysarakis, Konstantinos

2015-01-01

Monitoring traps are important components of integrated pest management applied against important fruit fly pests, including Bactrocera oleae (Gmelin) and Ceratitis capitata (Widemann), Diptera of the Tephritidae family, which effect a crop-loss/per year calculated in billions of euros worldwide. Pests can be controlled with ground pesticide sprays, the efficiency of which depends on knowing the time, location and extent of infestations as early as possible. Trap inspection is currently carried out manually, using the McPhail trap, and the mass spraying is decided based on a decision protocol. We introduce the term 'insect biometrics' in the context of entomology as a measure of a characteristic of the insect (in our case, the spectrum of its wingbeat) that allows us to identify its species and make devices to help face old enemies with modern means. We modify a McPhail type trap into becoming electronic by installing an array of photoreceptors coupled to an infrared emitter, guarding the entrance of the trap. The beating wings of insects flying in the trap intercept the light and the light fluctuation is turned to a recording. Custom-made electronics are developed that are placed as an external add-on kit, without altering the internal space of the trap. Counts from the trap are transmitted using a mobile communication network. This trap introduces a new automated remote-monitoring method different to audio and vision-based systems. We evaluate our trap in large number of insects in the laboratory by enclosing the electronic trap in insectary cages. Our experiments assess the potential of delivering reliable data that can be used to initialize reliably the spraying process at large scales but to also monitor the impact of the spraying process as it eliminates the time-lag between acquiring and delivering insect counts to a central agency.

Using a portable sulfide monitor as a motivational tool: a clinical study.

Science.gov (United States)

Uppal, Ranjit Singh; Malhotra, Ranjan; Grover, Vishakha; Grover, Deepak

2012-01-01

Bad breath has a significant impact on daily life of those who suffer from it. Oral malodor may rank only behind dental caries and periodontal disease as the cause of patient's visit to dentist. An aim of this study was to use a portable sulfide monitor as a motivational tool for encouraging the patients towards the better oral hygiene by correlating the plaque scores with sulfide monitor scores, and comparing the sulfide monitor scores before and after complete prophylaxis and 3 months after patient motivation. 30 patients with chronic periodontitis, having chief complaint of oral malodor participated in this study. At first visit, the plaque scores (P1) and sulfide monitor scores before (BCR1) and after complete oral prophylaxis (BCR2) were taken. Then the patients were motivated towards the better oral hygiene. After 3 months, plaque scores (P2) and sulfide monitor scores (BCR3) were recorded again. It was done using SPSS (student package software for statistical analysis). Paired sample test was performed. Statistically significant reduction in sulfide monitor scores was reported after the complete oral prophylaxis and 3 months after patient motivation. Plaque scores were significantly reduced after a period of 3 months. Plaque scores and breathchecker scores were positively correlated. An intensity of the oral malodor was positively correlated with the plaque scores. The portable sulfide monitor was efficacious in motivating the patients towards the better oral hygiene.

Monitoring system of arch bridge for safety network management

Science.gov (United States)

Joo, Bong Chul; Yoo, Young Jun; Lee, Chin Hyung; Park, Ki Tae; Hwang, Yoon Koog

2010-03-01

Korea has constructed the safety management network monitoring test systems for the civil infrastructure since 2006 which includes airport structure, irrigation structure, railroad structure, road structure, and underground structure. Bridges among the road structure include the various superstructure types which are Steel box girder bridge, suspension bridge, PSC-box-girder bridge, and arch bridge. This paper shows the process of constructing the real-time monitoring system for the arch bridge and the measured result by the system. The arch type among various superstructure types has not only the structural efficiency but the visual beauty, because the arch type superstructure makes full use of the feature of curve. The main measuring points of arch bridges composited by curved members make a difference to compare with the system of girder bridges composited by straight members. This paper also shows the method to construct the monitoring system that considers the characteristic of the arch bridge. The system now includes strain gauges and thermometers, and it will include various sensor types such as CCTV, accelerometers and so on additionally. For the long term and accuracy monitoring, the latest optical sensors and equipments are applied to the system.

Biological characteristics as a part of pollution monitoring studies

Digital Repository Service at National Institute of Oceanography (India)

Nair, V.R.; Govindan, K.

Ecosystem modifications can be considered as an integral part of any pollution monitoring studies and in such cases community structure/diversity is of prime importance. Considering this advantage of aquatic life, pelagic and benthic communities...

Identification of process dynamics. Stability monitoring in BWR type reactors

International Nuclear Information System (INIS)

Abrahamsson, P.; Hallgren, P.

1991-06-01

Identification of process dynamics is used for stability monitoring in nuclear reactors (Boiling Water Reactor). This report treats the problem of estimating a damping factor and a resonance frequency from the neutron flux as measured in the reactor. A new parametric online method for identification is derived and presented, and is shown to meet the requirements of stability monitoring. The technique for estimating the process parameters is based on a recursive lattice filter algorithm. The problem of time varying parameters and offset, as well as offline experiments and signal processing are treated. All parts are implemented in a realtime program, using the language C. In comparison with earlier identifications, the new way of estimating the damping factor is shown to work well. Estimates of both the damping factor and the resonance frequency show a stable and reliable behavior. Future development and improvements are also indicated. (au)

Novel glucose-sensing technology and hypoglycaemia in type 1 diabetes: a multicentre, non-masked, randomised controlled trial.

Science.gov (United States)

Bolinder, Jan; Antuna, Ramiro; Geelhoed-Duijvestijn, Petronella; Kröger, Jens; Weitgasser, Raimund

2016-11-05

Tight control of blood glucose in type 1 diabetes delays onset of macrovascular and microvascular diabetic complications; however, glucose levels need to be closely monitored to prevent hypoglycaemia. We aimed to assess whether a factory-calibrated, sensor-based, flash glucose-monitoring system compared with self-monitored glucose testing reduced exposure to hypoglycaemia in patients with type 1 diabetes. In this multicentre, prospective, non-masked, randomised controlled trial, we enrolled adult patients with well controlled type 1 diabetes (HbA 1c ≤58 mmol/mol [7·5%]) from 23 European diabetes centres. After 2 weeks of all participants wearing the blinded sensor, those with readings for at least 50% of the period were randomly assigned (1:1) to flash sensor-based glucose monitoring (intervention group) or to self-monitoring of blood glucose with capillary strips (control group). Randomisation was done centrally using the biased-coin minimisation method dependent on study centre and type of insulin administration. Participants, investigators, and study staff were not masked to group allocation. The primary outcome was change in time in hypoglycaemia (diabetes spent in hypoglycaemia. Future studies are needed to assess the effectiveness of this technology in patients with less well controlled diabetes and in younger age groups. Abbott Diabetes Care. Copyright © 2016 Elsevier Ltd. All rights reserved.

Awareness during anaesthesia for surgery requiring evoked potential monitoring: A pilot study

Directory of Open Access Journals (Sweden)

Pritish J Korula

2017-01-01

Full Text Available Background: Evoked potential monitoring such as somatosensory-evoked potential (SSEP or motor-evoked potential (MEP monitoring during surgical procedures in proximity to the spinal cord requires minimising the minimum alveolar concentrations (MACs below the anaesthetic concentrations normally required (1 MAC to prevent interference in amplitude and latency of evoked potentials. This could result in awareness. Our primary objective was to determine the incidence of awareness while administering low MAC inhalational anaesthetics for these unique procedures. The secondary objective was to assess the adequacy of our anaesthetic technique from neurophysiologist′s perspective. Methods: In this prospective observational pilot study, 61 American Society of Anesthesiologists 1 and 2 patients undergoing spinal surgery for whom intraoperative evoked potential monitoring was performed were included; during the maintenance phase, 0.7-0.8 MAC of isoflurane was targeted. We evaluated the intraoperative depth of anaesthesia using a bispectral (BIS index monitor as well as the patients response to surgical stimulus (PRST scoring system. Post-operatively, a modified Bruce questionnaire was used to verify awareness. The adequacy of evoked potential readings was also assessed. Results: Of the 61 patients, no patient had explicit awareness. Intraoperatively, 19 of 61 patients had a BIS value of above sixty at least once, during surgery. There was no correlation with PRST scoring and BIS during surgery. Fifty-four out of 61 patient′s evoked potential readings were deemed ′good′ or ′fair′ for the conduct of electrophysiological monitoring. Conclusions: This pilot study demonstrates that administering low MAC inhalational anaesthetics to facilitate evoked potential monitoring does not result in explicit awareness. However, larger studies are needed to verify this. The conduct of SSEP electrophysiological monitoring was satisfactory with the use of this

Simultaneous sequential monitoring of efficacy and safety led to masking of effects.

Science.gov (United States)

van Eekelen, Rik; de Hoop, Esther; van der Tweel, Ingeborg

2016-08-01

Usually, sequential designs for clinical trials are applied on the primary (=efficacy) outcome. In practice, other outcomes (e.g., safety) will also be monitored and influence the decision whether to stop a trial early. Implications of simultaneous monitoring on trial decision making are yet unclear. This study examines what happens to the type I error, power, and required sample sizes when one efficacy outcome and one correlated safety outcome are monitored simultaneously using sequential designs. We conducted a simulation study in the framework of a two-arm parallel clinical trial. Interim analyses on two outcomes were performed independently and simultaneously on the same data sets using four sequential monitoring designs, including O'Brien-Fleming and Triangular Test boundaries. Simulations differed in values for correlations and true effect sizes. When an effect was present in both outcomes, competition was introduced, which decreased power (e.g., from 80% to 60%). Futility boundaries for the efficacy outcome reduced overall type I errors as well as power for the safety outcome. Monitoring two correlated outcomes, given that both are essential for early trial termination, leads to masking of true effects. Careful consideration of scenarios must be taken into account when designing sequential trials. Simulation results can help guide trial design. Copyright © 2016 Elsevier Inc. All rights reserved.

Development of an S-band cavity-type beam position monitor for a high power THz free-electron laser

Energy Technology Data Exchange (ETDEWEB)

Noh, Seon Yeong; Kim, Eun-San, E-mail: eskim1@knu.ac.kr; Hwang, Ji-Gwang; Heo, A.; Won, Jang Si [Department of Physics, Kyungpook National University, Daegu 702-701 (Korea, Republic of); Vinokurov, Nikolay A.; Jeong, Young UK, E-mail: yujung@kaeri.re.kr; Hee Park, Seong; Jang, Kyu-Ha [WCI Center for Quantum-Beam-based Radiation Research, Korea Atomic Energy Research Institute, 989-111 Daedeok-Daero, Yuseong-gu, Daejeon (Korea, Republic of)

2015-01-15

A cavity-type beam position monitor (BPM) has been developed for a compact terahertz (THz) free-electron laser (FEL) system and ultra-short pulsed electron Linac system at the Korea Atomic Energy Research Institute (KAERI). Compared with other types of BPMs, the cavity-type BPM has higher sensitivity and faster response time even at low charge levels. When electron beam passes through the cavity-type BPM, it excites the dipole mode of the cavity of which amplitude depends linearly on the beam offset from the center of the cavity. Signals from the BPM were measured as a function of the beam offset by using an oscilloscope. The microtron accelerator for the KAERI THz FEL produces the electron beam with an energy of 6.5 MeV and pulse length of 5 μs with a micropulse of 10-20 ps at the frequency of 2.801 GHz. The macropulse beam current is 40 mA. Because the microtron provides multi-bunch system, output signal would be the superposition of each single bunch. So high output signal can be obtained from superposition of each single bunch. The designed position resolution of the cavity-type BPM in multi-bunch is submicron. Our cavity-type BPM is made of aluminum and vacuum can be maintained by indium sealing without brazing process, resulting in easy modification and cost saving. The resonance frequency of the cavity-type BPM is 2.803 GHz and the cavity-type BPM dimensions are 200 × 220 mm (length × height) with a pipe diameter of 38 mm. The measured position sensitivity was 6.19 (mV/mm)/mA and the measured isolation between the X and Y axis was −39 dB. By measuring the thermal noise of system, position resolution of the cavity-type BPM was estimated to be less than 1 μm. In this article, we present the test results of the S-band cavity-type BPM and prove the feasibility of the beam position measurement with high resolution using this device.

Development of an S-band cavity-type beam position monitor for a high power THz free-electron laser

Science.gov (United States)

Noh, Seon Yeong; Kim, Eun-San; Hwang, Ji-Gwang; Heo, A.; won Jang, Si; Vinokurov, Nikolay A.; Jeong, Young UK; Hee Park, Seong; Jang, Kyu-Ha

2015-01-01

A cavity-type beam position monitor (BPM) has been developed for a compact terahertz (THz) free-electron laser (FEL) system and ultra-short pulsed electron Linac system at the Korea Atomic Energy Research Institute (KAERI). Compared with other types of BPMs, the cavity-type BPM has higher sensitivity and faster response time even at low charge levels. When electron beam passes through the cavity-type BPM, it excites the dipole mode of the cavity of which amplitude depends linearly on the beam offset from the center of the cavity. Signals from the BPM were measured as a function of the beam offset by using an oscilloscope. The microtron accelerator for the KAERI THz FEL produces the electron beam with an energy of 6.5 MeV and pulse length of 5 μs with a micropulse of 10-20 ps at the frequency of 2.801 GHz. The macropulse beam current is 40 mA. Because the microtron provides multi-bunch system, output signal would be the superposition of each single bunch. So high output signal can be obtained from superposition of each single bunch. The designed position resolution of the cavity-type BPM in multi-bunch is submicron. Our cavity-type BPM is made of aluminum and vacuum can be maintained by indium sealing without brazing process, resulting in easy modification and cost saving. The resonance frequency of the cavity-type BPM is 2.803 GHz and the cavity-type BPM dimensions are 200 × 220 mm (length × height) with a pipe diameter of 38 mm. The measured position sensitivity was 6.19 (mV/mm)/mA and the measured isolation between the X and Y axis was -39 dB. By measuring the thermal noise of system, position resolution of the cavity-type BPM was estimated to be less than 1 μm. In this article, we present the test results of the S-band cavity-type BPM and prove the feasibility of the beam position measurement with high resolution using this device.

Acoustic Emission Behavior of Early Age Concrete Monitored by Embedded Sensors.

Science.gov (United States)

Qin, Lei; Ren, Hong-Wei; Dong, Bi-Qin; Xing, Feng

2014-10-02

Acoustic emission (AE) is capable of monitoring the cracking activities inside materials. In this study, embedded sensors were employed to monitor the AE behavior of early age concrete. Type 1-3 cement-based piezoelectric composites, which had lower mechanical quality factor and acoustic impedance, were fabricated and used to make sensors. Sensors made of the composites illustrated broadband frequency response. In a laboratory, the cracking of early age concrete was monitored to recognize different hydration stages. The sensors were also embedded in a mass concrete foundation to localize the temperature gradient cracks.

Home blood-pressure monitoring in a hypertensive pregnant population: cost minimisation study.

Science.gov (United States)

Xydopoulos, G; Perry, H; Sheehan, E; Thilaganathan, B; Fordham, R; Khalil, A

2018-03-08

Traditional monitoring of blood pressure in hypertensive pregnant women requires frequent visits to the maternity outpatient services. Home blood-pressure monitoring (HBPM) could offer a cost-saving alternative that is acceptable to patients. The main objective of this study was to undertake a health economic analysis of HBPM compared with traditional monitoring in hypertensive pregnant women. This was a case-control study. Cases were pregnant women with hypertension who had HBPM with or without the adjunct of a smartphone app, via a specially designed pathway. The control group were managed as per existing hospital guidelines. Specific outcome measures were the number of outpatient visits, inpatient bed stays and investigations performed. Maternal, fetal and neonatal adverse outcomes were also recorded. Health economic analysis was performed using two methods: direct cost comparison of the study dataset and process scenario modelling. There were 108 women in the HBPM group, of whom 29 recorded their results on the smartphone app (App-HBPM) and 79 in their notes (Non-app HBPM). The control group comprised of 58 patients. There were significantly more women with chronic hypertension in the HBPM group (49.1% vs 25.9%, P = 0.004). The HBPM group had significantly longer duration of monitoring (9 weeks vs 5 weeks P = 0.004) and started monitoring from an earlier gestation (30 weeks vs 33.6 weeks, P = 0.001). Despite these differences, the mean saving per week for HBPM compared with the control group was £200.69. For the App-HBPM cohort, the saving per week compared with the control group was £286.53. The process modelling method predicted savings of between £98.32 and £245.80 per week using HBPM compared to the traditional monitoring. HBPM in hypertensive pregnancies appears to be cost-saving compared with traditional monitoring, without compromising maternal, fetal or neonatal safety. Larger studies are required to confirm these findings. This article is

Corrosion strength monitoring of NPP component residual lifetime

International Nuclear Information System (INIS)

Denisov, V.G.; Belous, V.N.; Arzhaev, A.I.; Shuvalov, V.A.

1994-01-01

Importance of corrosion and fatigue monitoring; types of corrosion determine the NPP equipment life; why automated on-line corrosion and fatigue monitoring is preferable; major stages of lifetime monitoring system development; major groups of sensors for corrosion and strength monitoring system; high temperature on-line monitoring of water chemistry and corrosion; the RBMK-1000 NPP unit automatic water chemistry and corrosion monitoring scheme; examples of pitting, crevice and general corrosion forecast calculations on the basis of corrosion monitoring data; scheme of an experimental facility for water chemistry and corrosion monitoring sensor testing. 2 figs., 4 tabs

Construction monitoring constraints and challenges:A feasibility study

OpenAIRE

Fidler, Paul; Vardanega, Paul J; Long, Peter; Webb, Graham; Stehle, John; Middleton, Campbell

2013-01-01

This paper presents a study of the constraints and challenges faced by the authors when invited to study the feasibility of developing a monitoring system to provide specific information sought by the designer and contractor during the construction of the new 225m high, 48 storey steel-framed Leadenhall Building, located at 122 Leadenhall Street in London. The original goal of the study was to develop a system to assist with the active alignment of the building during construction, a key aim ...

Validation of MODIS and SEVIRI Active Fire Monitoring products over Western Romania. Case study: Arad County

Science.gov (United States)

Oanea, Lavinia; Alina Ristea, Mihaela

2014-05-01

At the national level, the issue of wildfire monitoring represents a long debated topic. However, in the present situation, fire management requires various improvements in terms of detection, monitoring and post-fire analysis. The objectives of this study are to validate the data provided by MODIS (Terra and Aqua) Active Fire Monitoring and SEVIRI (MSG) FIR (Active Fire Monitoring) satellite products, with wildfires field data from The Romanian General Inspectorate for Emergency Situations (IGSU) (1), to chart the efficiency of satellite products in locating fires and study their strengths and weaknesses using a SWOT analysis (2). This is the initial step of a larger project that aims to implement an online Geographic Information System for fire management that will ease wildfire data manipulation and facilitate the decision making process. In order to do so, the current study objectives must be achieved. Our general strategy is to determine the consistency of direct (field measurements) and indirect (satellite data) observations. Depending on the amount of field information, the fire characteristics (location, frequency, extension area, moment of occurrence, type of fire, and others) will be studied through a statistical analysis. The products show some peculiar restrictiveness like spatial and temporal resolution. Specifically, we will process and interpret satellite products to identify wildfires according to the data from IGSU using specialized software. The case study for the application of these procedures is a set of fire events from Arad county - Romania, that occurred between 2007 and 2013. In order to do so, it is important to compare results from different sensors with field information through various methods and to use only consistent results. The results will play an important role in achieving the above mentioned informational system, which will integrate field information, satellite data and values of parameters that influence the evolution of

Field Monitoring of Deformations and Internal Forces of Surrounding Rocks and Lining Structures in the Construction of the Gangkou Double-Arched Tunnel—A Case Study

Directory of Open Access Journals (Sweden)

Qixiang Yan

2017-02-01

Full Text Available Double-arched tunnel is a special and complex underground structure which needs to be monitored carefully during construction. Taking the Gangkou tunnel as the engineering background, this paper presents a case study of field monitoring of a representative double-arched tunnel. Typical cross sections were chosen in each class of surrounding rock masses in the tunnel area and different types of sensors were embedded in designed locations, and the deformations and forces of both surrounding rocks and lining structures were monitored systematically. The dynamic evolution as well as the spatial distribution characteristics of the monitoring data including the internal displacements of surrounding rocks and the contact pressures between surrounding rocks and primary linings, the axial forces in rock bolts and the internal forces in both steel arches and secondary linings were analyzed. The monitoring and analysis results show that the deformations and forces of both surrounding rocks and lining structures are directly related to the construction procedures, geological conditions and locations in the double-arched tunnel. According to the results, some reasonable suggestions were provided for the improvement of the tunnel construction. This study will provide useful reference and guidance for the design, construction and monitoring of similar engineering projects in future.

Mood instability in bipolar disorder type I versus type II-continuous daily electronic self-monitoring of illness activity using smartphones

DEFF Research Database (Denmark)

Faurholt-Jepsen, Maria; Ritz, Christian; Frost, Mads

2015-01-01

BACKGROUND: A substantial proportion of patients with bipolar disorder remain symptomatic during inter-episode periods, and mood instability is associated with high risk of relapse and hospitalization. Few studies have investigated long-term daily illness activity and none has compared bipolar ty...... with bipolar disorder type I, but despite on-going treatment only for half of the time for patients with bipolar disorder type II. This emphasizes the need for improving treatment strategies for bipolar disorder type II....

Control of Blood Glucose for People with Type 1 Diabetes: an in Vivo Study

DEFF Research Database (Denmark)

Boiroux, Dimitri; Schmidt, Signe; Duun-Henriksen, Anne Katrine

2012-01-01

Since continuous glucose monitoring (CGM) technology and insulin pumps have improved recent years, a strong interest in a closed-loop articial pancreas for people with type 1 diabetes has arisen. Presently, a fully automated controller of blood glucose must face many challenges, such as daily...... variations of patient's physiology and lack of accuracy of glucose sensors. In this paper we design and discuss an algorithm for overnight closed-loop control of blood glucose in people with type 1 diabetes. The algorithm is based on Model Predictive Control (MPC). We use an oset-free autoregressive model...

Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus.

Science.gov (United States)

Levine, Jason C; Burns, Edith; Whittle, Jeffrey; Fleming, Raymond; Knudson, Paul; Flax, Steve; Leventhal, Howard

2016-12-01

Self-monitoring of blood glucose (SMBG) has been recommended for people with type 2 diabetes mellitus. This trial tested an automated self-management monitor (ASMM) that reminds patients to perform SMBG, provides feedback on results of SMBG, and action tips for improved self-management. This delayed-start trial randomized participants to using the ASMM immediately (IG), or following a delay of 6 months (DG). Glycated hemoglobin (HgbA1c) level and survey data was collected at home visits every 3 months. 44 diabetic men and women, mean age 70, completed the 12-month trial. Baseline HgbA1c was 8.1 % ± 1.0, dropping to 7.3 ± 1.0 by 9 months, with a 3-month lag in the DG (F = 3.56, p = 0.004). Decrease in HgbA1c was significantly correlated to increased frequency of SMBG, R = 0.588, p better glycemic control. This type of technology may provide real-time feedback not only to patient users, but to the health care system, allowing better integration of provider recommendations with patient-centered action.

HIV-1 Drug Resistance Mutations Among Antiretroviral-Naïve HIV-1–Infected Patients in Asia: Results From the TREAT Asia Studies to Evaluate Resistance-Monitoring Study

Science.gov (United States)

Oyomopito, Rebecca; Sirivichayakul, Sunee; Sirisanthana, Thira; Kantipong, Pacharee; Lee, Christopher K. C.; Kamarulzaman, Adeeba; Messerschmidt, Liesl; Law, Matthew G.; Phanuphak, Praphan

2011-01-01

(See editorial commentary by Jordan on pages 1058–1060.) Of 682 antiretroviral-naïve patients initiating antiretroviral therapy in a prospective, multicenter human immunodeficiency virus type 1 (HIV-1) drug resistance monitoring study involving 8 sites in Hong Kong, Malaysia, and Thailand, the prevalence of patients with ≥1 drug resistance mutation was 13.8%. Primary HIV drug resistance is emerging after rapid scaling-up of antiretroviral therapy use in Asia. PMID:21460324

VAMOS: The verification and monitoring options study: Current research options for in-situ monitoring and verification of contaminant remediation and containment within the vadose zone

International Nuclear Information System (INIS)

Betsill, J.D.; Gruebel, R.D.

1995-09-01

The Verification and Monitoring Options Study Project (VAMOS) was established to identify high-priority options for future vadose-zone environmental research in the areas of in-situ remediation monitoring, post-closure monitoring, and containment emplacement and verification monitoring. VAMOS examined projected needs not currently being met with applied technology in order to develop viable monitoring and verification research options. The study emphasized a compatible systems approach to reinforce the need for utilizing compatible components to provide user friendly site monitoring systems. To identify the needs and research options related to vadose-zone environmental monitoring and verification, a literature search and expert panel forums were conducted. The search included present drivers for environmental monitoring technology, technology applications, and research efforts. The forums included scientific, academic, industry, and regulatory environmental professionals as well as end users of environmental technology. The experts evaluated current and future monitoring and verification needs, methods for meeting these needs, and viable research options and directions. A variety of high-priority technology development, user facility, and technology guidance research options were developed and presented as an outcome of the literature search and expert panel forums

Experimental studies of minienvironment types

International Nuclear Information System (INIS)

Eissler, W.; Schneider, H.

1994-01-01

Various minienvironment types are available offering different features at quite different costs. MEISSNER+WURST performed in its JESSI project experimental tests to examine the isolation capabilities and the recovery time of minienvironments and the influence of manual handling and maintenance on the minienvironment cleanliness. An isolation factor up to 1 million was measured in the experiments. The Custom Tailored Minienvironment has the best protection against external and internal particle sources. Critical points in the design and the installation of minienvironments were identified. The results of air flow visualization studies were confirmed by airflow simulations. The result of the studies allow a classification of minienvironment types according to their cleanliness achievements

Monitoring human papillomavirus prevalence in urine samples: a review

Directory of Open Access Journals (Sweden)

Enerly E

2013-03-01

Full Text Available Espen Enerly, Cecilia Olofsson, Mari NygårdDepartment of Research, Cancer Registry of Norway, Oslo, NorwayAbstract: Human papillomavirus (HPV is the main cause of cervical cancer, and many countries now offer vaccination against HPV to girls by way of government-funded national immunization programs. Monitoring HPV prevalence in adolescents could offer a near-term biological measure of vaccine impact, and urine sampling may be an attractive large-scale method that could be used for this purpose. Our objective was to provide an overview of the literature on HPV DNA detection in urine samples, with an emphasis on adolescents. We searched the PubMed database using the terms “HPV” and “urine” and identified 21 female and 14 male study populations in which HPV prevalence in urine samples was reported, four of which included only asymptomatic female adolescents. We provide herein an overview of the recruitment setting, age, urine sampling procedure, lesion type, HPV assay, and HPV prevalence in urine samples and other urogenital samples for the studies included in this review. In female study populations, concordance for any HPV type and type-specific concordance in paired urine and cervical samples are provided in addition to sensitivity and specificity. We concluded that few studies on HPV prevalence in urine samples have been performed in asymptomatic female adolescent populations but that urine samples may be a useful alternative to cervical samples to monitor changes in HPV prevalence in females in the post-HPV vaccination era. However, care should be taken when extrapolating HPV findings from urine samples to the cervix. In males, urine samples do not seem to be optimal for monitoring HPV prevalence due to a low human genomic DNA content and HPV DNA detection rate compared to other urogenital sites. In each situation the costs and benefits of HPV DNA detection in urine compared to alternative monitoring options should be carefully

On-line plant-wide monitoring using neural networks

International Nuclear Information System (INIS)

Turkcan, E.; Ciftcioglu, O.; Eryurek, E.; Upadhyaya, B.R.

1992-06-01

The on-line signal analysis system designed for a multi-level mode operation using neural networks is described. The system is capable of monitoring the plant states by tracking different number of signals up to 32 simultaneously. The data used for this study were acquired from the Borssele Nuclear Power Plant (PWR type), and using the on-line monitoring system. An on-line plant-wide monitoring study using a multilayer neural network model is discussed in this paper. The back-propagation neural network algorithm is used for training the network. The technique assumes that each physical state of the power plant can be represented by a unique pattern of instrument readings which can be related to the condition of the plant. When disturbance occurs, the sensor readings undergo a transient, and form a different set of patterns which represent the new operational status. Diagnosing these patterns can be helpful in identifying this new state of the power plant. To this end, plant-wide monitoring with neutral networks is one of the new techniques in real-time applications. (author). 9 refs.; 5 figs

Study of the EAR.620 aerosol monitor survival

International Nuclear Information System (INIS)

Morisset, A.; Sciorella, G.; Chivu, D.; Meriaux, P.; Pagel, M.

1976-01-01

The disappearance of different electronic components on the European professional market was likely to create a very serious problem for the maintenance of health physics instrumentation existing at CEA. The present report is a study of the conditions of assurance of the survival of the air contamination monitor EAR.620 up to 1980 [fr

Illusions of Competence in Monitoring One's Knowledge During Study

Science.gov (United States)

Koriat, Asher; Bjork, Robert A.

2005-01-01

The monitoring of one's own knowledge during study suffers from an inherent discrepancy between study and test situations: Judgments of learning (JOLs) are made in the presence of information that is absent but solicited during testing. The failure to discount the effects of that information when making JOLs can instill a sense of competence…

Biological monitoring of radiation exposure

Science.gov (United States)

Horneck, G.

1998-11-01

Complementary to physical dosimetry, biological dosimetry systems have been developed and applied which weight the different components of environmental radiation according to their biological efficacy. They generally give a record of the accumulated exposure of individuals with high sensitivity and specificity for the toxic agent under consideration. Basically three different types of biological detecting/monitoring systems are available: (i) intrinsic biological dosimeters that record the individual radiation exposure (humans, plants, animals) in measurable units. For monitoring ionizing radiation exposure, in situ biomarkers for genetic (e.g. chromosomal aberrations in human lymphocytes, germ line minisatellite mutation rates) or metabolic changes in serum, plasma and blood (e.g. serum lipids, lipoproteins, lipid peroxides, melatonin, antibody titer) have been used. (ii) Extrinsic biological dosimeters/indicators that record the accumulated dose in biological model systems. Their application includes long-term monitoring of changes in environmental UV radiation and its biological implications as well as dosimetry of personal UV exposure. (iii) Biological detectors/biosensors for genotoxic substances and agents such as bacterial assays (e.g. Ames test, SOS-type test) that are highly sensitive to genotoxins with high specificity. They may be applicable for different aspects in environmental monitoring including the International Space Station.

A longitudinal, randomized, and prospective study of nocturnal monitoring in children and adolescents with epilepsy: Effects on quality of life and sleep.

Science.gov (United States)

Borusiak, Peter; Bast, Thomas; Kluger, Gerhard; Weidenfeld, Andrea; Langer, Thorsten; Jenke, Andreas C W; Wiegand, Gert

2016-08-01

Most studies on seizure detection systems focus more on the effectiveness of devices than on their practicability in and impact on everyday life. Our study investigated the impact of a technical monitoring system on subjective quality of sleep and the lives of affected families. Furthermore, we evaluated the impact of anxiety levels on seizure monitoring and vice versa. Forty-three patients with newly diagnosed epilepsy were included. Initially, the families decided whether they did (group 1, n=27) or did not (group 2, n=16) want to use a monitoring device. In group 1, patients were randomly assigned to using Epi-Care® (group 1A, n=14) or an audio baby monitor (group 1B, n=13). Quality of life was assessed at two points (t1, at the start of the study and t2, at 5-7months of follow-up) using the SF-12, Kindl-R, and "Familien-Belastungs-Fragebogen" (German version of the "Impact on Family Scale"). In addition, parental anxiety was measured using the State-Trait Anxiety-Inventory, and subjective quality of sleep was measured using the Pittsburgh Sleep Quality Index. Statistical analysis focused on the possible differences between groups 1 and 2 that may influence parents' decisions and the effects of the presence and types of technical monitoring over time. Anxiety levels were not significantly different between the groups with and without monitoring (group 1 vs. group 2). We also found no statistically significant, substantial baseline differences between the Epi-Care® and audio baby monitor groups, with at least medium effect sizes (group 1A vs. group 1B). Parents' health-related mental quality of life measured via the SF-12 increased significantly over time in all groups. By tendency, the fear of further seizures as well as the frequency of cosleeping arrangements in the monitoring group decreased during the study and approached the stable values of the control group. Individual parental anxiety levels are not crucial in the decision regarding the use of a

Psychophysical analysis of monitor display functions affecting observer diagnostic performance of CT image on liquid crystal display monitors

International Nuclear Information System (INIS)

Yamaguchi, M.; Fujita, H.; Asai, Y.; Uemura, M.; Ookura, Y.; Matsumoto, M.; Johkoh, T.

2005-01-01

The aim of the present study was to propose suitable display functions for CT image representation on liquid crystal display (LCD) monitors by analyzing the characteristics of the monitor's typical display functions using psychophysical analysis. The luminance of the LCD monitor was adjusted to a maximum of 275 cd/m 2 and 480 cd/m 2 . Three types of postcalibrated display functions (i.e., GSDF, CIELAB, and Exponential γ 2.2) were evaluated. Luminance calculation of a new grayscale test pattern (NGTP) was done for the conversion of the digital driving level (DDL) into the CT value. The psychophysical gradient δ of display functions for the CT value was evaluated and compared via statistical analysis. The δ value of GSDF and CIE decreased exponentially; however, the δ value of Exponential γ 2.2 showed a convex curve with a peak at a specific point. There was a statistically significant difference among the δ values of the three types of display functions on the 480 cd/m 2 maximum via Kruskal Wallis test (P<0.001). The GSDF was suitable for observation of abdominal and lung CT images; however, the display function combined the Exponential γ 2.2 and the GSDF functions and was ideal for observation of brain CT images by psychophysical analysis. (orig.)

System and Method for Monitoring Distributed Asset Data

Science.gov (United States)

Gorinevsky, Dimitry (Inventor)

2015-01-01

A computer-based monitoring system and monitoring method implemented in computer software for detecting, estimating, and reporting the condition states, their changes, and anomalies for many assets. The assets are of same type, are operated over a period of time, and outfitted with data collection systems. The proposed monitoring method accounts for variability of working conditions for each asset by using regression model that characterizes asset performance. The assets are of the same type but not identical. The proposed monitoring method accounts for asset-to-asset variability; it also accounts for drifts and trends in the asset condition and data. The proposed monitoring system can perform distributed processing of massive amounts of historical data without discarding any useful information where moving all the asset data into one central computing system might be infeasible. The overall processing is includes distributed preprocessing data records from each asset to produce compressed data.

CEMs turn monitoring giant

International Nuclear Information System (INIS)

White, J.R.

1993-01-01

Crucial to complying with environmental regulations is selecting appropriate pollution control equipment to capture or destroy regulated pollutants. But just as important is selecting a continuous emissions monitoring system (CEM). CEMs play a dual role in an overall compliance strategy. On one hand, they identify the type and quantity of emissions at a source as a first step for determining which regulatory requirements and control technologies are applicable. They also provide ongoing emissions data to demonstrate compliance with air and other environmental regulations. Facilities are required to monitor their processes with CEMs, or a comparable technology, under several titles of the Clean Air Act Amendments of 1990. CEMs meet regulatory requirements if they include a SO 2 concentration monitor, nitrogen oxides (NO x ) concentration monitor, volumetric flow monitor, opacity monitor, diluent gas monitor and data acquisition and handling system. The entire system and each subsystem has to be installed and certified before it can be used for compliance. A written quality assurance/quality control (QA/QC) plan for the CEMs must accompany the permit application. The acid rain rules also impose performance standards and frequent calibration checks to ensure the integrity of CEMs data

Study on Remote Monitoring System of Crossing and Spanning Tangent Tower

Science.gov (United States)

Chen, Da-bing; Zhang, Nai-long; Zhang, Meng-ge; Wang, Ze-hua; Zhang, Yan

2017-05-01

In order to grasp the vibration state of overhead transmission line and ensure the operational security of transmission line, the remote monitoring system of crossing and spanning tangent tower was studied. By use of this system, the displacement, velocity and acceleration of the tower, and the local weather data are collected automatically, displayed on computer of remote monitoring centre through wireless network, real-time collection and transmission of vibration signals are realized. The applying results show that the system is excellent in reliability and accuracy and so on. The system can be used to remote monitoring of transmission tower of UHV power transmission lines and in large spanning areas.

In situ monitoring of the electrochemical dissolution of tungsten

Energy Technology Data Exchange (ETDEWEB)

Krebsz, Melinda [Christian Doppler Laboratory for Combinatorial Oxide Chemistry at ICTAS, Johannes Kepler University Linz (Austria); Kollender, Jan Philipp [Institute for Chemical Technology of Inorganic Materials (ICTAS), Johannes Kepler University Linz (Austria); Hassel, Achim Walter [Christian Doppler Laboratory for Combinatorial Oxide Chemistry at ICTAS, Johannes Kepler University Linz (Austria); Institute for Chemical Technology of Inorganic Materials (ICTAS), Johannes Kepler University Linz (Austria)

2017-09-15

In the present work, which is aimed to monitor in situ the electrochemical dissolution of tungsten by using a Flow-Type Scanning Droplet Cell Microscope (FT-SDCM) and Inductively Coupled Plasma Mass Spectrometry (ICP-MS), novel results are reported. The anodic oxide growth and its dissolution on the surface of W have been monitored in situ. The results of this current study show the importance of coupling electrochemical experiments to ICP-MS. (copyright 2017 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

Requirements to a Norwegian national automatic gamma monitoring system

DEFF Research Database (Denmark)

Lauritzen, B.; Jensen, Per Hedemann; Nielsen, F.

2005-01-01

increments above the natural background levels. The study is based upon simplified deterministic calculations of the radiological consequences of generic nuclear accident scenarios. The density of gammamonitoring stations has been estimated from an analysis of the dispersion of radioactive materials over......An assessment of the overall requirements to a Norwegian gamma-monitoring network is undertaken with special emphasis on the geographical distribution of automatic gamma monitoring stations, type of detectors in such stations and the sensitivity of thesystem in terms of ambient dose equivalent rate...

Web3DGIS-Based System for Reservoir Landslide Monitoring and Early Warning

OpenAIRE

Huang Huang; Jianhua Ni; Yu Zhang; Tianlu Qian; Dingtao Shen; Jiechen Wang

2016-01-01

Landslides are the most frequent type of natural disaster, and they bring about large-scale damage and are a threat to human lives and infrastructure; therefore, the ability to conduct real-time monitoring and early warning is important. In this study, a Web3DGIS (Web3D geographic information systems) system for monitoring and forecasting landslides was developed using the Danjiangkou Reservoir area as a case study. The development of this technique involved system construction, functional de...

Idaho National Laboratory Site Environmental Monitoring Plan

Energy Technology Data Exchange (ETDEWEB)

Nordstrom, Jenifer [Idaho National Lab. (INL), Idaho Falls, ID (United States)

2014-02-01

This plan provides a high-level summary of environmental monitoring performed by various organizations within and around the Idaho National Laboratory (INL) Site as required by U.S. Department of Energy (DOE) Order 435.1, Radioactive Waste Management, and DOE Order 458.1, Radiation Protection of the Public and the Environment, Guide DOE/EH-0173T, Environmental Regulatory Guide for Radiological Effluent Monitoring and Environmental Surveillance, and in accordance with 40 Code of Federal Regulations (CFR) 61, National Emission Standards for Hazardous Air Pollutants. The purpose of these orders is to 1) implement sound stewardship practices that protect the air, water, land, and other natural and cultural resources that may be impacted by DOE operations, and 2) to establish standards and requirements for the operations of DOE and DOE contractors with respect to protection of the environment and members of the public against undue risk from radiation. This plan describes the organizations responsible for conducting environmental monitoring across the INL Site, the rationale for monitoring, the types of media being monitored, where the monitoring is conducted, and where monitoring results can be obtained. Detailed monitoring procedures, program plans, or other governing documents used by contractors or agencies to implement requirements are referenced in this plan. This plan covers all planned monitoring and environmental surveillance. Non-routine activities such as special research studies and characterization of individual sites for environmental restoration are outside the scope of this plan.

System for remote routine monitoring of power equipment at TPP and NPP

International Nuclear Information System (INIS)

Kantsedalov, V.G.; Samojlenko, V.P.; Doroshenko, V.A.

1988-01-01

A system for remote routine monitoring of TPP and NPP pipeline metals is described. The principal functional unit of the system is the unit of remote routine methods and techniques for studying and monitoring the metal and properties. The system is equipped with 5 types of routine monitoring equipment: robots, remote aggregated complexes, periodical diagnostic monitors, other means of metal diagnostics (endoscopes, introscopes). All current information enters the unit for estimating and forecasting the service life of power unit, where it is compared with the standard indices of reliability, duravility and efficiency. The system considered permits to reduce significantly or minimize the scope of works on metal monitoring during overhauls, increase intermonitoring and interrepairing compaigns to 8 years

Towards innovative roadside monitoring

Science.gov (United States)

Ojha, G.; Appel, E.; Magiera, T.

2012-04-01

Soil contamination along roadsides is an important factor of anthropogenic point source pollution. Climatic and traffic-specific factors influence the amount and characteristics of pollution emitted and deposited in the roadside soil. In our present study we focus on monitoring typical traffic pollutants (heavy metals HM, platinum group elements, polycyclic hydrocarbons PAH), and investigate the use of magnetic parameters, especially magnetic susceptibility (MS) as proxy. Monitoring plots were installed along roadside in areas with different climatic conditions and different traffic-specific activities (traffic density and speed, vehicle types, abrasion of tires, brake linings, petrol/diesel compounds and road maintenance). For monitoring we removed 10-15 cm of top soil at 1 m distance from the roadside edge and placed 30 plastic boxes there filled with clean quartz sand, to be sampled after regular intervals within two years. Preliminary data from the first year of monitoring are presented. Magnetic results revealed that a coarse grained magnetite-like phase is responsible for the enhancement of magnetic concentration. The mass-specific MS and concentration of pollutants (HM, PAH) all show a significant increase with time, however, there are obviously also seasonal and site-dependent effects which lead to more stable values over several months or even some decrease in the upper few cm due to migration into depth. Source identification indicates that the accumulated PAHs are primarily emissions from traffic. In order to be able to discriminate in between different kinds of transport and deposition (surface run off from the road and neighbouring soil material, splash water, air transport), we additionally established pillars at the roadside with clean quartz sampling boxes at different heights (surface, 0.5 m, 2 m). As a first surprising result we observed that the increase in the boxes at surface is not necessarily higher than at 0.5 m height. The results from our

Challenges of monitoring reproductive health services: a case study ...

African Journals Online (AJOL)

Challenges of monitoring reproductive health services: a case study of antenatal clinics in Kinondoni municipality, Dar Es Salaam. ... was descriptive cross sectional employing both qualitative and quantitative methods. The sample population included nurse-midwives who manage ANC clinics in Kinondoni Municipality.

Remote supervision of GIS monitoring system

Energy Technology Data Exchange (ETDEWEB)

Pannunzio, J.; Juge, P.; Ficheux, A.; Rayon, J.L. [Areva T and D Automation Canada Inc., Monteal, PQ (Canada)

2007-07-01

Operators of gas-insulated substations (GIS) are increasingly concerned with failure prevention, scheduled maintenance, personnel safety and shortage of maintenance crews. Until recently, the density levels of the insulating gas sulfur hexafluoride (SF6) was the only parameter controlled in gas-insulated substations. Modern digital type control and monitoring equipment have been widely used in the past decade. Remote indication of gas density and status of dynamic components was made possible and shown on local control panels. Modern GIS monitoring systems offer features such as SF6 monitoring, SF6 leakage trends, internal arc localization and detection. The required information is recorded in a local computer and displaced onto a local human machine interface (HMI) or a local industrial PC mounted next to the GIS. These monitoring systems are used as decision making tools to facilitate maintenance activities and optimize the management of assets. This paper presented the latest developments in digital monitoring systems in terms of modern digital architecture; management of information flows between monitoring systems and control systems; operation of remote supervision; configuration of high voltage substations and information sharing; and, types of links between GIS room and remote supervision. This paper also demonstrated what can be achieved by moving the central HMI of a GIS monitoring system to the decision-making centres. It was shown that integrated features that allow remote on-line or automated management have reached an acceptable level of reliability and comfort for operators. 5 figs.

Idaho National Laboratory Site Environmental Monitoring Plan

Energy Technology Data Exchange (ETDEWEB)

Joanne L. Knight

2012-08-01

This plan describes environmental monitoring as required by U.S. Department of Energy (DOE) Order 450.1, “Environmental Protection Program,” and additional environmental monitoring currently performed by other organizations in and around the Idaho National Laboratory (INL). The objective of DOE Order 450.1 is to implement sound stewardship practices that protect the air, water, land, and other natural and cultural resources that may be impacted by DOE operations. This plan describes the organizations responsible for conducting environmental monitoring across the INL, the rationale for monitoring, the types of media being monitored, where the monitoring is conducted, and where monitoring results can be obtained. This plan presents a summary of the overall environmental monitoring performed in and around the INL without duplicating detailed information in the various monitoring procedures and program plans currently used to conduct monitoring.

Idaho National Laboratory Site Environmental Monitoring Plan

Energy Technology Data Exchange (ETDEWEB)

Joanne L. Knight

2010-10-01

This plan describes environmental monitoring as required by U.S. Department of Energy (DOE) Order 450.1, “Environmental Protection Program,” and additional environmental monitoring currently performed by other organizations in and around the Idaho National Laboratory (INL). The objective of DOE Order 450.1 is to implement sound stewardship practices that protect the air, water, land, and other natural and cultural resources that may be impacted by DOE operations. This plan describes the organizations responsible for conducting environmental monitoring across the INL, the rationale for monitoring, the types of media being monitored, where the monitoring is conducted, and where monitoring results can be obtained. This plan presents a summary of the overall environmental monitoring performed in and around the INL without duplicating detailed information in the various monitoring procedures and program plans currently used to conduct monitoring.

Outward electron transfer by Saccharomyces cerevisiae monitored with a bi-cathodic microbial fuel cell-type activity sensor.

Science.gov (United States)

Ducommun, Raphaël; Favre, Marie-France; Carrard, Delphine; Fischer, Fabian

2010-03-01

A Janus head-like bi-cathodic microbial fuel cell was constructed to monitor the electron transfer from Saccharomyces cerevisiae to a woven carbon anode. The experiments were conducted during an ethanol cultivation of 170 g/l glucose in the presence and absence of yeast-peptone medium. First, using a basic fuel-cell type activity sensor, it was shown that yeast-peptone medium contains electroactive compounds. For this purpose, 1% solutions of soy peptone and yeast extract were subjected to oxidative conditions, using a microbial fuel cell set-up corresponding to a typical galvanic cell, consisting of culture medium in the anodic half-cell and 0.5 M K(3)Fe(CN)(6) in the cathodic half-cell. Second, using a bi-cathodic microbial fuel cell, it was shown that electrons were transferred from yeast cells to the carbon anode. The participation of electroactive compounds in the electron transport was separated as background current. This result was verified by applying medium-free conditions, where only glucose was fed, confirming that electrons are transferred from yeast cells to the woven carbon anode. Knowledge about the electron transfer through the cell membrane is of importance in amperometric online monitoring of yeast fermentations and for electricity production with microbial fuel cells. Copyright (c) 2009 John Wiley & Sons, Ltd.

Monitoring beach evolution using low-altitude aerial photogrammetry and UAV drones

Science.gov (United States)

Rovere, Alessio; Casella, Elisa; Vacchi, Matteo; Mucerino, Luigi; Pedroncini, Andrea; Ferrari, Marco; Firpo, Marco

2014-05-01

Beach monitoring is essential in order to understand the mechanisms of evolution of soft coasts, and the rates of erosion. Traditional beach monitoring techniques involve topographic and bathymetric surveys of the beach, and/or aerial photos repeated in time and compared through geographical information systems. A major problem of this kind of approach is the high economic cost. This often leads to increase the time lag between successive monitoring campaigns to reduce survey costs, with the consequence of fragmenting the information available for coastal zone management. MIRAMar is a project funded by Regione Liguria through the PO CRO European Social Fund, and has two main objectives: i) to study and develop an innovative technique, relatively low-cost, to monitor the evolution of the shoreline using low-altitude Unmanned Aerial Vehicle (UAV) photogrammetry; ii) to study the impact of different type of storm events on a vulnerable coastal tract subject to coastal erosion using also the data collected by the UAV instrument. To achieve these aims we use a drone with its hardware and software suit, traditional survey techniques (bathymetric surveys, topographic GPS surveys and GIS techniques) and we implement a numerical modeling chain (coupling hydrodynamic, wave and sand transport modules) in order to study the impact of different type of storm events on a vulnerable coastal tract subject to coastal erosion.

A Method of High Throughput Monitoring Crop Physiology Using Chlorophyll Fluorescence and Multispectral Imaging.

Science.gov (United States)

Wang, Heng; Qian, Xiangjie; Zhang, Lan; Xu, Sailong; Li, Haifeng; Xia, Xiaojian; Dai, Liankui; Xu, Liang; Yu, Jingquan; Liu, Xu

2018-01-01

We present a high throughput crop physiology condition monitoring system and corresponding monitoring method. The monitoring system can perform large-area chlorophyll fluorescence imaging and multispectral imaging. The monitoring method can determine the crop current condition continuously and non-destructively. We choose chlorophyll fluorescence parameters and relative reflectance of multispectral as the indicators of crop physiological status. Using tomato as experiment subject, the typical crop physiological stress, such as drought, nutrition deficiency and plant disease can be distinguished by the monitoring method. Furthermore, we have studied the correlation between the physiological indicators and the degree of stress. Besides realizing the continuous monitoring of crop physiology, the monitoring system and method provide the possibility of machine automatic diagnosis of the plant physiology. Highlights: A newly designed high throughput crop physiology monitoring system and the corresponding monitoring method are described in this study. Different types of stress can induce distinct fluorescence and spectral characteristics, which can be used to evaluate the physiological status of plants.

A Study on the Optimal Positions of ECG Electrodes in a Garment for the Design of ECG-Monitoring Clothing for Male.

Science.gov (United States)

Cho, Hakyung; Lee, Joo Hyeon

2015-09-01

Smart clothing is a sort of wearable device used for ubiquitous health monitoring. It provides comfort and efficiency in vital sign measurements and has been studied and developed in various types of monitoring platforms such as T-shirt and sports bra. However, despite these previous approaches, smart clothing for electrocardiography (ECG) monitoring has encountered a serious shortcoming relevant to motion artifacts caused by wearer movement. In effect, motion artifacts are one of the major problems in practical implementation of most wearable health-monitoring devices. In the ECG measurements collected by a garment, motion artifacts are usually caused by improper location of the electrode, leading to lack of contact between the electrode and skin with body motion. The aim of this study was to suggest a design for ECG-monitoring clothing contributing to reduction of motion artifacts. Based on the clothing science theory, it was assumed in this study that the stability of the electrode in a dynamic state differed depending on the electrode location in an ECG-monitoring garment. Founded on this assumption, effects of 56 electrode positions were determined by sectioning the surface of the garment into grids with 6 cm intervals in the front and back of the bodice. In order to determine the optimal locations of the ECG electrodes from the 56 positions, ECG measurements were collected from 10 participants at every electrode position in the garment while the wearer was in motion. The electrode locations indicating both an ECG measurement rate higher than 80.0 % and a large amplitude during motion were selected as the optimal electrode locations. The results of this analysis show four electrode locations with consistently higher ECG measurement rates and larger amplitudes amongst the 56 locations. These four locations were abstracted to be least affected by wearer movement in this research. Based on this result, a design of the garment-formed ECG monitoring platform

Equipment monitoring and diagnosis of their mechanical condition

International Nuclear Information System (INIS)

Morel, J.; Monnier, B.

1994-01-01

The main objectives of reactor monitoring are reviewed and the three monitoring types are described: reception controls and alarms, periodical controls, and specific monitoring. The monitoring process is then presented: information acquisition, dysfunction detection and diagnosis, risk analysis and maintenance action determination. Diagnosis assistance is now automated with expert systems such as DIVA (shaft vibration diagnosis) and DIAPO (primary pump diagnosis). Several application examples at EDF are described: SEXTEN reactor containment tightness monitoring, large and small-size turbo-machine monitoring, reactor inner structure monitoring, loose part detection in the primary circuit. All these informations will be centralized in a general monitoring and diagnosis assistance station. 3 fig

Intentional Weight Loss and Longevity in Overweight Patients with Type 2 Diabetes: A Population-Based Cohort Study.

Directory of Open Access Journals (Sweden)

Rasmus Køster-Rasmussen

Full Text Available This study examined the influence of weight loss on long-term morbidity and mortality in overweight (BMI≥25 kg/m2 patients with type 2 diabetes, and tested the hypothesis that therapeutic intentional weight loss supervised by a medical doctor prolongs life and reduces the risk for cardiovascular disease in these patients.This is a 19 year cohort study of patients in the intervention arm of the randomized clinical trial Diabetes Care in General Practice. Weight and prospective intentions for weight loss were monitored every third month for six years in 761 consecutive patients (≥40 years newly diagnosed with diabetes in general practices throughout Denmark in 1989-92. Multivariable Cox regression was used to estimate the association between weight change during the monitoring period (year 0 to 6 and the outcomes during the succeeding 13 years (year 6 to 19 in 444 patients who were overweight at diagnosis and alive at the end of the monitoring period (year 6. The analysis was adjusted for age, sex, education, BMI at diagnosis, change in smoking, change in physical activity, change in medication, and the Charlson comorbidity 6-year score. Outcomes were from national registers.Overall, weight loss regardless of intention was an independent risk factor for increased all-cause mortality (P<0.01. The adjusted hazard ratio for all-cause mortality, cardiovascular mortality, and cardiovascular morbidity attributable to an intentional weight loss of 1 kg/year was 1.20 (95%CI 0.97-1.50, P = 0.10, 1.26 (0.93-1.72, P = 0.14, and 1.06 (0.79-1.42, P = 0.71, respectively. Limiting the analysis to include only those patients who survived the first 2 years after the monitoring period did not substantially change these estimates. A non-linear spline estimate indicated a V-like association between weight change and all-cause mortality, suggesting the best prognosis for those who maintained their weight.In this population-based cohort of overweight patients with

Automated contamination monitoring for hot particles

International Nuclear Information System (INIS)

Johnstone, G.; Case, L.

1987-01-01

INS Corp., the largest nuclear laundry company in the United States, has recently developed two types of automated contamination monitoring systems: 1) the Automated Laundry Monitor (ALM), which provides quality assurance monitoring for protective clothing contamination and 2) a low-level automated monitoring system for Plastic Volume Reduction Service (PVRS). The presentation details the inaccuracies associated with hand-probe frisking which led to the development of the ALM. The ALM was designed for 100% quality assurance monitoring of garments to the most stringent customer requirements. A review of why the ALM is essential in verifying the absence of hot particles on garments is given. The final topic addresses the expansion of the ALM technology in support of the INS Plastic Volume Reduction Service by monitoring decontaminated plastics to free release levels. This presentation reviews the design and operation of both monitoring systems

Parallel Monitors for Self-adaptive Sessions

Directory of Open Access Journals (Sweden)

Mario Coppo

2016-06-01

Full Text Available The paper presents a data-driven model of self-adaptivity for multiparty sessions. System choreography is prescribed by a global type. Participants are incarnated by processes associated with monitors, which control their behaviour. Each participant can access and modify a set of global data, which are able to trigger adaptations in the presence of critical changes of values. The use of the parallel composition for building global types, monitors and processes enables a significant degree of flexibility: an adaptation step can dynamically reconfigure a set of participants only, without altering the remaining participants, even if the two groups communicate.

Considerations of selection suggested for internal contamination monitoring in Cuba

International Nuclear Information System (INIS)

Cruz S, R.; Lopez B, G.; Placeres V, C.; Arado L, J.; Jova S, L.

1996-01-01

A method for calculating effective risk of radionuclide intake and hypothetical annual dose that will receive a person who works with unsealed sources is proposed. Calculated committed dose equivalent and metabolic characteristic of radionuclides permit to select the type of monitoring 'in vivo' and/or 'in vitro'. The method was applied to 396 workers from 28 institutions, where 20 radionuclides in 124 different products for 266 applications are used. From this study 62% of the workers had to be monitored for internal contamination, meanly by 'in vitro' monitoring. In practices of Nuclear Medicine and other medical uses 75% of the workers had to be monitored. These results permitted to corroborate the criteria for internal contamination monitoring program carried out by Center for Hygiene and Radiation Protection and permitted to identify needs for control of radionuclides intakes. (authors).5 refs., 3 figs

Effects of telemedicine in the treatment of patients with type 2 diabetes – a study protocol

DEFF Research Database (Denmark)

Hansen, Caroline Raun; Perrild, Hans; Koefoed, Birgitte Gade

2013-01-01

is to examine whether telemedicine conferences with a nurse can contribute to achieving good diabetes control among patients with poorly regulated type 2 diabetes. MATERIAL AND METHODS: A total of 165 patients with type 2 diabetes who have formerly undergone a rehabilitation programme are randomized to either...... telemedicine intervention or usual care. The intervention lasts for 32 weeks and consists of monthly videoconferences with a nurse from a health-care centre as an add-on to usual care. Blood sugar, blood pressure and weight are regularly self-monitored and measurements are automatically transferred......: The study will examine whether telemedicine technology can contribute to achieving good diabetes regulation. FUNDING: The City of Copenhagen and the Prevention Fund of the Capital Region of Denmark funded the project. Also "Smedemester Niels Hansen og Hustru Johanne F. Frederiksens Legat" has supported...

Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study.

Science.gov (United States)

Grant, Sabrina; Greenfield, Sheila M; Nouwen, Arie; McManus, Richard J

2015-11-01

Self-monitoring blood pressure (SMBP) is becoming an increasingly prevalent practice in UK primary care, yet there remains little conceptual understanding of why patients with hypertension engage in self-monitoring. To identify psychological factors or processes prompting the decision to self-monitor blood pressure. A qualitative study of patients previously participating in a survey study about SMBP from four general practices in the West Midlands. Taped and transcribed in-depth interviews with 16 patients (6 currently monitoring, 2 used to self-monitor, and 8 had never self-monitored). Thematic analysis was undertaken. Three main themes emerged: 'self' and 'living with hypertension' described the emotional element of living with an asymptomatic condition; 'self-monitoring behaviour and medication' described overall views about self-monitoring, current practice, reasons for monitoring, and the impact on medication adherence; and 'the GP-patient transaction' described the power relations affecting decisions to self-monitor. Self-monitoring was performed by some as a protective tool against the fears of a silent but serious condition, whereas others self-monitor simply out of curiosity. People who self-monitored tended not to discuss this with their nurse or GP, partly due to perceiving minimal or no interest from their clinician about home monitoring, and partly due to fear of being prescribed additional medication. The decision to self-monitor appeared often to be an individual choice with no schedule or systems to integrate it with other medical care. Better recognition by clinicians that patients are self-monitoring, perhaps utilising the results in shared decision-making, might help integrate it into daily practice. © British Journal of General Practice 2015.

A prospective study of the impact of home monitoring on the family.

Science.gov (United States)

Wasserman, A L

1984-09-01

Fourteen families whose infants required home monitoring for apnea were followed for approximately 5 years from the initial contact (1977). Each family received at least three psychiatric interviews and two follow-up contacts. Effects on the monitored infant, siblings, and parents were examined in open and semi-structured interviews. At first follow-up (mean of 21 months after monitoring discontinuance), seven of 14 monitored children were characterized as spoiled by parents. By the second follow-up, 2 1/2 years later, nine children showed speech, learning, and motor problems; five of these nine children had required resuscitation during their initial episode. Apnea severity was also related to both duration of monitoring and number of additional psychiatric interviews requested by parents or staff. Of 16 older siblings, 12 had psychological problems reported by their parents at first follow-up; these problems appeared to be largely resolved by the second follow-up, although three children were still having problems that caused parental concern. Monitoring, as well as the apnea itself, caused substantial distress manifested in depression, fatigue, and anxiety in many parents, particularly mothers. However, despite their considerable distress, none of the families discontinued monitoring prematurely. Results of the study indicated that the monitoring experience can be divided into four phases: doubt/acceptance, dependence/frustration, discontinuance, and late effects, with substantial differences in parents' responses occurring only in the last two phases.

Near-facility environmental monitoring

Energy Technology Data Exchange (ETDEWEB)

Schmidt, J.W.; Johnson, A.R.; Markes, B.M.; McKinney, S.M.; Perkins, C.J.

1995-06-01

This section of the 1994 Hanford Site Environmental Report summarizes the routine near-facility environmental monitoring programs which are presently being conducted at the Hanford Site. Several types of environmental media are sampled near nuclear facilities to monitor the effectiveness of waste management and restoration activities, and effluent treatment and control practices. These media include air, surface water and springs, surface contamination, soil and vegetation, investigative sampling (which can include wildlife), and external radiation. Sampling and analysis information and analytical results for 1994 for each of these media are summarized in this section. Additional data and more detailed information may be found in Westinghouse Hanford Company Operational Environmental Monitoring Annual Report, Calendar Year 1994.

Prospective interepisodal mood monitoring in patients with affective disorders: a feasibility study

Directory of Open Access Journals (Sweden)

Van der Watt ASJ

2018-02-01

Full Text Available Alberta SJ Van der Watt,1 Alexandra PSP Suryapranata,2 Soraya Seedat1 1Department of Psychiatry, Stellenbosch University, Cape Town, South Africa; 2Internal Medicine, Onze Lieve Vrouwe Gasthuis West, Amsterdam, the Netherlands Objectives: Our primary objective was to assess the feasibility of interepisodal telephonic mood monitoring in patients with affective disorders in a low-resource setting. Secondary objectives included gathering data on longitudinal mood trajectories and assessing patient acceptance of mood monitoring. Methods: Inpatients with a primary mood or anxiety disorder were recruited predischarge. Assessment at intake included demographic information, the Life Events Checklist, and the Childhood Trauma Questionnaire. Participants telephonically completed the Altman Self-Rating Mania Scale (ASRM and Quick Inventory of Depressive Symptomatology (QIDS, weekly, for 26 weeks. Units of alcohol consumed and life events were recorded. Semi-structured interviews were conducted midway through the mood monitoring protocol. Results: Of the 61 eligible participants (77% female; mean age =35.3 years, 28 completed 26 weeks of telephonic mood monitoring. Thirty-three participants (54.1% withdrew prematurely or were lost to follow-up. Males were more likely to terminate study participation prematurely. Despite the significant decline in depression scores over 26 weeks, participants endorsed persistent mild-to-moderate depressive symptoms. Statistically, participants who were married/in a relationship had higher mean depression scores throughout the study compared to participants who were single. Throughout the study, ASRM scores were not indicative of significant mania. Suicidality (as measured by QIDS item 12 was highest at Week 3 and Week 12 postdischarge for those who completed 26 weeks of monitoring. Conclusion: Despite the high attrition rate, interepisodal telephonic mood monitoring was deemed to be feasible and it can provide useful

Effectiveness and cost-effectiveness of serum B-type natriuretic peptide testing and monitoring in patients with heart failure in primary and secondary care: an evidence synthesis, cohort study and cost-effectiveness model.

Science.gov (United States)

Pufulete, Maria; Maishman, Rachel; Dabner, Lucy; Mohiuddin, Syed; Hollingworth, William; Rogers, Chris A; Higgins, Julian; Dayer, Mark; Macleod, John; Purdy, Sarah; McDonagh, Theresa; Nightingale, Angus; Williams, Rachael; Reeves, Barnaby C

2017-08-01

Heart failure (HF) affects around 500,000 people in the UK. HF medications are frequently underprescribed and B-type natriuretic peptide (BNP)-guided therapy may help to optimise treatment. To evaluate the clinical effectiveness and cost-effectiveness of BNP-guided therapy compared with symptom-guided therapy in HF patients. Systematic review, cohort study and cost-effectiveness model. A literature review and usual care in the NHS. (a) HF patients in randomised controlled trials (RCTs) of BNP-guided therapy; and (b) patients having usual care for HF in the NHS. Systematic review : BNP-guided therapy or symptom-guided therapy in primary or secondary care. Cohort study : BNP monitored (≥ 6 months' follow-up and three or more BNP tests and two or more tests per year), BNP tested (≥ 1 tests but not BNP monitored) or never tested. Cost-effectiveness model : BNP-guided therapy in specialist clinics. Mortality, hospital admission (all cause and HF related) and adverse events; and quality-adjusted life-years (QALYs) for the cost-effectiveness model. Systematic review : Individual participant or aggregate data from eligible RCTs. Cohort study : The Clinical Practice Research Datalink, Hospital Episode Statistics and National Heart Failure Audit (NHFA). A systematic literature search (five databases, trial registries, grey literature and reference lists of publications) for published and unpublished RCTs. Five RCTs contributed individual participant data (IPD) and eight RCTs contributed aggregate data (1536 participants were randomised to BNP-guided therapy and 1538 participants were randomised to symptom-guided therapy). For all-cause mortality, the hazard ratio (HR) for BNP-guided therapy was 0.87 [95% confidence interval (CI) 0.73 to 1.04]. Patients who were aged Chris A Rogers' and Maria Pufulete's time contributing to the study. Syed Mohiuddin's time is supported by the NIHR Collaboration for Leadership in Applied Health Research and Care West at University

CERN safety system monitoring - SSM

International Nuclear Information System (INIS)

Hakulinen, T.; Ninin, P.; Valentini, F.; Gonzalez, J.; Salatko-Petryszcze, C.

2012-01-01

CERN SSM (Safety System Monitoring) is a system for monitoring state-of-health of the various access and safety systems of the CERN site and accelerator infrastructure. The emphasis of SSM is on the needs of maintenance and system operation with the aim of providing an independent and reliable verification path of the basic operational parameters of each system. Included are all network-connected devices, such as PLCs (local purpose control unit), servers, panel displays, operator posts, etc. The basic monitoring engine of SSM is a freely available system-monitoring framework Zabbix, on top of which a simplified traffic-light-type web-interface has been built. The web-interface of SSM is designed to be ultra-light to facilitate access from hand-held devices over slow connections. The underlying Zabbix system offers history and notification mechanisms typical of advanced monitoring systems. (authors)

Feasibility Study of Interlayer Slide Monitoring Using Postembedded Piezoceramic Smart Aggregates

Directory of Open Access Journals (Sweden)

Jianchao Wu

2018-01-01

Full Text Available Utilizing embedded transducers is an effective approach to monitor a landslide. However, for existing structures, sensors can only be postembedded, which involves drilling and grouting, and may change the original state of the structure, which calls for the need to study the effectiveness of postembedded transducers. The main focus of this paper is the feasibility study of the interlayer slide detection using postembedded piezoceramic smart aggregates (SAs. In this study, a small landslide structure that involves a weak layer is studied and two pairs of SAs were embedded in predetermined positions inside the structure. To study the difference, one pair of transducer was preembedded and the other pair was postembedded. Within each pair, one SA was employed as an actuator to generate stress waves, and another SA used as a sensor to detect wave responses. Active-sensing approach was developed to perform continuous monitoring during structural loading that was used to induce an interlayer slide. The occurrence of interlayer slide attenuates wave energy and decreases signal intensity. A wavelet-packed index was proposed to detect the occurrence and development of interlayer slide. Experimental results demonstrated that SA installation through postembedding process is an innovative yet effective approach to monitor interlayer slide.

Design and array signal suggestion of array type pulsed eddy current probe for health monitoring of metal tubes

Energy Technology Data Exchange (ETDEWEB)

Shin, Young Kil [Dept. of Electrical Engineering, Kunsan National University, Kunsan (Korea, Republic of)

2015-10-15

An array type probe for monitoring metal tubes is proposed in this paper which utilizes peak value and peak time of a pulsed eddy current(PEC) signal. The probe consists of an array of encircling coils along a tube and the outside of coils is shielded by ferrite to prevent source magnetic fields from directly affecting sensor signals since it is the magnetic fields produced by eddy currents that reflect the condition of metal tubes. The positions of both exciter and sensor coils are consecutively moved automatically so that manual scanning is not necessary. At one position of send-receive coils, peak value and peak time are extracted from a sensor PEC signal and these data are accumulated for all positions to form an array type peak value signal and an array type peak time signal. Numerical simulation was performed using the backward difference method in time and the finite element method for spatial analysis. Simulation results showed that peak value increases and the peak appears earlier as the defect depth or length increases. The proposed array signals are shown to be excellent in reflecting the defect location as well as variations of defect depth and length within the array probe.

Antepartum Fetal Monitoring and Spectral Analysis of Preterm Birth Risk

Science.gov (United States)

Păsăricără, Alexandru; Nemescu, Dragoş; Arotăriţei, Dragoş; Rotariu, Cristian

2017-11-01

The monitoring and analysis of antepartum fetal and maternal recordings is a research area of notable interest due to the relatively high value of preterm birth. The interest stems from the improvement of devices used for monitoring. The current paper presents the spectral analysis of antepartum heart rate recordings conducted during a study in Romania at the Cuza Voda Obstetrics and Gynecology Clinical Hospital from Iasi between 2010 and 2014. The study focuses on normal and preterm birth risk subjects in order to determine differences between these two types or recordings in terms of spectral analysis.

BAKNET - Communication network for radiation monitoring devices

International Nuclear Information System (INIS)

Cohen, Y.; Wengrowicz, U.; Tirosh, D.; Barak, D.

1997-01-01

A system, based on a new concept of controlling and monitoring distributed radiation monitors, has been developed and approved at the NRCN. The system, named B AKNET Network , consists of a series of communication adapters connected to a main PC via an RS-485 communication network (see Fig. 1). The network's maximal length is 1200 meters and it enables connection of up to 128 adapters. The BAKNET adapters are designed to interface output signals of different types of stationary radiation monitors to a main PC. The BAKNET adapters' interface type includes: digital, analog, RS-232, and mixed output signals. This allows versatile interfacing of different stationary radiation monitors to the main computer. The connection to the main computer is via an RS-485 network, utilizing an identical communication protocol. The PC software, written in C ++ under MS-Windows, consists of two main programs. The first is the data collection program and the second is the Human Machine Interface (HMI). (authors)

The Potential of Computational Fluid Dynamics Simulation on Serial Monitoring of Hemodynamic Change in Type B Aortic Dissection

Energy Technology Data Exchange (ETDEWEB)

Yu, Simon C. H., E-mail: simonyu@cuhk.edu.hk; Liu, Wen [The Chinese University of Hong Kong, Department of Imaging and Interventional Radiology, Prince of Wales Hospital (Hong Kong); Wong, Randolph H. L.; Underwood, Malcolm [The Chinese University of Hong Kong, Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital (Hong Kong); Wang, Defeng [The Chinese University of Hong Kong, Department of Imaging and Interventional Radiology, Prince of Wales Hospital (Hong Kong)

2016-08-15

PurposeWe aimed to assess the potential of computational fluid dynamics simulation (CFD) in detecting changes in pressure and flow velocity in response to morphological changes in type B aortic dissection.Materials and MethodsPressure and velocity in four morphological models of type B aortic dissection before and after closure of the entry tear were calculated with CFD and analyzed for changes among the different scenarios. The control model (Model 1) was patient specific and built from the DICOM data of CTA, which bore one entry tear and three re-entry tears. Models 2–4 were modifications of Model 1, with two re-entry tears less in Model 2, one re-entry tear more in Model 3, and a larger entry tear in Model 4.ResultsThe pressure and velocity pertaining to each of the morphological models were unique. Changes in pressure and velocity findings were accountable by the changes in morphological features of the different models. There was no blood flow in the false lumen across the entry tear after its closure, the blood flow direction across the re-entry tears was reversed after closure of the entry tear.ConclusionCFD simulation is probably useful to detect hemodynamic changes in the true and false lumens of type B aortic dissection in response to morphological changes, it may potentially be developed into a non-invasive and patient-specific tool for serial monitoring of hemodynamic changes of type B aortic dissection before and after treatment.

Outcomes in type 1 diabetic pregnancies

DEFF Research Database (Denmark)

Jensen, Dorte Møller; Damm, Peter; Moelsted-Pedersen, Lars

2004-01-01

OBJECTIVE: The aim of this study was to compare pregnancy outcomes in type 1 diabetic pregnancies with the background population. RESEARCH DESIGN AND METHODS: This nationwide prospective multicenter study took place in eight Danish centers treating pregnant women with type 1 diabetes during 1993...... mortality rate was 3.1% in type 1 diabetic pregnancies compared with 0.75% in the background population (RR 4.1 [95% CI 2.9-5.6]), and the stillbirth rate was 2.1% compared with 0.45 (4.7 [3.2-7.0]). The congenital malformation rate was 5.0% in the study population and 2.8% (1.7 [1.3-2.2]) in the background......, daily self-monitoring was associated with a reduction in serious adverse outcomes. The caesarean section rate was 55.9 and 12.6%, respectively, and the risk of preterm delivery was 41.7 and 6.0%, respectively. CONCLUSIONS: Type 1 diabetic pregnancies are still complicated by considerably higher rates...

Service water electrochemical monitoring development at Ontario Hydro

International Nuclear Information System (INIS)

Brennenstuhl, A.M.

1994-01-01

Ontario Hydro (OH) is currently investigating the feasibility of using electrochemical techniques for the corrosion monitoring of service water systems. To date all evaluations have been carried out in a field simulator. The studies include examining the effects of; system startup after periods of stagnation, sodium hypochlorite injection, and zebra mussel settlement on metallic surfaces. Carbon steel and Type 304L stainless steel have been evaluated. Electrochemical potential noise (EPN), electrochemical current noise (ECN) potential and coupling current were semi-continuously monitored over a period of up to one year. Data obtained from the electrochemical noise monitoring has given OH valuable insights into the mechanisms of degradation in service water systems. The high sensitivity of the electrochemical noise technique, particularly to localized corrosion has proved to be the major attraction of the system

Techniques of monitoring blood glucose during pregnancy for women with pre-existing diabetes.

Science.gov (United States)

Moy, Foong Ming; Ray, Amita; Buckley, Brian S; West, Helen M

2017-06-11

Self-monitoring of blood glucose (SMBG) is recommended as a key component of the management plan for diabetes therapy during pregnancy. No existing systematic reviews consider the benefits/effectiveness of various techniques of blood glucose monitoring on maternal and infant outcomes among pregnant women with pre-existing diabetes. The effectiveness of the various monitoring techniques is unclear. To compare techniques of blood glucose monitoring and their impact on maternal and infant outcomes among pregnant women with pre-existing diabetes. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 November 2016), searched reference lists of retrieved studies and contacted trial authors. Randomised controlled trials (RCTs) and quasi-RCTs comparing techniques of blood glucose monitoring including SMBG, continuous glucose monitoring (CGM) or clinic monitoring among pregnant women with pre-existing diabetes mellitus (type 1 or type 2). Trials investigating timing and frequency of monitoring were also included. RCTs using a cluster-randomised design were eligible for inclusion but none were identified. Two review authors independently assessed study eligibility, extracted data and assessed the risk of bias of included studies. Data were checked for accuracy. The quality of the evidence was assessed using the GRADE approach. This review update includes at total of 10 trials (538) women (468 women with type 1 diabetes and 70 women with type 2 diabetes). The trials took place in Europe and the USA. Five of the 10 included studies were at moderate risk of bias, four studies were at low to moderate risk of bias, and one study was at high risk of bias. The trials are too small to show differences in important outcomes such as macrosomia, preterm birth, miscarriage or death of baby. Almost all the reported GRADE outcomes were assessed as being very low-quality evidence. This was due to design limitations in the studies, wide confidence intervals, small

Second language proficiency modulates conflict-monitoring in an oculomotor Stroop task: evidence from Hindi-English bilinguals.

Directory of Open Access Journals (Sweden)

Niharika eSingh

2013-06-01

Full Text Available Many studies have confirmed the presence of a bilingual advantage which is manifested as enhanced cognitive and attention control. However, very few studies have investigated the role of second language proficiency on the modulation of conflict-monitoring in bilinguals. We investigated this by comparing high and low proficient Hindi-English bilinguals on a modified saccadic arrow Stroop task under different monitoring conditions, and tested the predictions of the bilingual executive control advantage proposal. The task of the participants was to make an eye movement towards the colour patch in the same colour as the central arrow, ignoring the patch to which the arrow was pointing. High-proficient bilinguals had overall faster saccade latency on all types of trials as compared to the low proficient bilinguals. The overall saccadic latency for high proficiency bilinguals was similarly affected by the different types of monitoring conditions, whereas conflict resolution advantage was found only for high monitoring demanding condition. The results support a conflict-monitoring account in a novel oculomotor task and also suggest that language proficiency could modulate executive control in bilinguals.

Research plan for integrated ecosystem and pollutant monitoring at remote wilderness study sites

International Nuclear Information System (INIS)

Bruns, D.A.; Wiersma, G.B.

1988-03-01

This research plan outlines an approach to the measurement of pollutants and ecosystem parameters at remote, high-elevation, wilderness study sites. A multimedia, systems approach to environmental monitoring is emphasized. The primary purpose of the research is to apply and field test a technical report entitled ''Guidelines for measuring the physical, chemical, and biological condition of wilderness ecosystems.'' This document intended to provide Federal Land Managers with information to establish environmental monitoring programs in wilderness areas. To date, this monitoring document has yet to be evaluated under rigorous field conditions at a remote, high-elevation Rocky Mountain site. For the purpose of field testing approaches to monitoring of pollutants and ecosystems in remote, wilderness areas, evaluation criteria were developed. These include useability, cost-effectiveness, data variability, alternative approaches, ecosystems conceptual approach, and quality assurance. Both the Forest Service and INEL environmental monitoring techniques will be evaluated with these criteria. Another objective of this research plan is to obtain an integrated data base on pollutants and ecosystem structure and function at a remote study site. The methods tested in this project will be used to acquire these data from a systems approach. This includes multimedia monitoring of air and water quality, soils, and forest, stream, and lake ecosystems. 71 refs., 1 fig., 9 tabs

[Evaluation of blood pressure changes by 24-hours ambulatory blood pressure monitoring (ABPM) in young, normotensive patients with diabetes mellitus type I].

Science.gov (United States)

Markuszewski, Leszek; Ruxer, Monika; Szadkowska, Agnieszka; Bodalska, Joanna; Bissinger, Andrzej

2006-01-01

The aim of this study was to evaluate usefulness of ambulatory blood pressure monitoring (ABPM) to examine circadian patterns of blood pressure (BP) alterations in young, normotensive patients with type I diabetes mellitus (DM1). We studied 43 patients with DM1 aged 18-28 years, with 9-23 years of DM1, without long-term complications. Control group consisted of 32 healthy persons, matched to the DM1 group. 24h ABPM was performed by a Spacelab 90207 device to obtain daytime (7 AM to 11 PM, readings at 20-min interval) and nighttime (11 PM to 7 AM, readings at 30-min interval) measurements in both groups. During the daytime systolic BP (sBP) and diastolic BP (dBP) were not significantly different from the control group. We noted nighttime sBP and dBP higher in DM1 group: sBE 119.7+/-12.6 mmHg vs. 103.817.1; p = 0.001 l dBP 65.5+/-6.2 vs. 61.5+/-3.1; p = 0.001. The loss of fall in BP ('non-dippers') was more prevalent in DM1 group: 49% vs. 9%; p = 0.003. Pulse pressure (PP) was significantly higher in DM1 patients: 50.9+/-6.9 mmHg vs. 44.8+/-5.6 mmHg; p = 0.0001. ABPM is a useful method in detecting early BP alterations in young normotensive patients with diabetes mellitus type 4 1. Increased PP and suppressed diurnal BP variations could represent a increased risk of cardiovascular complications in young patients with diabetes mellitus type 1.

Evaluation of hirst-type spore trap to monitor environmental fungal load in hospital.

Science.gov (United States)

Dananché, Cédric; Gustin, Marie-Paule; Cassier, Pierre; Loeffert, Sophie Tiphaine; Thibaudon, Michel; Bénet, Thomas; Vanhems, Philippe

2017-01-01

The main purpose was to validate the use of outdoor-indoor volumetric impaction sampler with Hirst-type spore traps (HTSTs) to continuously monitor fungal load in order to prevent invasive fungal infections during major structural work in hospital settings. For 4 weeks, outdoor fungal loads were quantified continuously by 3 HTSTs. Indoor air was sampled by both HTST and viable impaction sampler. Results were expressed as particles/m3 (HTST) or colony-forming units (CFU)/m3 (biocollector). Paired comparisons by day were made with Wilcoxon's paired signed-rank test or paired Student's t-test as appropriate. Paired airborne spore levels were correlated 2 by 2, after log-transformation with Pearson's cross-correlation. Concordance was calculated with kappa coefficient (κ). Median total fungal loads (TFLs) sampled by the 3 outdoor HTSTs were 3,025.0, 3,287.5 and 3,625.0 particles/m3 (P = 0.6, 0.6 and 0.3).-Concordance between Aspergillaceae fungal loads (AFLs, including Aspergillus spp. + Penicillium spp.) was low (κ = 0.2). A low positive correlation was found between TFLs sampled with outdoor HTST and indoor HTST with applying a 4-hour time lag, r = 0.30, 95% CI (0.23-0.43), PHTST-I on only 3.6% of the samples. Concordance between Aspergillus spp. loads and AFLs sampled with the 2 methods was very low (κ = 0.1). This study showed a 4-hour time lag between increase of outdoor and indoor TFLs, possibly due to insulation and aeraulic flow of the building. Outdoor HTSTs may permit to quickly identify (after 48 hours) time periods with high outdoor fungal loads. An identified drawback is that a too low sample area read did not seem to enable detection of Aspergillaceae spores efficiently. Indoor HTSTs may not be recommended at this time, and outdoor HTSTs need further study. Air sampling by viable impaction sampler remains the reference tool for quantifying fungal contamination of indoor air in hospitals.

Study of passive optical network monitoring based on non-OTDR

Science.gov (United States)

Li, Chuan-qi; Wang, Da-chi; Hu, Jin-lin

2014-03-01

Aiming at the defects of passive optical network (PON) monitoring based on optical time domain reflectometry (OTDR) technology, we research the non-OTDR monitoring technology. The coding scheme based on periodic encoder monitoring is discussed, and its limitation is analyzed. On this basis, the monitoring technology based on optical code division multiple access (OCDMA) is put forward. We analyze the feasibility of monitoring scheme based on PON of OCDMA, design a monitoring plan, and then use OptiSystem to simulate the design. The results of simulation and bit error rate (BER) analysis show that this monitoring technology can overcome the deficiencies of OTDR and distinguish the monitoring signals of different fiber branches clearly, which meets the demands for high beam split ratio of multi-user communication.

Reflection in Learning through a Self-monitoring Device: Design Research on EEG Self-Monitoring during a Study Session

Directory of Open Access Journals (Sweden)

Eva Durall

2017-04-01

Full Text Available The increasing availability of self-monitoring technologies has created opportunities for gaining awareness about one’s own behavior and reflecting on it. In teaching and learning, there is interest in using self-monitoring technologies, but very few studies have explored the possibilities. In this paper, we present a design study that investigates a technology (called Feeler that guides students to follow a specific learning script, monitors changes in their electroencephalogram (EEG while studying, and later provides visualization of the EEG data. The results are two-fold: (1 the hardware/software prototype and (2 the conclusions from the proof-of-concept research conducted with the prototype and six participants. In the research, we collected qualitative data from interviews to identify whether the prototype supported students to develop their reflective skills. The thematic analysis of the interviews showed that the Feeler’s learning script and visualization of the EEG data supported greater levels of reflection by fostering students’ curiosity, puzzlement, and personal inquiry. The proof-of-concept research also provided insights into several factors, such as the value of personal experience, the challenge of assumptions, and the contextualization of the data that trigger reflective thinking. The results validate the design concept and the role of the prototype in supporting awareness of and reflection about students’ mental states when they perform academic tasks.

Hypoglycemic Exposure and Risk of Asymptomatic Hypoglycemia in Type 1 Diabetes assessed by Continuous Glucose Monitoring

DEFF Research Database (Denmark)

Henriksen, Marie Moth; Andersen, Henrik Ullits; Thorsteinsson, Birger

2018-01-01

: To explore the association between hypoglycemic exposure and proportion of asymptomatic hypoglycemia and relation to risk of severe hypoglycemia. Design: Prospective observational trial. Setting: Outpatient clinic. Patients: 153 unselected subjects with type 1 diabetes mellitus (T1D). Intervention: Six days...... of blinded continuous glucose monitoring (CGM) and recording of hypoglycemia symptoms. Main Outcome Measure: Proportion of asymptomatic hypoglycemic events (≤70 mg/dl). Results: Patients were grouped by the number of hypoglycemic events during the recording period (group 1: 1 event, group 2: 2-3 events...... positively associated with risk of severe hypoglycemia (incidence rate ratio (IRR) 1.3 (95% CI 1.1-1.5); p=0.003). Group 4 consisted of patients characterized by classical risk factors of severe hypoglycemia (longer duration of diabetes, lower HbA1c and more frequent impaired awareness of hypoglycemia...

Electro-resistive bands for non-invasive cardiac and respiration monitoring, a feasibility study

International Nuclear Information System (INIS)

Gargiulo, Gaetano D; Breen, Paul P; O’Loughlin, Aiden

2015-01-01

Continuous unobtrusive monitoring of tidal volume, particularly for critical care patients (i.e. neonates and patients in intensive care) during sleep studies and during daily activities, is still an unresolved monitoring need. Also a successful monitoring solution is yet to be proposed for continuous non-invasive cardiac stroke volume monitoring that is a novel clinical need. In this paper we present the feasibility study for a wearable, non-invasive, non-contact and unobtrusive sensor (embedded in a standard T-shirt) based on four electro-resistive bands that simultaneously monitors tidal volume and cardiac stroke volume changes. This low power sensor system (requires only 100 mW and accepts a wide power supply range up to ±18 V); thus the sensor can be easily embedded in existing wearable solutions (i.e. Holter monitors). Moreover, being contactless, it can be worn over bandages or electrodes, and as it does not rely over the integrity of the garment to work, it allows practitioners to perform procedures during monitoring. For this preliminary evaluation, one subject has worn the sensor over the period of 24 h (removing it only to shower); the accuracy of the tidal volume tested against a portable spirometer reported a precision of ±10% also during physical activity; accuracy tests for cardiac output (as it may require invasive procedure) have not been carried out in this preliminary trial. (note)

Pressurized water reactor monitoring. Study of detection, diagnostic and estimation methods (least error squares and filtering)

International Nuclear Information System (INIS)

Gillet, M.

1986-07-01

This thesis presents a study for the surveillance of the ''primary coolant circuit inventory monitoring'' of a pressurized water reactor. A reference model is developed in view of an automatic system ensuring detection and diagnostic in real time. The methods used for the present application are statistical tests and a method related to pattern recognition. The estimation of failures detected, difficult owing to the non-linearity of the problem, is treated by the least error squares method of the predictor or corrector type, and by filtering. It is in this frame that a new optimized method with superlinear convergence is developed, and that a segmented linearization of the model is introduced, in view of a multiple filtering [fr

Molecular and biochemical biomarkers for diagnosis and therapy monitorization of Niemann-Pick type C patients.

Science.gov (United States)

Hammerschmidt, Tatiane Grazieli; de Oliveira Schmitt Ribas, Graziela; Saraiva-Pereira, Maria Luiza; Bonatto, Márcia Polese; Kessler, Rejane Gus; Souza, Fernanda Timm Seabra; Trapp, Franciele; Michelin-Tirelli, Kristiane; Burin, Maira Graeff; Giugliani, Roberto; Vargas, Carmen Regla

2018-05-01

Niemann-Pick type C (NP-C), one of 50 inherited lysosomal storage disorders, is caused by NPC protein impairment that leads to unesterified cholesterol accumulation in late endosomal/lysosomal compartments. The clinical manifestations of NP-C include hepatosplenomegaly, neurological and psychiatric symptoms. Current diagnosis for NP-C is based on observation of the accumulated cholesterol in fibroblasts of affected individuals, using an invasive and time expensive test, called Filipin staining. Lately, two metabolites that are markedly increased in NP-C patients are arising as biomarkers for this disease screening: 7-ketocholesterol and cholestane-3β,5α,6β-triol, both oxidized cholesterol products. In this work, we aimed to evaluate the performance of cholestane-3β,5α,6β-triol analysis for the screening and monitoring of NPC patients, correlating it with chitotriosidase levels, Filipin staining and molecular analysis. It was investigated 76 non-treated individuals with NP-C suspicion and also 7 patients with previous NP-C diagnosis under treatment with miglustat, in order to verify the cholestane-3β,5α,6β-triol value as a tool for therapy monitoring. Considering molecular assay as golden standard, it was verified that cholestane-3β,5α,6β-triol analysis presented 88% of sensitivity, 96.08% of specificity, a positive and negative predictive value calculated in 91.67% and 94.23%, respectively, for the diagnosis of NP-C. Chitotriosidase levels were increased in patients with positive molecular analysis for NP-C. For Filipin staining, it was found 1 false positive, 7 false negative and 24 inconclusive cases, showing that this assay has important limitations for NP-C diagnosis. Besides, we found a significant decrease in cholestane-3β,5α,6β-triol concentrations in NP-C patients under therapy with miglustat when compared to non-treated patients. Taken together, the present data show that cholestane-3β,5α,6β-triol analysis has a high potential to be an

Personal monitoring

International Nuclear Information System (INIS)

1995-01-01

Sources of ionizing radiation have innumerable applications in the workplace. The potential exposures of the individual workers involved may need to be routinely monitored and records kept of their cumulative radiation doses. There are also occasions when it is necessary to retrospectively determine a dose which may have been received by a worker. This Module explains the basic terminology associated with personal monitoring and describes the principal types of dosimeters and other related techniques and their application in the workplace. The Manual will be of most benefit if it forms part of more comprehensive training or is supplemented by the advice of a qualified expert in radiation protection. Most of the dosimeters and techniques described in this Module can only be provided by qualified experts

Electrodiagnostic evaluation of median nerve conduction in Type II ...

African Journals Online (AJOL)

MJP

2015-12-29

Dec 29, 2015 ... Type II diabetes mellitus patients that were asymptomatic for peripheral neuropathy: a case control study. Owolabi LF 1*, Adebisi S2, ... degree of abnormality and monitoring the clinical course of the disease. Symptoms of DN ...

Protocol to monitor trade agreement food-related aspects: the Fiji case study.

Science.gov (United States)

Ravuvu, Amerita; Friel, Sharon; Thow, Anne Marie; Snowdon, Wendy; Wate, Jillian

2017-04-26

Despite the growing rates of obesity and diet-related non-communicable diseases, globally, public health attention has only relatively recently turned to the links between trade agreements and the nutritional risks associated with it. Specific trade agreements appear to have played an influential role in the volume and types of foods entering different countries, yet there is currently no systematic and objective monitoring of trade agreements for their impacts on food environments. Recently, INFORMAS was set up to monitor and benchmark food environments, government policies and private sector actions within countries and globally. One of its projects/modules focuses on trade policy and in particular the food-related aspects of trade agreements. This paper describes the INFORMAS trade protocol, an approach to collecting food-related information about four domains of trade: trade in goods; trade in services and foreign direct investment; domestic supports, and policy space. Specifically, the protocol is tested in Fiji. The development and testing of this protocol in Fiji represents the first effort to set out a framework and process for objectively monitoring trade agreements and their impacts on national food supply and the wider food environment. It has shown that entry into WTO trade agreements contributed to the nutrition transition in Fiji through the increased availability of imported foods with varying nutritional quality. We observed an increase in imports of both healthy and less healthy foods. The application of the monitoring protocol also highlights challenges for data collection associated with each trade domain that should be considered for future data collection and analysis in other low and middle income countries. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Study for correction of neutron scattering in the calibration of the albedo individual monitor from the Neutron Laboratory (LN), IRD/CNEN-RJ, Brazil

International Nuclear Information System (INIS)

Freitas, B.M.; Silva, A.X. da

2014-01-01

The Instituto de Radioprotecao e Dosimetria (IRD) runs a neutron individual monitoring service with albedo type monitor and thermoluminescent detectors (TLD). Moreover the largest number of workers exposed to neutrons in Brazil is exposed to 241 Am-Be fields. Therefore a study of the response of albedo dosemeter due to neutron scattering from 241 Am-Be source is important for a proper calibration. In this work, it has been evaluated the influence of the scattering correction in two distances at the Low Scattering Laboratory of the Neutron Laboratory of the Brazilian National Laboratory (Lab. Nacional de Metrologia Brasileira de Radiacoes Ionizantes) in the calibration of that albedo dosemeter for a 241 Am-Be source. (author)

Nocturnal continuous glucose monitoring

DEFF Research Database (Denmark)

Bay, Christiane; Kristensen, Peter Lommer; Pedersen-Bjergaard, Ulrik

2013-01-01

Abstract Background: A reliable method to detect biochemical nocturnal hypoglycemia is highly needed, especially in patients with recurrent severe hypoglycemia. We evaluated reliability of nocturnal continuous glucose monitoring (CGM) in patients with type 1 diabetes at high risk of severe...

Environmental monitoring for krypton-85

International Nuclear Information System (INIS)

Barber, D.E.

1973-01-01

85 Kr presents unique environmental monitoring problems because it does not react with other elements and compounds at normal ambient temperatures and pressures. However, elaborate means are available to manage the 85 Kr problem, but a simpler, inexpensive approach is required if monitoring is to be accomplished at many sampling locations. This work shows that environmental monitoring for 85 Kr is possible by collecting air samples in thin plastic bags, and counting the bags for beta particle activity. The direct counting of contained samples of this type makes it possible to detect concentrations less than the public MPC for 85 Kr. The bagged-sample technique is readily adaptable to any environmental monitoring station with power to run a low-volume air pump. The idea of counting the bagged-sample directly is a new, low-cost, approach to environmental gas monitoring which may have application in environmental, clinical, and industrial situations

MD 2408: Study of Schottky Monitors for Q' Measurement at Injection

CERN Document Server

Tydecks, Tobias; Levens, Tom; Wendt, Manfred; Wenninger, Jorg; CERN. Geneva. ATS Department

2018-01-01

The Schottky monitors installed at the LHC enable the detection of Schottky noise of the two circulating proton / ion beams. From Schottky noise, beam parameters like tune, chromaticity, and relative emittance, can be extracted in a non-destructive and purely parasitic method of measurement. The primary goal of this MD was to study the Schottky monitors capability to reliably and accurately determine the beam chromaticities at injection energy. Furthermore, the possibility to track the beam emittance has been investigated.

Experimental study on engine gas-path component fault monitoring using exhaust gas electrostatic signal

International Nuclear Information System (INIS)

Sun, Jianzhong; Zuo, Hongfu; Liu, Pengpeng; Wen, Zhenhua

2013-01-01

This paper presents the recent development in engine gas-path components health monitoring using electrostatic sensors in combination with signal-processing techniques. Two ground-based engine electrostatic monitoring experiments are reported and the exhaust gas electrostatic monitoring signal-based fault-detection method is proposed. It is found that the water washing, oil leakage and combustor linear cracking result in an increase in the activity level of the electrostatic monitoring signal, which can be detected by the electrostatic monitoring system. For on-line health monitoring of the gas-path components, a baseline model-based fault-detection method is proposed and the multivariate state estimation technique is used to establish the baseline model for the electrostatic monitoring signal. The method is applied to a data set from a turbo-shaft engine electrostatic monitoring experiment. The results of the case study show that the system with the developed method is capable of detecting the gas-path component fault in an on-line fashion. (paper)

Effects of self-monitoring of glucose in non-insulin treated patients with type 2 diabetes: design of the IN CONTROL-trial

Directory of Open Access Journals (Sweden)

Kostense Piet J

2009-04-01

Full Text Available Abstract Background Diabetes specific emotional problems interfere with the demanding daily management of living with type 2 diabetes mellitus (T2DM. Possibly, offering direct feedback on diabetes management may diminish the presence of diabetes specific emotional problems and might enhance the patients' belief they are able to manage their illness. It is hypothesized that self-monitoring of glucose in combination with an algorithm how and when to act will motivate T2DM patients to become more active participants in their own care leading to a decrease in diabetes related distress and an increased self-efficacy. Methods and design Six hundred patients with T2DM (45 ≤ 75 years who receive care in a structured diabetes care system, HbA1c ≥ 7.0%, and not using insulin will be recruited and randomized into 3 groups; Self-monitoring of Blood Glucose (SMBG, Self-monitoring of Urine Glucose (SMUG and usual care (n = 200 per group. Participants are eligible if they have a known disease duration of over 1 year and have used SMBG or SMUG less than 3 times in the previous year. All 3 groups will receive standardized diabetes care. The intervention groups will receive additional instructions on how to perform self-monitoring of glucose and how to interpret the results. Main outcome measures are changes in diabetes specific emotional distress and self-efficacy. Secondary outcome measures include difference in HbA1c, patient satisfaction, occurrence of hypoglycaemia, physical activity, costs of direct and indirect healthcare and changes in illness beliefs. Discussion The IN CONTROL-trial is designed to explore whether feedback from self-monitoring of glucose in T2DM patients who do not require insulin can affect diabetes specific emotional distress and increase self-efficacy. Based on the self-regulation model it is hypothesized that glucose self-monitoring feedback changes illness perceptions, guiding the patient to reduce emotional responses to

A Review of the Effects of Self-Monitoring on Reading Performance of Students with Disabilities

Science.gov (United States)

Joseph, Laurice M.; Eveleigh, Elisha L.

2011-01-01

The purpose of this review was to synthesize the effects of self-monitoring methods on reading achievement for students with disabilities. Studies examining the self-monitoring of reading behaviors that were published in peer-reviewed journals from 1987 to 2008 were synthesized with regard to types of participants, settings, research designs,…

Level monitoring system with pulsating sensor—Application to online level monitoring of dashpots in a fast breeder reactor

Energy Technology Data Exchange (ETDEWEB)

Malathi, N.; Sahoo, P., E-mail: sahoop@igcar.gov.in; Ananthanarayanan, R.; Murali, N. [Real Time Systems Division, Electronics, Instrumentation and Radiological Safety Group, Indira Gandhi Centre for Atomic Research, Kalpakkam 603102 (India)

2015-02-15

An innovative continuous type liquid level monitoring system constructed by using a new class of sensor, viz., pulsating sensor, is presented. This device is of industrial grade and it is exclusively used for level monitoring of any non conducting liquid. This instrument of unique design is suitable for high resolution online monitoring of oil level in dashpots of a sodium-cooled fast breeder reactor. The sensing probe is of capacitance type robust probe consisting of a number of rectangular mirror polished stainless steel (SS-304) plates separated with uniform gaps. The performance of this novel instrument has been thoroughly investigated. The precision, sensitivity, response time, and the lowest detection limit in measurement using this device are <0.01 mm, ∼100 Hz/mm, ∼1 s, and ∼0.03 mm, respectively. The influence of temperature on liquid level is studied and the temperature compensation is provided in the instrument. The instrument qualified all recommended tests, such as environmental, electromagnetic interference and electromagnetic compatibility, and seismic tests prior to its deployment in nuclear reactor. With the evolution of this level measurement approach, it is possible to provide dashpot oil level sensors in fast breeder reactor for the first time for continuous measurement of oil level in dashpots of Control and Safety Rod Drive Mechanism during reactor operation.

Nuclear power plant control room operator control and monitoring tasks

International Nuclear Information System (INIS)

Bovell, C.R.; Beck, M.G.; Carter, R.J.

1998-01-01

Oak Ridge National Laboratory is conducting a research project the purpose of which is to develop the technical bases for regulatory review criteria for use in evaluating the safety implications of human factors associated with the use of artificial intelligence and expert systems, and with advanced instrumentation and control (I and C) systems in nuclear power plants (NPP). This report documents the results from Task 8 of that project. The primary objectives of the task was to identify the scope and type of control and monitoring tasks now performed by control-room operators. Another purpose was to address the types of controls and safety systems needed to operate the nuclear plant. The final objective of Task 8 was to identify and categorize the type of information and displays/indicators required to monitor the performance of the control and safety systems. This report also discusses state-of-the-art controls and advanced display devices which will be available for use in control-room retrofits and in control room of future plants. The fundamental types of control and monitoring tasks currently conducted by operators can be divided into four classifications: function monitoring tasks, control manipulation tasks, fault diagnostic tasks, and administrative tasks. There are three general types of controls used in today's NPPs, switches, pushbuttons, and analog controllers. Plant I and C systems include components to achieve a number of safety-related functions: measuring critical plant parameters, controlling critical plant parameters within safety limits, and automatically actuating protective devices if safe limits are exceeded. The types of information monitored by the control-room operators consist of the following parameters: pressure, fluid flow and level, neutron flux, temperature, component status, water chemistry, electrical, and process and area radiation. The basic types of monitoring devices common to nearly all NPP control rooms include: analog meters

Study of type III ELMs in JET

NARCIS (Netherlands)

Sartori, R.; Saibene, G.; Horton, L. D.; Becoulet, M.; Budny, R.; Borba, D.; Chankin, A.; Conway, G. D.; Cordey, G.; McDonald, D.; Guenther, K.; von Hellermann, M. G.; Igithkanov, Y.; Loarte, A.; Lomas, P. J.; Pogutse, O.; Rapp, J.

2004-01-01

This paper presents the results of JET experiments aimed at studying the operational space of plasmas with a Type III ELMy edge, in terms of both local and global plasma parameters. In JET, the Type III ELMy regime has a wide operational space in the pedestal n(e)-T-e diagram, and Type III ELMs are

Monitoring in the nearshore: A process for making reasoned decisions

Science.gov (United States)

Bodkin, James L.; Dean, T.A.

2003-01-01

Over the past several years, a conceptual framework for the GEM nearshore monitoring program has been developed through a series of workshops. However, details of the proposed monitoring program, e.g. what to sample, where to sample, when to sample and at how many sites, have yet to be determined. In FY 03 we were funded under Project 03687 to outline a process whereby specific alternatives to monitoring are developed and presented to the EVOS Trustee Council for consideration. As part of this process, two key elements are required before reasoned decisions can be made. These are: 1) a comprehensive historical perspective of locations and types of past studies conducted in the nearshore marine communities within Gulf of Alaska, and 2) estimates of costs for each element of a proposed monitoring program. We have developed a GIS database that details available information from past studies of selected nearshore habitats and species in the Gulf of Alaska and provide a visual means of selecting sites based (in part) on the locations for which historical data of interest are available. We also provide cost estimates for specific monitoring plan alternatives and outline several alternative plans that can be accomplished within reasonable budgetary constraints. The products that we will provide are: 1) A GIS database and maps showing the location and types of information available from the nearshore in the Gulf of Alaska; 2) A list of several specific monitoring alternatives that can be conducted within reasonable budgetary constraints; and 3) Cost estimates for proposed tasks to be conducted as part of the nearshore program. Because data compilation and management will not be completed until late in FY03 we are requesting support for close-out of this project in FY 04.

Quality control of CT systems by automated monitoring of key performance indicators: a two-year study.

Science.gov (United States)

Nowik, Patrik; Bujila, Robert; Poludniowski, Gavin; Fransson, Annette

2015-07-08

The purpose of this study was to develop a method of performing routine periodical quality controls (QC) of CT systems by automatically analyzing key performance indicators (KPIs), obtainable from images of manufacturers' quality assurance (QA) phantoms. A KPI pertains to a measurable or determinable QC parameter that is influenced by other underlying fundamental QC parameters. The established KPIs are based on relationships between existing QC parameters used in the annual testing program of CT scanners at the Karolinska University Hospital in Stockholm, Sweden. The KPIs include positioning, image noise, uniformity, homogeneity, the CT number of water, and the CT number of air. An application (MonitorCT) was developed to automatically evaluate phantom images in terms of the established KPIs. The developed methodology has been used for two years in clinical routine, where CT technologists perform daily scans of the manufacturer's QA phantom and automatically send the images to MonitorCT for KPI evaluation. In the cases where results were out of tolerance, actions could be initiated in less than 10 min. 900 QC scans from two CT scanners have been collected and analyzed over the two-year period that MonitorCT has been active. Two types of errors have been registered in this period: a ring artifact was discovered with the image noise test, and a calibration error was detected multiple times with the CT number test. In both cases, results were outside the tolerances defined for MonitorCT, as well as by the vendor. Automated monitoring of KPIs is a powerful tool that can be used to supplement established QC methodologies. Medical physicists and other professionals concerned with the performance of a CT system will, using such methods, have access to comprehensive data on the current and historical (trend) status of the system such that swift actions can be taken in order to ensure the quality of the CT examinations, patient safety, and minimal disruption of service.

Quality control of CT systems by automated monitoring of key performance indicators: a two‐year study

Science.gov (United States)

Bujila, Robert; Poludniowski, Gavin; Fransson, Annette

2015-01-01

The purpose of this study was to develop a method of performing routine periodical quality controls (QC) of CT systems by automatically analyzing key performance indicators (KPIs), obtainable from images of manufacturers' quality assurance (QA) phantoms. A KPI pertains to a measurable or determinable QC parameter that is influenced by other underlying fundamental QC parameters. The established KPIs are based on relationships between existing QC parameters used in the annual testing program of CT scanners at the Karolinska University Hospital in Stockholm, Sweden. The KPIs include positioning, image noise, uniformity, homogeneity, the CT number of water, and the CT number of air. An application (MonitorCT) was developed to automatically evaluate phantom images in terms of the established KPIs. The developed methodology has been used for two years in clinical routine, where CT technologists perform daily scans of the manufacturer's QA phantom and automatically send the images to MonitorCT for KPI evaluation. In the cases where results were out of tolerance, actions could be initiated in less than 10 min. 900 QC scans from two CT scanners have been collected and analyzed over the two‐year period that MonitorCT has been active. Two types of errors have been registered in this period: a ring artifact was discovered with the image noise test, and a calibration error was detected multiple times with the CT number test. In both cases, results were outside the tolerances defined for MonitorCT, as well as by the vendor. Automated monitoring of KPIs is a powerful tool that can be used to supplement established QC methodologies. Medical physicists and other professionals concerned with the performance of a CT system will, using such methods, have access to comprehensive data on the current and historical (trend) status of the system such that swift actions can be taken in order to ensure the quality of the CT examinations, patient safety, and minimal disruption of service

Design of an Air Pollution Monitoring Campaign in Beijing for Application to Cohort Health Studies.

Science.gov (United States)

Vedal, Sverre; Han, Bin; Xu, Jia; Szpiro, Adam; Bai, Zhipeng

2017-12-15

No cohort studies in China on the health effects of long-term air pollution exposure have employed exposure estimates at the fine spatial scales desirable for cohort studies with individual-level health outcome data. Here we assess an array of modern air pollution exposure estimation approaches for assigning within-city exposure estimates in Beijing for individual pollutants and pollutant sources to individual members of a cohort. Issues considered in selecting specific monitoring data or new monitoring campaigns include: needed spatial resolution, exposure measurement error and its impact on health effect estimates, spatial alignment and compatibility with the cohort, and feasibility and expense. Sources of existing data largely include administrative monitoring data, predictions from air dispersion or chemical transport models and remote sensing (specifically satellite) data. New air monitoring campaigns include additional fixed site monitoring, snapshot monitoring, passive badge or micro-sensor saturation monitoring and mobile monitoring, as well as combinations of these. Each of these has relative advantages and disadvantages. It is concluded that a campaign in Beijing that at least includes a mobile monitoring component, when coupled with currently available spatio-temporal modeling methods, should be strongly considered. Such a campaign is economical and capable of providing the desired fine-scale spatial resolution for pollutants and sources.

Design of an Air Pollution Monitoring Campaign in Beijing for Application to Cohort Health Studies

Directory of Open Access Journals (Sweden)

Sverre Vedal

2017-12-01

Full Text Available No cohort studies in China on the health effects of long-term air pollution exposure have employed exposure estimates at the fine spatial scales desirable for cohort studies with individual-level health outcome data. Here we assess an array of modern air pollution exposure estimation approaches for assigning within-city exposure estimates in Beijing for individual pollutants and pollutant sources to individual members of a cohort. Issues considered in selecting specific monitoring data or new monitoring campaigns include: needed spatial resolution, exposure measurement error and its impact on health effect estimates, spatial alignment and compatibility with the cohort, and feasibility and expense. Sources of existing data largely include administrative monitoring data, predictions from air dispersion or chemical transport models and remote sensing (specifically satellite data. New air monitoring campaigns include additional fixed site monitoring, snapshot monitoring, passive badge or micro-sensor saturation monitoring and mobile monitoring, as well as combinations of these. Each of these has relative advantages and disadvantages. It is concluded that a campaign in Beijing that at least includes a mobile monitoring component, when coupled with currently available spatio-temporal modeling methods, should be strongly considered. Such a campaign is economical and capable of providing the desired fine-scale spatial resolution for pollutants and sources.

Self-Monitoring Processes and Holland Vocational Preferences among College Students.

Science.gov (United States)

Brown, Michael T.; And Others

1989-01-01

Used Holland's Vocational Preference Inventory (VPI) and a self-monitoring scale to examine 237 undergraduates' association between self-monitoring and occupational preferences. Regression analyses revealed correlations between gender, self-monitoring propensity, and preferred occupational types (i.e., social, enterprising, or artistic). (TE)

Type 1 diabetes

OpenAIRE

Atkinson, Mark A; Eisenbarth, George S; Michels, Aaron W

2013-01-01

Over the past decade, knowledge of the pathogenesis and natural history of type 1 diabetes has grown substantially, particularly with regard to disease prediction and heterogeneity, pancreatic pathology, and epidemiology. Technological improvements in insulin pumps and continuous glucose monitors help patients with type 1 diabetes manage the challenge of lifelong insulin administration. Agents that show promise for averting debilitating disease-associated complications have also been identifi...

Soil monitoring instrumentation

International Nuclear Information System (INIS)

Umbarger, C.J.

1980-01-01

The Los Alamos Scientific Laboratory (LASL) has an extensive program for the development of nondestructive assay instrumentation for the quantitative analysis of transuranic (TRU) materials found in bulk solid wastes generated by Department of Energy facilities and by the commercial nuclear power industry. Included are wastes generated in decontamination and decommissioning of outdated nuclear facilities as well as wastes from old waste burial ground exhumation programs. The assay instrumentation is designed to have detection limits below 10 nCi/g wherever practicable. Because of the topic of this workshop, only the assay instrumentation applied specifically to soil monitoring will be discussed here. Four types of soil monitors are described

Self-monitoring of blood glucose in diabetes mellitus: arguments for an individualized approach.

Science.gov (United States)

Nauck, Michael A; El-Ouaghlidi, Andrea; Vardarli, Irfan

2009-09-01

The utility of glucose self-monitoring in different types and stages of diabetes is controversial, as there is only sparse relevant evidence from randomized controlled clinical trials. In this analysis, the authors aim to develop individualized recommendations based on clinical needs and the available literature. The PubMed database was searched for articles that appeared up to 30 September 2008 containing the terms "measurement," "control","monitoring," and "hypoglycemia"; the retrieved articles were supplemented by other articles that were cited in them. A directed search was also made for the recommendations of the German, European, American, and international diabetological societies. Conclusions were then drawn about the useful modalities and extent of glucose self-monitoring on the basis of the clinical features of the major types of diabetes and the main treatment strategies for them. With the exception of intensified treatment strategies (which rely on blood-sugar regulation with insulin), only a few evidence-based recommendations can be derived from randomized clinical trials and meta-analyses. Nonetheless, a strategy for self-monitoring according to the patient's individual needs can be derived from the characteristics of therapeutic regimens: depending on the type of diabetes from which the patient suffers, the predicted number of glucometer strips required for self-monitoring will vary from almost none to roughly 400 per month. The decision to use glucose self-monitoring, as well as the type and extent of self-monitoring that will be used, should be based on the individual patient's type of diabetes, treatment regimen, and clinical characteristics. Like any other type of therapeutic intervention, self-monitoring should have a well-documented, rational justification.

Monitoring and Evaluation; Statistical Support for Life-cycle Studies, 2003 Annual Report.

Energy Technology Data Exchange (ETDEWEB)

Skalski, John

2003-12-01

This report summarizes the statistical analysis and consulting activities performed under Contract No. 00004134, Project No. 199105100 funded by Bonneville Power Administration during 2003. These efforts are focused on providing real-time predictions of outmigration timing, assessment of life-history performance measures, evaluation of status and trends in recovery, and guidance on the design and analysis of Columbia Basin fish and wildlife studies monitoring and evaluation studies. The overall objective of the project is to provide BPA and the rest of the fisheries community with statistical guidance on design, analysis, and interpretation of monitoring data, which will lead to improved monitoring and evaluation of salmonid mitigation programs in the Columbia/Snake River Basin. This overall goal is being accomplished by making fisheries data readily available for public scrutiny, providing statistical guidance on the design and analyses of studies by hands-on support and written documents, and providing real-time analyses of tagging results during the smolt outmigration for review by decision makers. For a decade, this project has been providing in-season projections of smolt outmigration timing to assist in spill management. As many as 50 different fish stocks at 8 different hydroprojects are tracked and real-time to predict the 'percent of run to date' and 'date to specific percentile'. The project also conducts added-value analyses of historical tagging data to understand relationships between fish responses, environmental factors, and anthropogenic effects. The statistical analysis of historical tagging data crosses agency lines in order to assimilate information on salmon population dynamics irrespective of origin. The lessons learned from past studies are used to improve the design and analyses of future monitoring and evaluation efforts. Through these efforts, the project attempts to provide the fisheries community with reliable analyses

Intelligent condition monitoring of railway catenary systems : A Bayesian Network approach

NARCIS (Netherlands)

Wang, H.; Nunez Vicencio, Alfredo; Dollevoet, R.P.B.J.; Liu, Zhigang; Chen, Junwen; Spiryagin, Maksym; Gordon, Timothy; Cole, Colin; McSweeney, Tim

2017-01-01

This study proposes a Bayesian network (BN) dedicated for the intelligent condition monitoring of railway catenary systems. It combines five types of measurements related to catenary condition, namely the contact wire stagger, contact wire height, pantograph head displacement, pantograph head

Monitoring of homogeneity of fuel compacts for high-temperature reactors

International Nuclear Information System (INIS)

Mottet, P.; Guery, M.; Chegne, J.

Apparatus using either gamma transmission or gamma scintillation spectrometry (with NaI(Tl) detector) was developed for monitoring the homogeneity of distribution of fissile and fertile particles in fuel compacts for high-temperature reactors. Three methods were studied: Longitudinal gamma transmission which gives a total distribution curve of heavy metals (U and Th); gamma spectrometry with a well type scintillator, which rapidly gives the U and Th count rates per fraction of compact; and longitudinal gamma spectrometry, giving axial distribution curves for uranium and thorium; apparatus with four scintillators and optimization of the parameters for the measurement, permitting significantly decreasing the duration of the monitoring. These relatively simple procedures should facilitate the industrial monitoring of high-temperature reactor fuel

Radiation detectors as surveillance monitors

International Nuclear Information System (INIS)

Fehlau, P.E.; Dowdy, E.J.

1981-01-01

The International Atomic Energy Agency (IAEA) proposes to use personnel dosimetry radiation detectors as surveillance monitors for safeguards purposes. It plans to place these YES/NO monitors at barrier penetration points declared closed under IAEA safeguards to detect the passage of plutonium-bearing nuclear material, usually spent fuel. For this application, commercially available dosimeters were surveyed as well as other radiation detectors that appeared suitable and likely to be marketed in the near future. No primary advantage was found in a particular detector type because in this application backgrounds vary during long counting intervals. Secondary considerations specify that the monitor be inexpensive and easy to tamper-proof, interrogate, and maintain. On this basis radiophotoluminescent, thermoluminescent, and electronic dosimeters were selected as possible routine monitors; the latter two may prove useful for data-base acquisition

Comparison of power curve monitoring methods

Directory of Open Access Journals (Sweden)

Cambron Philippe

2017-01-01

Full Text Available Performance monitoring is an important aspect of operating wind farms. This can be done through the power curve monitoring (PCM of wind turbines (WT. In the past years, important work has been conducted on PCM. Various methodologies have been proposed, each one with interesting results. However, it is difficult to compare these methods because they have been developed using their respective data sets. The objective of this actual work is to compare some of the proposed PCM methods using common data sets. The metric used to compare the PCM methods is the time needed to detect a change in the power curve. Two power curve models will be covered to establish the effect the model type has on the monitoring outcomes. Each model was tested with two control charts. Other methodologies and metrics proposed in the literature for power curve monitoring such as areas under the power curve and the use of statistical copulas have also been covered. Results demonstrate that model-based PCM methods are more reliable at the detecting a performance change than other methodologies and that the effectiveness of the control chart depends on the types of shift observed.

Burrowing Owl Monitoring Report for Calendar Year 2012

Energy Technology Data Exchange (ETDEWEB)

Wilde, Justin W.; Lindsey, Cole T.; Nugent, John J.

2013-03-14

The monitoring during 2012 focused on documenting the status of known burrows. Newly identified burrows were documented while examining historical locations, during ecological resource reviews, or discovered during other monitoring efforts. The timing of the monitoring effort allowed staff to perform the surveys without disrupting any breeding or hatching, while also allowing for easy discernment of adults from juveniles, which helped in determining burrow-use type.

Wearable activity monitors in oncology trials: Current use of an emerging technology.

Science.gov (United States)

Gresham, Gillian; Schrack, Jennifer; Gresham, Louise M; Shinde, Arvind M; Hendifar, Andrew E; Tuli, Richard; Rimel, B J; Figlin, Robert; Meinert, Curtis L; Piantadosi, Steven

2018-01-01

Physical activity is an important outcome in oncology trials. Physical activity is commonly assessed using self-reported questionnaires, which are limited by recall and response biases. Recent advancements in wearable technology have provided oncologists with new opportunities to obtain real-time, objective physical activity data. The purpose of this review was to describe current uses of wearable activity monitors in oncology trials. We searched Pubmed, Embase, and the Cochrane Central Register of Controlled Trials for oncology trials involving wearable activity monitors published between 2005 and 2016. We extracted details on study design, types of activity monitors used, and purpose for their use. We summarized activity monitor metrics including step counts, sleep and sedentary time, and time spent in moderate-to-vigorous activity. We identified 41 trials of which 26 (63%) involved cancer survivors (post-treatment) and 15 trials (37%) involved patients with active cancer. Most trials (65%) involved breast cancer patients. Wearable activity monitors were commonly used in exercise (54%) or behavioral (29%) trials. Cancer survivors take between 4660 and 11,000 steps/day and those undergoing treatment take 2885 to 8300steps/day. Wearable activity monitors are increasingly being used to obtain objective measures of physical activity in oncology trials. There is potential for their use to expand to evaluate and predict clinical outcomes such as survival, quality of life, and treatment tolerance in future studies. Currently, there remains a lack of standardization in the types of monitors being used and how their data are being collected, analyzed, and interpreted. Recent advancements in wearable activity monitor technology have provided oncologists with new opportunities to monitor their patients' daily activity in real-world settings. The integration of wearable activity monitors into cancer care will help increase our understanding of the associations between

ITRAP - an international pilot study on border monitoring systems

International Nuclear Information System (INIS)

Beck, P.; Duftschmid, K.E.

1999-01-01

The paper describes the design and preliminary results of an extended pilot study of commercially available monitoring systems for the detection of nuclear and other radioactive materials at borders. The study consists of a laboratory test phase and field tests at the Austrian/Hungarian border and the Vienna airport, each for a duration of one year. The results will be used to derive realistic performance requirements for border control systems in view of optimized technical and economic conditions as well as to propose an 'investigation level'. The ITRAP study consists of three phases. In the first phase equipment currently available on the market is subjected to laboratory testing at the Austrian Research Centres Seibersdorf. The instrument categories include hand-held, portable, and fixed-installed equipment. The test criteria defined as minimum requirements have been established together with the manufacturers. The laboratory tests started in May 1998 and will last until end of this year. During the second phase, the field study, equipment passing the laboratory tests will be installed at a major Austrian-Hungarian border crossing (Nickelsdorf) for monitoring of cars, trucks and trains, as well as at the Vienna airport for pedestrians, luggage and cargo. In this phase the results gained from the lab tests about the 'fitness for use' will be verified in practice, in close co-operation with the law enforcement officers at the borders. Also training issues and questions of maintenance and support shall be evaluated. In the third phase, realistic specifications and performance requirements shall be derived with the help of international experts and selected specialists from the users and manufacturers. The results of the field study will focus not only on the technical aspects of monitoring equipment (e.g. detection threshold and rate of false alarms) but also on the operational (e.g. ease of use, reliability, training requirements, field support) and economic

Retrieval and Monitoring Processes during Visual Working Memory: An ERP Study of the Benefit of Visual Semantics

Directory of Open Access Journals (Sweden)

Elizabeth Orme

2017-07-01

Full Text Available In this study, we examined electrophysiological indices of episodic remembering whilst participants recalled novel shapes, with and without semantic content, within a visual working memory paradigm. The components of interest were the parietal episodic (PE; 400–800 ms and late posterior negativity (LPN; 500–900 ms, as these have previously been identified as reliable markers of recollection and post-retrieval monitoring, respectively. Fifteen young adults completed a visual matrix patterns task, assessing memory for low and high semantic visual representations. Matrices with either low semantic or high semantic content (containing familiar visual forms were briefly presented to participants for study (1500 ms, followed by a retention interval (6000 ms and finally a same/different recognition phase. The event-related potentials of interest were tracked from the onset of the recognition test stimuli. Analyses revealed equivalent amplitude for the earlier PE effect for the processing of both low and high semantic stimulus types. However, the LPN was more negative-going for the processing of the low semantic stimuli. These data are discussed in terms of relatively ‘pure’ and complete retrieval of high semantic items, where support can readily be recruited from semantic memory. However, for the low semantic items additional executive resources, as indexed by the LPN, are recruited when memory monitoring and uncertainty exist in order to recall previously studied items more effectively.

Retrieval and Monitoring Processes during Visual Working Memory: An ERP Study of the Benefit of Visual Semantics.

Science.gov (United States)

Orme, Elizabeth; Brown, Louise A; Riby, Leigh M

2017-01-01

In this study, we examined electrophysiological indices of episodic remembering whilst participants recalled novel shapes, with and without semantic content, within a visual working memory paradigm. The components of interest were the parietal episodic (PE; 400-800 ms) and late posterior negativity (LPN; 500-900 ms), as these have previously been identified as reliable markers of recollection and post-retrieval monitoring, respectively. Fifteen young adults completed a visual matrix patterns task, assessing memory for low and high semantic visual representations. Matrices with either low semantic or high semantic content (containing familiar visual forms) were briefly presented to participants for study (1500 ms), followed by a retention interval (6000 ms) and finally a same/different recognition phase. The event-related potentials of interest were tracked from the onset of the recognition test stimuli. Analyses revealed equivalent amplitude for the earlier PE effect for the processing of both low and high semantic stimulus types. However, the LPN was more negative-going for the processing of the low semantic stimuli. These data are discussed in terms of relatively 'pure' and complete retrieval of high semantic items, where support can readily be recruited from semantic memory. However, for the low semantic items additional executive resources, as indexed by the LPN, are recruited when memory monitoring and uncertainty exist in order to recall previously studied items more effectively.

Retrieval and Monitoring Processes during Visual Working Memory: An ERP Study of the Benefit of Visual Semantics

Science.gov (United States)

Orme, Elizabeth; Brown, Louise A.; Riby, Leigh M.

2017-01-01

In this study, we examined electrophysiological indices of episodic remembering whilst participants recalled novel shapes, with and without semantic content, within a visual working memory paradigm. The components of interest were the parietal episodic (PE; 400–800 ms) and late posterior negativity (LPN; 500–900 ms), as these have previously been identified as reliable markers of recollection and post-retrieval monitoring, respectively. Fifteen young adults completed a visual matrix patterns task, assessing memory for low and high semantic visual representations. Matrices with either low semantic or high semantic content (containing familiar visual forms) were briefly presented to participants for study (1500 ms), followed by a retention interval (6000 ms) and finally a same/different recognition phase. The event-related potentials of interest were tracked from the onset of the recognition test stimuli. Analyses revealed equivalent amplitude for the earlier PE effect for the processing of both low and high semantic stimulus types. However, the LPN was more negative-going for the processing of the low semantic stimuli. These data are discussed in terms of relatively ‘pure’ and complete retrieval of high semantic items, where support can readily be recruited from semantic memory. However, for the low semantic items additional executive resources, as indexed by the LPN, are recruited when memory monitoring and uncertainty exist in order to recall previously studied items more effectively. PMID:28725203

Effects of two types of intra-team feedback on developing a shared mental model in Command & Control teams

NARCIS (Netherlands)

Rasker, P.C.; Post, W.M.; Schraagen, J.M.C.

2000-01-01

In two studies, the effect of two types of intra-team feedback on developing a shared mental model in Command & Control teams was investigated. A distinction is made between performance monitoring and team self-correction. Performance monitoring is the ability of team members to monitor each other's

GLRT Based Anomaly Detection for Sensor Network Monitoring

KAUST Repository

Harrou, Fouzi

2015-12-07

Proper operation of antenna arrays requires continuously monitoring their performances. When a fault occurs in an antenna array, the radiation pattern changes and can significantly deviate from the desired design performance specifications. In this paper, the problem of fault detection in linear antenna arrays is addressed within a statistical framework. Specifically, a statistical fault detection method based on the generalized likelihood ratio (GLR) principle is utilized for detecting potential faults in linear antenna arrays. The proposed method relies on detecting deviations in the radiation pattern of the monitored array with respect to a reference (fault-free) one. To assess the abilities of the GLR based fault detection method, three case studies involving different types of faults have been performed. The simulation results clearly illustrate the effectiveness of the GLR-based fault detection method in monitoring the performance of linear antenna arrays.

GLRT Based Anomaly Detection for Sensor Network Monitoring

KAUST Repository

Harrou, Fouzi; Sun, Ying

2015-01-01

Proper operation of antenna arrays requires continuously monitoring their performances. When a fault occurs in an antenna array, the radiation pattern changes and can significantly deviate from the desired design performance specifications. In this paper, the problem of fault detection in linear antenna arrays is addressed within a statistical framework. Specifically, a statistical fault detection method based on the generalized likelihood ratio (GLR) principle is utilized for detecting potential faults in linear antenna arrays. The proposed method relies on detecting deviations in the radiation pattern of the monitored array with respect to a reference (fault-free) one. To assess the abilities of the GLR based fault detection method, three case studies involving different types of faults have been performed. The simulation results clearly illustrate the effectiveness of the GLR-based fault detection method in monitoring the performance of linear antenna arrays.