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Sample records for type thyristor controlled

  1. Performance of static var compensator control type thyristor controlled reactor and thyristor switched capacitor

    Energy Technology Data Exchange (ETDEWEB)

    Araujo, Josias M. de; Yung, Chou Shaw; Rose, Eber H.; Pantoja, Antonio L.A. [ELETRONORTE, Belem, PA (Brazil); Fouesnant, Thomas; Boissier, Luc

    1994-12-31

    This paper has the objective of presenting the philosophy of Static Var Compensator (SVC) Control as well the necessary adjustments in the project of control system to guarantee suitable performance under different operating conditions. The verification on the performance of the SVC control has been done by Transient Network Analyzer (TNA/CEPEL) studies, commissioning tests and a factory tests. The SVC is the type of Thyristor Controlled Reactor (TCR) and Thyristor Switched Capacitor (TSC). (author) 3 refs., 12 figs.

  2. Voltage reapplication rate control for commutation of thyristors

    Science.gov (United States)

    Rippel, Wally E. (Inventor); Edwards, Dean B. (Inventor)

    1982-01-01

    A circuit for commutating a thyristor (21) by shunting its current for a minimum interval, thereby removing sustaining voltage to said thyristor, then subsequently restoring voltage to said thyristor at a predetermined rate, utilizes a series combination of a commutation electronic switch (22) and an isolated dc voltage supply (23) connected in parallel with the thyristor. The voltage supply is arranged with a polarity that permits the current flowing through the thyristor in one direction to be bypassed through the series combination while the commutation switch is turned on and to reverse bias the thyristor when the commutation switch is fully on. A dv/dt control circuit (24) limits the rate of rise of voltage across the commutation switch (22) as it is turned off in response to a command input signal. The dv/dt control circuit is comprised of a constant current drive (31) and a capacitor (32) connected between the output terminal of the commutation switch and the control input terminal of the commutation switch. The thyristor may be a triac (40) with two commutation switches (42, 43), one for current of each polarity, or with a single commutation switch (55) and a bridge circuit (52-55) for selecting the polarity of the switch (56).

  3. Flicker suppressor by thyristor

    International Nuclear Information System (INIS)

    Masuda, M.; Matsumoto, S.; Shintomi, T.

    1977-01-01

    One of the difficulties which are encountered by direct connection of the accelerator to the utilities is the effect of pulsed reactive power on the utilities with respect to the customer's interference and the system stability. To suppress the voltage flickers caused by the pulsed reactive power, several types of machines have been investigated, namely capacitor banks with thyristor switches, series capacitors, saturable reactor and reactor with thyristors. Among these, the reactor with thyristors was employed in KEK accelerator with respect to performance, maintenance, technical feasibility and economical point. The actual operation of reactive power control by ignition angle of thyristor was satisfactory. The swing of 14 MVAr reactive power was stabilized within +-5% and the voltage flicker was suppressed from 3% to 0.5% which is enough less than the permissible value suggested by the electrical company. The harmonic current which is asociated with thyristor was absorbed to ac filters that also served as the reactive power compensator

  4. Impact of Thyristors Controlled Series Capacitor Devices and Optimal Power Flow on Power Systems

    Directory of Open Access Journals (Sweden)

    Fatiha LAKDJA

    2010-12-01

    Full Text Available This paper presents an algorithm, for solving the Optimal Power Flow problem with flexible AC transmission systems (FACTS. The type of FACTS devices is used: thyristor-controlled series capacitor (TCSC. A method to determine the optimal location of thyristor controlled series compensators has been suggested. The proposed approaches have been implemented on an adapted IEEE 26 bus system. The simulation results are discussed to show the performance of the proposed algorithm and our “FACTS programmer “simulator technique, which are compared with TCSC and without TCSC.

  5. Generalized Analytical Program of Thyristor Phase Control Circuit with Series and Parallel Resonance Load

    OpenAIRE

    Nakanishi, Sen-ichiro; Ishida, Hideaki; Himei, Toyoji

    1981-01-01

    The systematic analytical method is reqUired for the ac phase control circuit by means of an inverse parallel thyristor pair which has a series and parallel L-C resonant load, because the phase control action causes abnormal and interesting phenomena, such as an extreme increase of voltage and current, an unique increase and decrease of contained higher harmonics, and a wide variation of power factor, etc. In this paper, the program for the analysis of the thyristor phase control circuit with...

  6. Thyristor voltage converter in induction electric drives with microprocessor control

    Energy Technology Data Exchange (ETDEWEB)

    Braslavsky, I.; Zuzev, A.; Shilin, S. [Electric Drive Department, Urals State Technical University, Ekaterinburg (Russian Federation)

    1997-12-31

    The paper consists of some results on developed pulse model of thyristor voltage converter which is one of the most mathematically complicated unit of electric drive. The model structure and model parameter calculating method are represented. The application of the model allows to analyse stability in `locally` by the linear pulse system theory methods with talking into consideration quantise processes within the converter. Such application provides the obtaining higher accurate results comparing with the non-linear system theory approximate methods. Logarithmic frequency characteristics are used to analyse converter dynamic features and they are represented too. (orig.) 4 refs.

  7. Automatic generation control with thyristor controlled series compensator including superconducting magnetic energy storage units

    Directory of Open Access Journals (Sweden)

    Saroj Padhan

    2014-09-01

    Full Text Available In the present work, an attempt has been made to understand the dynamic performance of Automatic Generation Control (AGC of multi-area multi-units thermal–thermal power system with the consideration of Reheat turbine, Generation Rate Constraint (GRC and Time delay. Initially, the gains of the fuzzy PID controller are optimized using Differential Evolution (DE algorithm. The superiority of DE is demonstrated by comparing the results with Genetic Algorithm (GA. After that performance of Thyristor Controlled Series Compensator (TCSC has been investigated. Further, a TCSC is placed in the tie-line and Superconducting Magnetic Energy Storage (SMES units are considered in both areas. Finally, sensitivity analysis is performed by varying the system parameters and operating load conditions from their nominal values. It is observed that the optimum gains of the proposed controller need not be reset even if the system is subjected to wide variation in loading condition and system parameters.

  8. Thyristor-based current-fed drive with direct power control for permanent magnet-assisted synchronous reluctance generator

    Science.gov (United States)

    Baek, J.; Kwak, S.-S.; Toliyat, H. A.

    2015-03-01

    This paper proposes a robust and simple direct power control (DPC) of a thyristor-based current-fed drive for generator applications. A current-fed drive and permanent magnet-assisted synchronous reluctance generator (PMa-SynRG) are investigated to deliver 3 kW power using a combustion engine. The current-fed drive utilises a thyristor-based three-phase rectifier to convert generator power to DC-link power and a single-phase current-fed inverter to supply a single-phase inductive load. In addition, a new control algorithm is developed based on DPC for the current-fed drive. The DC-link voltage-based DPC is proposed in order to directly control the output power. The goal of the DPC is to maintain the DC-link voltage at the required output power operating point. The DPC has advantages such as a simple algorithm for constant speed operation. Another feature of the developed current-fed drive is its inherent capability to provide generating action by making the PMa-SynRG operates as a generator, rectifying the phase voltages by means of the three-phase rectifier and feeding the power into the load. These features make the current-fed drive a good candidate for driving any type of synchronous generators including the proposed PMa-SynRG.

  9. METHOD OF DETERMINING THE START TIME OF INDUCTION MOTORS IN THE CONTROL OF RESISTOR-THYRISTOR MODULES

    Directory of Open Access Journals (Sweden)

    V.I. Lobov

    2015-08-01

    Full Text Available Purpose. An electric general-purpose drive with asynchronous motor is proposed. For motor control in stator and rotor, circuits used resistors and thyristors. These elements included together in various ways. This allows to get a variety of power converter circuit with resistor-thyristor modules. Methodology. Taking into account the technical requirements for industrial machinery developed an analytical method for determining the run-up controlled induction motor. Formed starting modes by changing the value of the equivalent resistor-thyristor modules. Using logic synthesis and function of thyristors switching to determine the equivalent value of resistor-thyristor modules. Scientific novelty. It lies in the fact that the proposed method of calculation to determine the run-up in the limited amount of transient current and torque of the motor. The total moment of inertia and the static moment of the drive do not have a significant impact on the maximum value of the transient electromagnetic torque. Most of these options affect the transition process, the oscillation frequency of the electromagnetic torque and the motor speed. Practical value. The method used for calculating allows to select the simplest laws of launch control actuator and apply open-loop control system without increasing the cost of the power converter, so it is of practical importance.

  10. THE THYRISTOR CONVERTER INFLUENCE ON THE PULSATIONS OF THE ELECTROMAGNETIC TORQUE OF THE INDUCTION MOTOR AT PARAMETRICAL CONTROL

    Directory of Open Access Journals (Sweden)

    V. I. Lobov

    2017-08-01

    Full Text Available Purpose. The purpose of the work is to identify the parameters influence of the electric motor, the power circuits elements of the converters, built on resistor-thyristor modules, the static torque and the moment of inertia of the mechanism on the vibrational components of the induction motor’s electromagnetic moment. Methodology. The methodological basis for the solution of the task is an integrated approach. The application of the generalized control circuit for an induction electric motor and its mathematical description made it possible to analyze various power circuits of parametric control of an induction electric motor. To create a common control algorithm, effectively use the computer for calculations. To perform qualitative and quantitative analysis of the amplitudes and frequencies of the vibrational components of the electromagnetic torque of the electric motor. Results. The conducted researches allowed to reveal the peculiarities of the effect of the parameters of the elements of various types of power circuits of the parametric control converters on the vibrational components of the electromagnetic torque of an induction electric motor. Calculations and physical modeling have been performed, it has been possible to establish the conditions for the occurrence of electromagnetic pulsations and to determine the ways of their elimination. It was found that the magnitude of pulsations of the electromagnetic moment of an induction electric motor in quasi-permanent modes depends on the selected power circuit of the converter's stator and rotor commutators, the composition of the elements included in them, and the connection circuits. Comparison of calculated and experimental waveform when starting induction electric motors indicates that the pulsation of the electromagnetic torque is affected by: the size of the opening angle of the valves, their control methods, the rotor speed, the parameters of the electric motor and the mechanism are

  11. Improved control system of the thyristor flicker suppressor for the KEK 12-GeV PS

    International Nuclear Information System (INIS)

    Matsumoto, S.; Baba, H.; Mikawa, K.; Sato, H.; Sueno, T.

    1983-01-01

    Thyristor control system of the 20 MVar flicker suppressor has been improved essentially. The previous feed forward (FF) loop with each single phase reactive current detector of the MR magnet power supply was exchanged to the present by both FF- and NFB-loops. The FF-loops consists of a three phase reactive power detector of the MPS and a forcing pattern generator on the fast but steady line voltage flicker, sag and surge. The NFB-loops control by the slow parts of the flicker and the unbalanced line voltages. These detectors of the reactive power, the voltage flicker and the unbalance have been developed. Sampled voltage flicker data with 12 bit ADC are processed by Z-80A micro computer system and the forcing pattern is generated by the system through 12 bit DAC into the loop. A typical voltage flicker including sag and surge has been reduced within + or - 1.5%, about 1/3 compared to the previous, at 66 kV primary line

  12. Short-Circuit Calculations for a Transmission Line in the Algerian Power Network Compensated by Thyristor Controlled Voltage Regulator

    Directory of Open Access Journals (Sweden)

    ZELLAGUI Mohamed

    2014-10-01

    Full Text Available In this paper, the impact of using the Thyristor Controlled Voltage Regulator (TCVR on short-circuit calculations is studied for a high voltage transmission line in case of a phase to earth fault in the presence of a fault resistance (RF. A 400 kV single transmission line, in the Algerian power network, is used for this study where the line is compensated by TCVR FACTS device to control the voltage and active power of the line. The impact of the fault resistance is studied to reflect its effect on short-circuit calculations including symmetrical current components, transmission line currents, voltage symmetrical components, and transmission line voltages, without and with TCVR. The obtained simulation results match the presented theoretical analysis.

  13. Comparative performance analysis of Thyristor and IGBT based ...

    African Journals Online (AJOL)

    The paper systematically investigates and compares the characteristics of a variable voltage fed induction motor drive for two different types of soft starters; one based on IGBT and another based on Thyristor. Experimental validation is done using ... Keywords: Variable speed electric drives, Soft starter, Thyristor, IGBT ...

  14. The Approach for Optimization of Transmission over Power Links using the Thyristor-Controlled Series Compensation

    Directory of Open Access Journals (Sweden)

    Fatima Zohra GHERBI

    2008-07-01

    Full Text Available The energy transportation networks can be improved by multiplying or creating new lines. This is not always the case for various reasons. The series capacities controlled by SCRs (Silicon Controlled Rectifiers represent a good alternative to optimize the existing or the new electric links, because they allow the increase of the dynamic stability, the damping of the power oscillations, while balancing the loads between the parallel circuits. This paper presents a resolution method to the power distribution by inserting the TCSC transit controller in the network. The insertion of the TCSC devices has given satisfying results that are, an increase of the transmitted active power and reduction of active losses, an improvement of the angular stability and the voltage stability without decreasing the transportation capacity.

  15. AC system stabilization via phase shift transformer with thyristor commutation

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Jose Carlos de; Guimaraes, Geraldo Caixeta; Moraes, Adelio Jose [Uberlandia Univ., MG (Brazil); Abreu, Jose Policarpo G. de [Escola Federal de Engenharia de Itajuba, MG (Brazil); Oliveira, Edimar Jose de [Juiz de Fora Univ., MG (Brazil)

    1994-12-31

    This article aims to present initially the constructive and operative forms of a phase-shift autotransformer which provides both magnitude and phase angle change through thyristor commutation, including a technic to reduce the number of thyristors. Following, it is proposed a control system to make such equipment an efficient AC system stabilizing tool. It is presented some simulation results to show the operation of this transformer in an electrical system. (author) 3 refs., 11 figs., 3 tabs.

  16. A novel synthetic test system for thyristor level in the converter valve of HVDC power transmission

    Directory of Open Access Journals (Sweden)

    Liu Longchen

    2016-01-01

    Full Text Available The converter valve is the core equipment in the HVDC power transmission system, a+-nd its performance has a direct effect on the reliability, stability and efficiency of the whole power system. As the basic unit of HVDC converter valve, the thyristor level needs to be test routinely in order to grasp the state of the converter valve equipment. Therefore, it is urgent to develop a novel synthetic test system for the thyristor level with thyristor control unit (TCU. However, currently there is no specific test scheme for the thyristor level of HVDC converter valve. In this paper, the synthetic test principle, content and methods for the thyristor level with TCU are presented based on the analysis of the thyristor reverse recovery characteristic and the IEC technology standard. And a transient high-voltage pulse is applied to the thyristor level during its reverse recovery period in order to test the characteristics of thyristor level. Then, the synthetic test system for the thyristor level is applied to the converter valve test of ±800 kV HVDC power transmission project, and the practical test result verifies the reasonability and validity of the proposed synthetic test system.

  17. The TCSC (Thyristor Controlled Series Compensator) in a multi machine electric power system: the effects on the synchronizing power; O TCSC em um sistema de energia eletrica multimaquinas: os efeitos sobre a potencia sincronizante

    Energy Technology Data Exchange (ETDEWEB)

    Silva, J.C.; Colvara, L.D. [Universidade Estadual Paulista (FEIS/UNESP), Ilha Solteira, SP (Brazil). Dept. de Engenharia Eletrica], Emails: jadiel_silva@hotmail.com, laurence@dee.feis.unesp.br

    2009-07-01

    The problem of stability of electric power systems, from the standpoint of ability to sync and how FACTS (Flexible Alternating Current Transmission Systems) devices affect this ability in particular the TSCS (Thyristor Controlled Series Compensator) inserted into an environment multi machine, is addressed. The effects of this device on the power synchronizing are considered through analysis of the matrix admittance of the bar, focusing on the transfer admittances between machines.

  18. Silicon Carbide Emitter Turn-Off Thyristor

    Directory of Open Access Journals (Sweden)

    Jun Wang

    2008-01-01

    Full Text Available A novel MOS-controlled SiC thyristor device, the SiC emitter turn-off thyristor (ETO is a promising technology for future high-voltage switching applications because it integrates the excellent current conduction capability of a SiC thyristor with a simple MOS-control interface. Through unity-gain turn-off, the SiC ETO also achieves excellent Safe Operation Area (SOA and faster switching speeds than silicon ETOs. The world's first 4.5-kV SiC ETO prototype shows a forward voltage drop of 4.26 V at 26.5 A/cm2 current density at room and elevated temperatures. Tested in an inductive circuit with a 2.5 kV DC link voltage and a 9.56-A load current, the SiC ETO shows a fast turn-off time of 1.63 microseconds and a low 9.88 mJ turn-off energy. The low switching loss indicates that the SiC ETO could operate at about 4 kHz if 100 W/cm2 conduction and the 100 W/cm2 turn-off losses can be removed by the thermal management system. This frequency capability is about 4 times higher than 4.5-kV-class silicon power devices. The preliminary demonstration shows that the SiC ETO is a promising candidate for high-frequency, high-voltage power conversion applications, and additional developments to optimize the device for higher voltage (>5 kV and higher frequency (10 kHz are needed.

  19. Development of mos thyristor technological processes for functional integration of new power devices; Developpement de filieres technologiques mos-thyristor adaptees a l`integration fonctionnelle de nouveaux dispositifs de puissance

    Energy Technology Data Exchange (ETDEWEB)

    Berriane, R.

    1997-05-05

    The development of MOS thyristor technological processes for integration of the switching function for high voltage power applications in industrial supply networks, is studied. A MOS-gated optically triggered thyristor is presented, which includes a MOS gated thyristor constituting the power element and a photodiode for optical control detection; protection and control are obtained respectively by a Zener diode and a depletion MOSFET transistor. In order to verify the switching function, a model is proposed and a high voltage planar aluminium gate process technology, compatible with various bipolar and MOSFET devices associations have been developed and optimized. In the framework of industrial supply networks, the integration of a thermal protection element has been investigated. The dual thyristor function application has been also studied, composed of a spontaneously fired, controlled turn off MOS-thyristor association. The early developments of a MOS thyristor polysilicon gate process technology is then presented

  20. Power Factor Correction for Thyristor Equipment in Glass Industry ...

    African Journals Online (AJOL)

    Thyristor power controllers are now widely used in the glass industry for controlling furnace temperature. While offering a number of operational advantages, they operate at lagging power factors which require correction for minimum power cost. Harmonic resonance with the utility feed, however, complicate the use of ...

  1. Electron beam technology for improvement of the recovery characteristics of power thyristors

    International Nuclear Information System (INIS)

    Iliescu, E.

    1996-01-01

    The manufacture of semiconductor devices is one of the beneficiaries of electron accelerators. A brief survey of our recent results in the areas of power thyristors to improve their electrical characteristics is presented. The paper relates to an improved method to obtain high dynamic dv/dt fast thyristors by selective electron irradiation at high temperature. The method has the advantage of being easily controllable, highly reproducible, quick and of producing high electrical performance devices. (orig.)

  2. Proposal to negotiate an amendment to an existing contract for the supply of four additional low-noise Thyristor-Controlled Reactor coils for a new Static VAR Compensator on the 18 kV electrical network on the Meyrin site

    CERN Document Server

    2017-01-01

    Proposal to negotiate an amendment to an existing contract for the supply of four additional low-noise Thyristor-Controlled Reactor coils for a new Static VAR Compensator on the 18 kV electrical network on the Meyrin site

  3. Investigation of the Current Turn-off Characteristics of a GTO Thyristor in an Inductive Pulse Forming Network

    National Research Council Canada - National Science Library

    Vineyard, Gerald E

    2008-01-01

    .... The test circuit consisted of a high-voltage capacitor bank, a wire-wound inductor, the GTO thyristor with control circuitry, and instrumentation to measure voltages and currents in the circuit...

  4. Electronic Control Circuit

    International Nuclear Information System (INIS)

    Kim, Sang Jin; Kim, Je Hwong; Cha, In Su

    2001-08-01

    This book consists of nine chapters, which are basis of thyristor about its use and classify, structure of thyristor like outside, inside, manufacturing and structure of thyristor sorts of thyristor family and sub thyristor, how to use thyristor such as standard chart, choice of thyristor and way of on and off, electric heat control circuit like control temperature of heating apparatus and cooker, lighting control circuit for light bulb, neon lamp, traffic signal, lamp regulator and strobe, motor control circuit including an inverter circuit transistor and speed control of direct motor by transistor, electric power source circuit and a spark-plug, applied circuit for protection of fire.

  5. Analysis of integrated thyristor switching-off by a reverse gate pulse current

    Science.gov (United States)

    Grekhov, I. V.; Lyublinsky, A. G.; Mikhailov, E. M.; Poloskin, D. S.; Skidanov, A. A.

    2017-11-01

    To increase the maximum power current density of an integrated n + p'Nn'p +-type thyristor during switching-off by a current pulse in the control circuit, the injection of electrons from the n + emitter should be interrupted before the recovery of the collector p'N junction. This has been done using a rapidly increasing reverse gate current pulse with an amplitude equal to the amplitude of the power switched-off current. After the interruption of the emitter injection, the remaining current through the device is the current of holes extracted from the collector region via the gate electrode. Like in insulated gate bipolar transistors (IGBTs), the physical mechanism that limits the maximum density of the switch-off current is the dynamic avalanche breakdown, which is initiated by the holes extracted through the space charge region of the collector p'N junctions.

  6. Development of large-scale thyristor dc circuit breaker

    International Nuclear Information System (INIS)

    Kobayashi, S.; Tanoue, Y.; Ikegame, H.; Matushita, T.; Sato, Y.

    1981-01-01

    A study for developing a thyristor dc circuit breaker that is applicable to the Tokamak device for engineering feasibility is presented. The design and test of a unit circuit breaker consisting of 4kV-3kA thyristors connected 2 in series and 12 in parallel are described. And based on the results a 50kV-24kA thyristor dc circuit breaker is conceptually designed

  7. Stability investigations of the ASDEX feedback system with filters for reducing thyristor noise

    International Nuclear Information System (INIS)

    Crisanti, F.; Schneider, F.

    1983-06-01

    A computer program for analysing the absolute and relative stabilities of any complex system by the root-locus method was developed. It is used to reanalyse the present horizontal position feed-back control in the ASDEX tokamak and to select the optimum parameters for this system with RCL filters for reducing thyristor noise. (orig.)

  8. Three-phase power factor controller with induced EMF sensing

    Science.gov (United States)

    Nola, F. J. (Inventor)

    1984-01-01

    A power factor controller for an ac induction motor is provided which is of the type comprising thyristor switches connected in series with the motor, phase detectors for sensing the motor current and voltage and providing an output proportional to the phase difference between the motor voltage and current, and a control circuit, responsive to the output of the phase detector and to a power factor command signal, for controlling switching of the thyristor. The invention involves sensing the induced emf produced by the motor during the time interval when the thyristor is off and for producing a corresponding feedback signal for controlling switching of the thyristor. The sensed emf is also used to enhance soft starting of the motor.

  9. Thyristor stack for pulsed inductive plasma generation.

    Science.gov (United States)

    Teske, C; Jacoby, J; Schweizer, W; Wiechula, J

    2009-03-01

    A thyristor stack for pulsed inductive plasma generation has been developed and tested. The stack design includes a free wheeling diode assembly for current reversal. Triggering of the device is achieved by a high side biased, self supplied gate driver unit using gating energy derived from a local snubber network. The structure guarantees a hard firing gate pulse for the required high dI/dt application. A single fiber optic command is needed to achieve a simultaneous turn on of the thyristors. The stack assembly is used for switching a series resonant circuit with a ringing frequency of 30 kHz. In the prototype pulsed power system described here an inductive discharge has been generated with a pulse duration of 120 micros and a pulse energy of 50 J. A maximum power transfer efficiency of 84% and a peak power of 480 kW inside the discharge were achieved. System tests were performed with a purely inductive load and an inductively generated plasma acting as a load through transformer action at a voltage level of 4.1 kV, a peak current of 5 kA, and a current switching rate of 1 kA/micros.

  10. Volatile and Nonvolatile Characteristics of Asymmetric Dual-Gate Thyristor RAM with Vertical Structure.

    Science.gov (United States)

    Kim, Hyun-Min; Kwon, Dae Woong; Kim, Sihyun; Lee, Kitae; Lee, Junil; Park, Euyhwan; Lee, Ryoongbin; Kim, Hyungjin; Kim, Sangwan; Park, Byung-Gook

    2018-09-01

    In this paper, the volatile and nonvolatile characteristics of asymmetric dual-gate thyristor random access memory (TRAM) are investigated using the technology of a computer-aided design (TCAD) simulation. Owing to the use of two independent gates having different gate dielectric layers, volatile and nonvolatile memory functions can be realized in a single device. The first gate with a silicon oxide layer controls the one-transistor dynamic random access memory (1T-DRAM) characteristics of the device. From the simulation results, a rapid write speed (107) can be achieved. The second gate, whose dielectric material is composed of oxide/nitride/oxide (O/N/O) layers, is used to implement the nonvolatile property by trapping charges in the nitride layer. In addition, this offers an advantage when processing the 3D-stack memory application, as the device has a vertical channel structure with polycrystalline silicon.

  11. Investigation of thyristor-based switches triggered in impact-ionization wave mode

    Science.gov (United States)

    Gusev, A. I.; Lyubutin, S. K.; Rukin, S. N.; Slovikovsky, B. G.; Tsyranov, S. N.

    2017-05-01

    An operation of the thyristor-based switches triggered in impact-ionization wave mode has been investigated. The thyristor switch contained two series connected tablet thyristors having a silicon wafer of 56 mm diameter. Applying across the switch a triggering pulse with a voltage rise rate dU/dt of over 1 kV/ns, the thyristors transition time to a conductive state was reduced to shorter than 1 ns. It is shown that the maximum amplitude of a no-failure current is increased with increasing dU/dt at the triggering stage. A possible mechanism of the dU/dt value effect on the thyristors breakdown current is discussed. Under a safety operation regime at dU/dt = 6 kV/ns (3 kV/ns per a single thyristor), the switch discharged 1-mF capacitor, which was charged to a voltage of 5 kV, to a resistive load of 18 mΩ. The following results were obtained: a peak current was 200 kA, an initial dI/dt was 58 kA/µs, a FWHM was 25 µs, and a switching efficiency was 0.97. It is shown also that a temperature of the silicon wafer is one of the main factors that affects on the thyristor switching process.

  12. Mathematical Model of Thyristor Inverter Including a Series-parallel Resonant Circuit

    Directory of Open Access Journals (Sweden)

    Miroslaw Luft

    2008-01-01

    Full Text Available The article presents a mathematical model of thyristor inverter including a series-parallel resonant circuit with theaid of state variable method. Maple procedures are used to compute current and voltage waveforms in the inverter.

  13. Test model of the fast thyristor circuit breaker, for TORE SUPRA

    International Nuclear Information System (INIS)

    Bareyt, B.; Leloup, C.; Rijnoudt, E.

    1984-01-01

    The tokamak TORE SUPRA, permits, owing to the toroidal superconducting coils and to the poloidal field system performances, long discharges (30 s and more), for a plasma current of typically 2 MA. The poloidal field system uses the magnetic energy initially stored, for the ignition and the fast rise of the plasma current, by forcing the primary current to flow through a resistor after breaking the main rectifier current by a fast thyristor circuit breaker. In order to test the technical capabilities of such a breaker system made of fast thyristors, in series and in parallel, after a single thyristor test model T1 the series arrangement was studied on a 24 thyristor test model T2 and the parallel arrangement problems, led the manufacturer CGEE Alsthom, to build a new test model T3. (author)

  14. Mathematical model of thyristor inverter including a series-parallel resonant circuit

    OpenAIRE

    Luft, M.; Szychta, E.

    2008-01-01

    The article presents a mathematical model of thyristor inverter including a series-parallel resonant circuit with the aid of state variable method. Maple procedures are used to compute current and voltage waveforms in the inverter.

  15. Mathematical Model of Thyristor Inverter Including a Series-parallel Resonant Circuit

    OpenAIRE

    Miroslaw Luft; Elzbieta Szychta

    2008-01-01

    The article presents a mathematical model of thyristor inverter including a series-parallel resonant circuit with theaid of state variable method. Maple procedures are used to compute current and voltage waveforms in the inverter.

  16. Thyristor crowbar system for the high current power supplies of ASDEX upgrade

    International Nuclear Information System (INIS)

    Kaesemann, C.-P.; Lieshout, L. van; Huart, M.; Sihler, C.

    2005-01-01

    The ohmic heating system and the poloidal field coils of ASDEX upgrade are supplied by 15 thyristor converter units with an installed apparent power of 600 MVA. To protect the thyristor converters against dc overvoltage arising from abnormal operations and resulting damages caused by the large energy stored in the AUG magnet coils an overvoltage protection system was required. The paper describes the motivation for-and the design and testing of the thyristor crowbar system representing the thyristor converter overvoltage protection system. It will present the layout, analyse the results of measurements obtained during commissioning, compare them to the calculated (design) values and report on the first experience of operation on the AUG coils improving the safety of the equipment

  17. Experimental Evaluation on the Influence of RCD Snubbers in a 3-Level Thyristor Based MLCR CSC

    Directory of Open Access Journals (Sweden)

    Bhaba P. Das

    2016-01-01

    Full Text Available Multilevel current reinjection (MLCR concept provides self-commutation capability to thyristors, enabling thyristor based current source converters (CSC to operate under negative firing angle. It also lowers the input current harmonic distortion. This is achieved by using an auxiliary reinjection bridge. Extensive experimental results are presented in this paper to analyse the performance of the 3-level MLCR CSC for different snubber components across the reinjection bridge. The trade-off in the choice of the snubber circuit is illustrated, with its influence on the AC side line current and DC side output voltage of the 3-level MLCR CSC.

  18. A new inverter topology using GTO commutation. [Gate Turn Off thyristor

    Science.gov (United States)

    Rippel, W. E.

    1983-01-01

    A new N-phase, forced commutated bridge inverter topology has been developed wherein a single Gate Turn Off Thyristor (GTO) is used to commutate each of 2N main Thyristors (SCRs). Since, for most applications, the primary loss mechanism is the SCR forward drop, very high efficiencies are possible. Compared with conventional pure SCR and pure GTO inverters, cost per kW is lower - in the former case due to the large cost differential between GTOs and SCRs. Other advantages of the new inverter include high power density, low switching losses and stresses, modulation flexibility and amenability to high voltage and high frequency operation.

  19. The use of commercial thyristors in repetitive high voltage switching devices for plasma sources

    Science.gov (United States)

    Bac, J.; Reess, T.; Pecastaing, L.; Paillol, J.; Domens, P.

    2007-02-01

    This paper presents a commercial high voltage thyristor used as a switch allowing a tank capacitor to discharge in a load. In classical high power pulse technology applications the output voltage pulse has to be characterized mainly by its crest value, its rise-time, the period the thyristor is held in the on-state and the fall-time. These parameters are studied as a function of the power circuit and of the trigger circuit. The thyristor presents two behaviours: the main current is either higher or lower than the latching current. The “low current” behaviour is extensively investigated as it allows repetitive operation of the device. Two pulse power applications triggering electrical discharges are presented. Each one necessitates a specific pulsed power supply using series thyristor stacks or Marx structures. The first pulsed source delivers negative pulses with a crest voltage VoM=-35 kV, a turn on capability of Tr=90 ns and a repetition rate F=900 Hz. The second is built using Marx structure and is characterized by VoM=60 kV, Tr=250 ns, F=900 Hz.

  20. Novel Low Loss Active Voltage Clamp Circuit for Series Connection of RCGCT thyristors

    Science.gov (United States)

    Ito, Hiroshi; Suzuki, Akihiro; Iwata, Akihiko

    This paper describes novel low loss active voltage clamp circuits for the series connection of RCGCT thyristors. For high voltage converters the series connection of power semiconductor devices is an essential technique for direct switching of high voltages. Several protection circuits have been applied to the series connection of RCGCT thyristors such as CRD snubber circuits which suppress over-voltages across RCGCT thyristors, and voltage balancing resistors to equalize voltage sharing in steady states. However, significant losses in these protection circuits lower the converter’s efficiency. We propose novel low-loss protection circuits, which have active voltage clamp snubber circuits and static voltage balancing circuits. The clamp capacitor voltage of the active voltage clamp snubber circuits are designed to be higher than the equally divided DC-Link voltage. This method can reduce the loss of the clamp circuit to no more than 1/10 of that of the conventional CRD snubber. Also the static voltage balancing circuits compensate for the voltage imbalance generated by the difference in the leakage current between the series connection RCGCT thyristors.

  1. Correlator receiver architecture with PnpN optical thyristor operating as optical hard-limiter

    Science.gov (United States)

    Kang, Tae-Gu; Ho Lee, Su; Park, Soonchul

    2011-07-01

    We propose novel correlator receiver architecture with a PnpN optical thyristor operating as optical hard-limiter, and demonstrate a multiple-access interference rejection of the proposed correlator receiver. The proposed correlator receiver is composed of the 1×2 splitter, optical delay line, 2×1 combiner, and fabricated PnpN optical thyristor. The proposed correlator receiver enhances the system performance because it excludes some combinations of multiple-access interference patterns from causing errors as in optical code-division multiple access systems with conventional optical receiver shown in all previous works. It is found that the proposed correlator receiver can fully reject the interference signals generated by decoding processing and multiple access for two simultaneous users.

  2. Thyristor current-pulse generator for betatron electromagnet with independent low-voltage supply

    International Nuclear Information System (INIS)

    Baginskii, B.A.; Makarevich, V.N.; Shtein, M.M.

    1989-01-01

    A thyristor generator is described that produces unipolar current pulses in the winding of a betatron electromagnet. The voltage on the electro-magnet is increased and the shape of the current pulses is improved by use of an intermediate inductive storage device. The current pulses have a duration of 11 msec, an amplitude of 190 A, and a repetition frequency of 50 Hz. The maximum magnetic-field energy is 450 J, the voltage on the electromagnet winding is 1.5 kV, and the supply voltage is 27 V

  3. COMMUTATION OVERVOLTAGES OF THYRISTOR VALVES IN STATIC COMPENSATORS

    OpenAIRE

    ANTONIO GUILHERME GARCIA LIMA

    1987-01-01

    Os compensadores estáticos são equipamentos modernos que estão sendo cada vez mais utilizados nos sistemas de potência. Existem basicamente três tipos de compensadores estáticos: reatores saturáveis, reator controlado e tiristores (RCT) e capacitor chaveado a tiristores (CCT). Os dois últimos são compostos basicamente por reatores, capacitores, válvulas de tiristores e um sistema de controle. As válvulas de tiristores e o sistema de controle são os itens tecnologicamente mais importantes e r...

  4. Realization of a neural algorithm by means of front-propagation in a thyristor-based hybrid system

    CERN Document Server

    Niedernostheide, F J; Freyd, O; Bode, M; Gorbatyuk, A V

    2003-01-01

    Propagating fronts are generic structures in a bistable diffusion-driven system and can be used to realize neural algorithms, as e.g., the Kohonen or the neural-gas algorithm. We present an analog-digital hybrid system based on a thyristor-like structure with several gate terminals. This structure represents the continuous part in which a propagating front, separating a region of high current density from a region of low current density, is used to control the learning process of the neural algorithm. With a system containing five neurons and five gates in a quasi one-dimensional arrangement it is demonstrated that an efficient parallel operating learning process can be realized by using the winner-take-all principle and the front propagation, i.e. exploiting the intrinsic dynamics of the semiconductor device. Finally, numerical and analytical investigations of the dependency of the front velocity and its width on the load current have been performed since these are essential parameters for improving the netw...

  5. Electronic control system for irradiation probes

    International Nuclear Information System (INIS)

    Gluza, E.; Neumann, J.; Zahalka, F.

    1980-01-01

    The EROS-78 system for the supply and power control of six heating sections of the irradiation probe of the CHOUCA type placed in the reactor vessel is described. The system allows temperature control at the location of the heat sensor with an accuracy of +-1% of the rated value within the region of 100 to 1000 degC. The equipment is provided with its own quartz controlled clock. The temperature is picked up by a chromel-alumel jacket thermocouple. The power input of the heating elements is thyristor controlled. (J.B.)

  6. A thyristor breaker of 1.5 109 V.A. for the poloidal field system of TORUS SUPRA

    International Nuclear Information System (INIS)

    Bareyt, B.; Leloup, C.; Rijnoudt, E.

    1980-09-01

    The poloidal field system of Torus Supra has an inductive storage of approximately 38 MJ, which has conducted to research the best solution for a D.C. breaker (55 kA., 27 kV). A solid-state breaker has been chosen. The working principles have been tested on a small size model. The final circuit breaker will contain a large number of thyristors in series and in parallel; the critical problem lies in the series arrangement. A test unit for full tension has been constructed. In this unit the thyristors are submitted to the maximum current as well as to the maximum voltage. The surges measured during tests are not higher than the calculated values. A synthetic circuit of the poloidal field system has been used for test under the final working conditions

  7. Nitrogen Gas Plasma Generated by a Static Induction Thyristor as a Pulsed Power Supply Inactivates Adenovirus.

    Science.gov (United States)

    Sakudo, Akikazu; Toyokawa, Yoichi; Imanishi, Yuichiro

    2016-01-01

    Adenovirus is one of the most important causative agents of iatrogenic infections derived from contaminated medical devices or finger contact. In this study, we investigated whether nitrogen gas plasma, generated by applying a short high-voltage pulse to nitrogen using a static induction thyristor power supply (1.5 kilo pulse per second), exhibited a virucidal effect against adenoviruses. Viral titer was reduced by one log within 0.94 min. Results from detection of viral capsid proteins, hexon and penton, by Western blotting and immunochromatography were unaffected by the plasma treatment. In contrast, analysis using the polymerase chain reaction suggested that plasma treatment damages the viral genomic DNA. Reactive chemical products (hydrogen peroxide, nitrate, and nitrite), ultraviolet light (UV-A) and slight temperature elevations were observed during the operation of the gas plasma device. Viral titer versus intensity of each potential virucidal factor were used to identify the primary mechanism of disinfection of adenovirus. Although exposure to equivalent levels of UV-A or heat treatment did not inactivate adenovirus, treatment with a relatively low concentration of hydrogen peroxide efficiently inactivated the virus. Our results suggest the nitrogen gas plasma generates reactive chemical products that inactivate adenovirus by damaging the viral genomic DNA.

  8. Nitrogen Gas Plasma Generated by a Static Induction Thyristor as a Pulsed Power Supply Inactivates Adenovirus.

    Directory of Open Access Journals (Sweden)

    Akikazu Sakudo

    Full Text Available Adenovirus is one of the most important causative agents of iatrogenic infections derived from contaminated medical devices or finger contact. In this study, we investigated whether nitrogen gas plasma, generated by applying a short high-voltage pulse to nitrogen using a static induction thyristor power supply (1.5 kilo pulse per second, exhibited a virucidal effect against adenoviruses. Viral titer was reduced by one log within 0.94 min. Results from detection of viral capsid proteins, hexon and penton, by Western blotting and immunochromatography were unaffected by the plasma treatment. In contrast, analysis using the polymerase chain reaction suggested that plasma treatment damages the viral genomic DNA. Reactive chemical products (hydrogen peroxide, nitrate, and nitrite, ultraviolet light (UV-A and slight temperature elevations were observed during the operation of the gas plasma device. Viral titer versus intensity of each potential virucidal factor were used to identify the primary mechanism of disinfection of adenovirus. Although exposure to equivalent levels of UV-A or heat treatment did not inactivate adenovirus, treatment with a relatively low concentration of hydrogen peroxide efficiently inactivated the virus. Our results suggest the nitrogen gas plasma generates reactive chemical products that inactivate adenovirus by damaging the viral genomic DNA.

  9. RECTIFICADORES CA/CC TIRISTORIZADOS CON FORMAS DE ONDA DE ALTA CALIDAD THYRISTOR-BASED AC/DC RECTIFIERS WITH HIGH-QUALITY WAVEFORMS

    Directory of Open Access Journals (Sweden)

    Miguel Villablanca

    2010-04-01

    Full Text Available En este artículo un método y un aparato son aplicados a distintas configuraciones de rectificadores ca/cc tiristorizados para reducir la distorsión de las corrientes en el lado de C.A. La carga puede ser inductiva o capacitiva. La tecnología consiste en darle una adecuada forma de onda a la corriente en el lado de C.C. a través de dos interruptores de conmutación forzada. Esta forma de onda lograda en la corriente en el lado de C.C. se refleja en la forma de onda de las corrientes en el lado de C.A., las cuales se transforman en perfectas ondas senoidales. El circuito de control es simple y es también capaz de manejar variaciones rápidas de corriente de carga y fallas en los interruptores de conmutación forzada. La conducción simultánea de los tiristores del puente rectificador es eliminada completamente. La validación experimental de la tecnología es mostrada a través de un prototipo de laboratorio de 400 V, 50 Hz y 30 KVA.In this paper both a method and apparatus are applied to different configurations of thyristor-based ac/dc rectifiers to reduce the distortion of currents flowing from the ac supply. The load may be either inductive or capacitive. The technology involves an accurate shaping of the dc current by using two self-commutated switches. This dc-current shaping is reflected back into the shaping of the ac input currents, which become pure sine waves. The control circuit is simple, and also able to deal with both rapid load variations and failures in the self-commutated switches. Furthermore, the overlap conduction of bridge thyristors is eliminated completely. Experimental verification is provided from a 400-V 50-Hz 30-kVA laboratory prototype.

  10. Mean Field Type Control with Congestion

    Energy Technology Data Exchange (ETDEWEB)

    Achdou, Yves, E-mail: achdou@ljll.univ-paris-diderot.fr; Laurière, Mathieu [Univ. Paris Diderot, Sorbonne Paris Cité, Laboratoire Jacques-Louis Lions, UMR 7598, UPMC, CNRS (France)

    2016-06-15

    We analyze some systems of partial differential equations arising in the theory of mean field type control with congestion effects. We look for weak solutions. Our main result is the existence and uniqueness of suitably defined weak solutions, which are characterized as the optima of two optimal control problems in duality.

  11. Holding current and switch-on mechanisms in 12 kV, 100 A 4H-SiC optically triggered thyristors

    International Nuclear Information System (INIS)

    Levinshtein, M E; Rumyantsev, S L; Shur, M S; Mnatsakanov, T T; Yurkov, S N; Zhang, Q J; Agarwal, A K; Cheng, L; Palmour, J W

    2013-01-01

    Temperature dependence of the holding current has been studied in high-voltage (12 kV class) 4H-SiC optically triggered thyristors in the temperature range from 300 to 425 K. The holding current I h monotonically decreases with increasing temperature T due to two factors: enhanced thermal ionization of comparatively deep Al acceptors in the p + emitter and increasing carrier lifetime in the blocking p base. The I h (T) dependence reveals the existence of a ‘weak point’ within the optical window, which is characterized by a substantially smaller critical charge than that within the remaining part of the window. Analysis of the I h (T) dependence confirms that high-voltage SiC thyristors are switched-on at room temperature only at a high injection level in the blocking base. At elevated temperatures, the same thyristor is switched on by the ‘classical’ mechanism typical of Si thyristors. Effective shunting of the p ++ –n emitter junction affects the properties of the thyristor. Possible effective-shunting mechanisms are discussed. (paper)

  12. Suboptimal glycemic control in type 2 diabetes

    DEFF Research Database (Denmark)

    Nefs, Giesje; Pouwer, F; Denollet, J

    2012-01-01

    Recent studies examining the relationship between depression and glycosylated hemoglobin (HbA(1c)) concentrations in patients with type 2 diabetes have yielded mixed findings. One explanation may lie in the heterogeneity of depression. Therefore, we examined whether distinct features of depression...... were differentially associated with suboptimal glycemic control. Cross-sectional baseline data from a dynamic cohort study of primary care patients with type 2 diabetes from the Eindhoven region, The Netherlands, were analyzed. A total of 5772 individuals completed baseline measurements of demographic...... adjustment for the other depression measures (OR 1.33, 1.11-1.59). Alcohol consumption and physical activity met criteria for mediation, but did not attenuate the association between anhedonia and glycemic control by more than 5%. Although diabetes duration was identified as a confounder and controlled for...

  13. Blood pressure control among type 2 diabetics

    International Nuclear Information System (INIS)

    Al-Shehri, Ahmed M.

    2008-01-01

    Objective was to assess blood pressure BP control in patients with diabetes mellitus type 2 DM type treated in primary health care. A cross-sectional study was conducted in primary health care at King Fahd Military Complex Hospital in Dhahran, Kingdom of Saudi Arabia, between August 2003 and February 2004, to assess blood control in type 2 diabetics. A sample of 403 medical records of type 2 diabetic patients was selected using systematic random sampling after ordering the medical record numbers. The data were collected through the pre-coded checklist. Hypertension was found in 57.8% of diabetic patients with no statistically significant difference between males and females. The mean age of diabetic patients was significantly highly in hypertensive than non-hypertensive p=0.001. The mean duration of hypertension was significantly higher in females p=0.02. There were only 14.2% of hypertensive diabetic patients in whom blood pressure was controlled. Poor control was significantly associated with obesity and a high rate of complications. Blood pressure control correlated positively and significantly with the age of patients and negatively with duration of diabetes and hypertension. The most commonly prescribed antihypertensive were angiotensin converting enzyme inhibitors in 29.3%, followed by angiotensin receptors blockers in 24.1%, and the least prescribed drug was thiazide diuretic. Blood pressure in diabetic patients needs to be given particular attention from all health care professionals, especially primary care family physicians, who should follow the new guideline for better control of blood pressure, and fewer complications. Patient's awareness should be increased, through continuous health education with different modalities. (author)

  14. Study of high-pressure cryogenic pumps with different methods of delivery control

    International Nuclear Information System (INIS)

    Braun, V.M.; Brailovskii, Y.L.; Pavlenko, Y.A.; Tsokalo, I.V.

    1986-01-01

    This paper describes new reciprocating pumps with smooth control of delivery in a running pump. Control is effected either by changing the length of the piston stroke or by changing the speed of the driving motor. The individual features of the two methods are described. In the first method (mechanical), delivery is controlled in the range 50 to 100%. A separate actuating mechanism is needed to connect the pump to an automatic control system. This method complicates the driving mechanism and increases the bulk and cost of production. In the second method of controlling the speed of the electric motor, an electric drive fitted with a frequency thyristor is used. AC induction motors series 4A working at current frequencies of 60 HZ are used. By this method, delivery control could be enhanced by 1.3 times. Comparative tests were made on pumps using the above methods of control. The tests demonstrated the possibilities of using the frequency thyristor converters. The complexity and high cost of EKT type drives is largely compensated by the convenience and simplicity of control in a wide range. The mechanical control is advantageous only in low-output units

  15. Control rod for FBR type reactor

    International Nuclear Information System (INIS)

    Nakai, Koichi.

    1993-01-01

    In a control rod for an LMFBR type reactor, a thermal resistor is disposed between a temperature sensitive cylinder and a cam unit support rod. A thermal expansion difference due to the temperature difference is caused between the temperature sensitive cylinder and the cam unit support rod only upon abrupt temperature change of coolants. A control rod shaft extending mechanism of downwardly depressing an absorbent portion by amplifying the thermal expansion difference by an extension link mechanism and the cam unit is provided. The thermal resistor comprises inconel 625 or like other steel of small heat conductivity. If a certain abnormality should cause to the reactor system to elevate the coolant temperature in the reactor elevates abruptly and the reactor shutdown system does not actuate, since the control rod extension shaft extends to urge the absorbent and lower the reactor core reactivity, so that leading to serious accident can be prevented surely. Further, the control rod extension shaft does not extend upon moderate temperature elevation in the usual startup and causes no unnecessary reactivity change. (N.H.)

  16. Power control system in BWR type reactors

    International Nuclear Information System (INIS)

    Nishizawa, Yasuo.

    1980-01-01

    Purpose: To control the reactor power so that the power distribution can satisfy the limiting conditions, by regulating the reactor core flow rate while monitoring the power distribution in the reactor core of a BWR type reactor. Constitution: A power distribution monitor determines the power distribution for the entire reactor core based on the data for neutron flux, reactor core thermal power, reactor core flow rate and control rod pattern from the reactor and calculates the linear power density distribution. A power up ratio computing device computes the current linear power density increase ratio. An aimed power up ratio is determined by converting the electrical power up ratio transferred from a load demand input device into the reactor core thermal power up ratio. The present reactor core thermal power up ratio is subtracted from the limiting power up ratio and the difference is sent to an operation amount indicator and the reactor core flow rate is changed in a reactor core flow rate regulator, by which the reactor power is controlled. (Moriyama, K.)

  17. Helical type thermonuclear device and control method

    International Nuclear Information System (INIS)

    Ishigaki, Yukio.

    1990-01-01

    In a conventional helical type thermonuclear device, electric current flows in the toroidal direction under magnetic fields of helical coils and vertical magnetic coils, by which a circulating electric field is caused. Therefore, there is a problem that electrons as a seed are generated by cosmic rays, etc., the electrons are confined in a magnetic field boundary, are accelerated by the circulating electric field, to reach a high energy level, collide against structures in a vacuum vessel and emit a great amount of X-rays. Then, compensation coils for offsetting the magnetic fields generated upon energization and deenergization of the vertical magnetic coils and the power source therefor are disposed at the positions opposing to each other on both sides of the vertical magnetic coils for controlling the variation coefficient rate of electric current upon energization and deenergization of the vertical magnetic coils. Since the compensation coils also offset the magnetic field generated upon energization and deenergization of the vertical magnetic field coils by this control, the circulating magnetic field is not caused in the vacuum vessel to reduce the X-ray radiation by electrons at high energy level. (N.H.)

  18. Bifurcation control of subsynchronous resonance using TCSC

    Science.gov (United States)

    Alomari, Majdi M.; Zhu, Jian Guo

    2011-05-01

    This paper presents the use of Thyristor-Controlled Series Capacitor (TCSC) to control bifurcations of subsynchronous resonance (SSR) in multimachine power system. The modified second system of the IEEE second benchmark model of subsynchronous resonance is considered. The dynamics of the damper windings, automatic voltage regulator (AVR), and power system stabilizer (PSS) on SSR in power system are included. In the case of neglecting TCSC, the results show that the operating point of the system loses stability via subcritical Hopf bifurcation. When we add TCSC to the system, all bifurcations are eliminated. Therefore, the Thyristor-Controlled compensated system never loses stability at any realistic firing angle.

  19. A New Controlling Approach of Type 1 Diabetics Based on Interval Type-2 Fuzzy Controller

    Directory of Open Access Journals (Sweden)

    Nafiseh Mollaei

    2014-09-01

    Full Text Available Augmented Minimal Model which is developed in consideration of the patient is taken into attention and uncertainties in this model which can occur by factors such as blood glucose, daily meals or sudden stress in considered. In addition to eliminate the effects of uncertainty, different control methods may be utilized. In this article, fuzzy control as a logical tool is used to transform words into control actions. To enhance the system performance, an interval type-2 Fuzzy controller has been implemented. To date, because of computational complexity of using a general type-2 fuzzy set (T2 FS in a T2 fuzzy logic system (FLS, most people only use an interval T2 FS, the result being an interval T2 FLS (IT2 FLS. A daily meal disturbance is injected to model to consider the real environment for simulation. Finally, the control method tuned by standard tuning procedure and simulation results show the efficiency of method in regulating the blood glucose level in presentment of daily meal disturbance.

  20. Self tuning fuzzy PID type load and frequency controller

    International Nuclear Information System (INIS)

    Yesil, E.; Guezelkaya, M.; Eksin, I.

    2004-01-01

    In this paper, a self tuning fuzzy PID type controller is proposed for solving the load frequency control (LFC) problem. The fuzzy PID type controller is constructed as a set of control rules, and the control signal is directly deduced from the knowledge base and the fuzzy inference. Moreover, there exists a self tuning mechanism that adjusts the input scaling factor corresponding to the derivative coefficient and the output scaling factor corresponding to the integral coefficient of the PID type fuzzy logic controller in an on-line manner. The self tuning mechanism depends on the peak observer idea, and this idea is modified and adapted to the LFC problem. A two area interconnected system is assumed for demonstrations. The proposed self tuning fuzzy PID type controller has been compared with the fuzzy PID type controller without a self tuning mechanism and the conventional integral controller through some performance indices

  1. Operation control equipment for BWR type reactor

    International Nuclear Information System (INIS)

    Izumi, Masayuki; Takeda, Renzo.

    1981-01-01

    Purpose: To improve the temperature balance in a feedwater heater by obtaining the objective value of a feedwater enthalpy upon calculation of respective measured values and controlling the opening or closing of an extraction valve so that the objective value may coincide with the measured value, thereby averaging the axial power distribution. Constitution: A plurality of stages of extraction lines are connected to a turbine, and extraction valves are respectively provided at the lines. By calculating the measured values of ractor pressure, reactor core flow rate, vapor flow rate and reactor core inlet enthalpy determined to predetermined value using heat balance the objective feedwater enthalpy is obtained, is fed as an extraction valve opening or closing signal from a control equipment, the extraction stages of the turbine extraction are altered in accordance with this signal, and the feedwater enthalpy is controlled. (Sekiya, K.)

  2. Memory-type control charts in statistical process control

    NARCIS (Netherlands)

    Abbas, N.

    2012-01-01

    Control chart is the most important statistical tool to manage the business processes. It is a graph of measurements on a quality characteristic of the process on the vertical axis plotted against time on the horizontal axis. The graph is completed with control limits that cause variation mark. Once

  3. Study and analysis of failure modes of the electrolytic capacitors and thyristors, applied to the protection system of the LHC (Large Hadron Collider); Etude et analyse des modes de defaillances des condensateurs electrolytiques a l'aluminium et des thyristors: appliquees au systeme de protection du LHC (Large Hadron Collider)

    Energy Technology Data Exchange (ETDEWEB)

    Perisse, F

    2003-07-15

    The study presented in this thesis is a contribution about the analysis of failures modes of electrolytic capacitors and thyristors. The studied components are main elements of the protection system of the superconductive magnets of the LHC. The study of the ageing of the electrolytic capacitors has shown that their reliability is strongly related to their technological characteristic. Evolution of their principal indicator of ageing (ESR) can be modeled according to different laws chosen according to their running mode. It appears that the prediction of failure of these components other than that due to wear can be only statistical taking into account the many causes of failure involving various modes of failure. In order to be able to evaluate influence of the ageing of the electrolytic capacitors on a system, simple models taking into account this parameters as well as the effective temperature of the component are proposed. An acceptable precision taking into account the simplicity of the models is obtained. The study of the thyristors has shown that these components have little drift of parameters in static ageing, on the other hand of many failures by short-circuit were observed. These failures always have a local origin, and are due to defects of the components. The breakdown voltage strongly depends on the quality of the thyristor as well as the technology employed. (author)

  4. Review of Recent Type-2 Fuzzy Controller Applications

    Directory of Open Access Journals (Sweden)

    Kevin Tai

    2016-06-01

    Full Text Available Type-2 fuzzy logic controllers (T2 FLC can be viewed as an emerging class of intelligent controllers because of their abilities in handling uncertainties; in many cases, they have been shown to outperform their Type-1 counterparts. This paper presents a literature review on recent applications of T2 FLCs. To follow the developments in this field, we first review general T2 FLCs and the most well-known interval T2 FLS algorithms that have been used for control design. Certain applications of these controllers include robotic control, bandwidth control, industrial systems control, electrical control and aircraft control. The most promising applications are found in the robotics and automotive areas, where T2 FLCs have been demonstrated and proven to perform better than traditional controllers. With the development of enhanced algorithms, along with the advancement in both hardware and software, we shall witness increasing applications of these frontier controllers.

  5. Modern control of static var compensator for power system stability enhancement

    Directory of Open Access Journals (Sweden)

    Stelian-Emilian Oltean

    2012-06-01

    Full Text Available The effects of shunt compensation on power system transmission stability and modern approach of the reactive power control scheme have been investigated in this paper. Reactive power compensation is realized in shunt connection with two components: thyristor controlled reactor (TCR and thyristor switched capacitor (TSC. A special attention has been given in the following paragraphs to a modern control approach for power system stability enhancement which uses fuzzy logic. In the final part of the paper the modern control block scheme of static VAR compensator for reactive power in transmission systems is presented.

  6. Type-2 Fuzzy Logic in Intelligent Control Applications

    CERN Document Server

    Castillo, Oscar

    2012-01-01

    We describe in this book, hybrid intelligent systems based mainly on type-2 fuzzy logic for intelligent control. Hybrid intelligent systems combine several intelligent computing paradigms, including fuzzy logic, and bio-inspired optimization algorithms, which can be used to produce powerful automatic control systems. The book is organized in three main parts, which contain a group of chapters around a similar subject. The first part consists of chapters with the main theme of theory and design algorithms, which are basically chapters that propose new models and concepts, which can be the basis for achieving intelligent control with interval type-2 fuzzy logic. The second part of the book is comprised of chapters with the main theme of evolutionary optimization of type-2 fuzzy systems in intelligent control with the aim of designing optimal type-2 fuzzy controllers for complex control problems in diverse areas of application, including mobile robotics, aircraft dynamics systems and hardware implementations. Th...

  7. Power Factor Controller Avoids False Turnoff

    Science.gov (United States)

    Nola, F. J.

    1983-01-01

    Single-phase power-factor controller includes special inhibiting circuit to avoid false turnoff. If thyristor trigger signal occurs during flow of current from preceding half cycle, inhibiting signal delays application of trigger pulse until beginning of next current half cycle.

  8. Teacher Types, Workplace Controls, and the Organization of Schools.

    Science.gov (United States)

    Bidwell, Charles E.; Frank, Kenneth A.; Quiroz, Pamela A.

    1997-01-01

    Presents a theory of workplace control in American high schools based on the assumption that school workplaces contain potent systems that control the everyday work attitudes and conduct of teachers. Posits the formation of teacher types, each comprising distinctive attitudes toward work, as the link between control systems and behavior. (MJP)

  9. Strategies for glucose control in people with type 1 diabetes

    DEFF Research Database (Denmark)

    Boiroux, Dimitri; Finan, Daniel Aaron; Jørgensen, John Bagterp

    2011-01-01

    In this paper we apply a robust feedforward-feedback control strategy to people with type 1 diabetes. The feedforward controller consists of a bolus calculator which compensates the disturbance coming from meals. The feedback controller is based on a linearized description of the model describing...

  10. Genomic and molecular control of cell type and cell type conversions

    Directory of Open Access Journals (Sweden)

    Xiuling Fu

    2017-12-01

    Full Text Available Organisms are made of a limited number of cell types that combine to form higher order tissues and organs. Cell types have traditionally been defined by their morphologies or biological activity, yet the underlying molecular controls of cell type remain unclear. The onset of single cell technologies, and more recently genomics (particularly single cell genomics, has substantially increased the understanding of the concept of cell type, but has also increased the complexity of this understanding. These new technologies have added a new genome wide molecular dimension to the description of cell type, with genome-wide expression and epigenetic data acting as a cell type ‘fingerprint’ to describe the cell state. Using these genomic fingerprints cell types are being increasingly defined based on specific genomic and molecular criteria, without necessarily a distinct biological function. In this review, we will discuss the molecular definitions of cell types and cell type control, and particularly how endogenous and exogenous transcription factors can control cell types and cell type conversions. Keywords: Cell type, Transcription factor, Epigenome, Transdifferentiation

  11. Type-2 fuzzy logic uncertain systems’ modeling and control

    CERN Document Server

    Antão, Rómulo

    2017-01-01

    This book focuses on a particular domain of Type-2 Fuzzy Logic, related to process modeling and control applications. It deepens readers’understanding of Type-2 Fuzzy Logic with regard to the following three topics: using simpler methods to train a Type-2 Takagi-Sugeno Fuzzy Model; using the principles of Type-2 Fuzzy Logic to reduce the influence of modeling uncertainties on a locally linear n-step ahead predictor; and developing model-based control algorithms according to the Generalized Predictive Control principles using Type-2 Fuzzy Sets. Throughout the book, theory is always complemented with practical applications and readers are invited to take their learning process one step farther and implement their own applications using the algorithms’ source codes (provided). As such, the book offers avaluable referenceguide for allengineers and researchers in the field ofcomputer science who are interested in intelligent systems, rule-based systems and modeling uncertainty.

  12. The mathematician's control toolbox for management of type 1 diabetes.

    Science.gov (United States)

    Csete, Marie; Doyle, John

    2014-10-06

    Blood glucose levels are controlled by well-known physiological feedback loops: high glucose levels promote insulin release from the pancreas, which in turn stimulates cellular glucose uptake. Low blood glucose levels promote pancreatic glucagon release, stimulating glycogen breakdown to glucose in the liver. In healthy people, this control system is remarkably good at maintaining blood glucose in a tight range despite many perturbations to the system imposed by diet and fasting, exercise, medications and other stressors. Type 1 diabetes mellitus (T1DM) results from loss of the insulin-producing cells of the pancreas, the beta cells. These cells serve as both sensor (of glucose levels) and actuator (insulin/glucagon release) in a control physiological feedback loop. Although the idea of rebuilding this feedback loop seems intuitively easy, considerable control mathematics involving multiple types of control schema were necessary to develop an artificial pancreas that still does not function as well as evolved control mechanisms. Here, we highlight some tools from control engineering used to mimic normal glucose control in an artificial pancreas, and the constraints, trade-offs and clinical consequences inherent in various types of control schemes. T1DM can be viewed as a loss of normal physiologic controls, as can many other disease states. For this reason, we introduce basic concepts of control engineering applicable to understanding pathophysiology of disease and development of physiologically based control strategies for treatment.

  13. A new type of accelerator power supply based on voltage-type space vector PWM rectification technology

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Fengjun, E-mail: wufengjun@impcas.ac.cn [Institute of Modern Physics, CAS, Lanzhou 730000 (China); University of Chinese Academy of Sciences, Beijing 100049 (China); Gao, Daqing; Shi, Chunfeng; Huang, Yuzhen [Institute of Modern Physics, CAS, Lanzhou 730000 (China); Cui, Yuan [Institute of Modern Physics, CAS, Lanzhou 730000 (China); University of Chinese Academy of Sciences, Beijing 100049 (China); Yan, Hongbin [Institute of Modern Physics, CAS, Lanzhou 730000 (China); Zhang, Huajian [Institute of Modern Physics, CAS, Lanzhou 730000 (China); University of Chinese Academy of Sciences, Beijing 100049 (China); Wang, Bin [University of Chinese Academy of Sciences, Beijing 100049 (China); Li, Xiaohui [Institute of Modern Physics, CAS, Lanzhou 730000 (China)

    2016-08-01

    To solve the problems such as low input power factor, a large number of AC current harmonics and instable DC bus voltage due to the diode or thyristor rectifier used in an accelerator power supply, particularly in the Heavy Ion Research Facility in Lanzhou-Cooler Storage Ring (HIRFL-CSR), we designed and built up a new type of accelerator power supply prototype base on voltage-type space vector PWM (SVPWM) rectification technology. All the control strategies are developed in TMS320C28346, which is a digital signal processor from TI. The experimental results indicate that an accelerator power supply with a SVPWM rectifier can solve the problems above well, and the output performance such as stability, tracking error and ripple current meet the requirements of the design. The achievement of prototype confirms that applying voltage-type SVPWM rectification technology in an accelerator power supply is feasible; and it provides a good reference for design and build of this new type of power supply. - Highlights: • Applying SVPWM rectification technology in an accelerator power supply improves its grid-side performance. • New Topology and its control strategies make an accelerator power supply have bidirectional power flow ability. • Hardware and software of controller provide a good reference for design of this new type of power supply.

  14. Oxidative Stress and Glycaemic Control in Type 2 Diabetic Patients ...

    African Journals Online (AJOL)

    Uche

    2011-01-15

    Jan 15, 2011 ... haemoglobin is recommended for checking blood sugar control in people who might be pre-diabetic and monitoring blood sugar control in patients with more elevated levels. 7. Currently, type 2 diabetes mellitus has been linked to oxidative stress through a single unifying mechanism of superoxide radical.

  15. Modeling And Position Control Of Scara Type 3D Printer

    Directory of Open Access Journals (Sweden)

    Ahmet Saygamp305n Ogulmuamp351

    2015-08-01

    Full Text Available In this work a scara robot type 3D printer system is dynamically modeled and position control of the system is realized. For this aim computer aided design model of three degrees of freedom robotic system is created using SolidWorks program then obtained model is exported to MATLABSimMechanics software for position control. Also mathematical model of servo motors used in robotic 3D printer system is included in control methodology to design proportional controllers. Uncontrolled and controlled position results are simulated and given in the form of the graphics.

  16. MVA amplifier used for plasma position control in the WEGA tokamak

    International Nuclear Information System (INIS)

    Schenk, G.

    1982-02-01

    A new amplifier has been developed for the control of the plasma positron in the WEGA III tokomak acting on the vertical magnetic field. In the high power domain thyristor choppers are usually applied. Unfortunately their response time is quite long and does not yet correspond to the WEGA demand. Therefore transistors have been used to build a fast switching amplifier of the H-bridge type, delivering a power of 1 MVA, by switching 2500 A at 400 V. Because of the duty cycle of the plasma (0,12 s every 240 s) the necessary average power to the amplifier supply is only 500 VA. An intermediate energy storage in an electrolytic capacitor bank is therefore used. As the switching transistors must operate under extreme conditions of voltage and current, precautions must be taken to limit the overvoltage and the overcurrent, to prevent oscillations and to assure power and control equilibrium among the transistors

  17. Sleep and glycemic control in type 1 diabetes

    OpenAIRE

    Barone,Mark Thomaz Ugliara; Wey,Daniela; Schorr,Fabiola; Franco,Denise Reis; Carra,Mario Kehdi; Lorenzi Filho,Geraldo; Menna-Barreto,Luiz

    2015-01-01

    Objective Our aim in the present study was to elucidate how type 1 diabetes mellitus (T1DM) and sleep parameters interact, which was rarely evaluated up to the moment. Materials and methods Eighteen T1DM subjects without chronic complications, and 9 control subjects, matched for age and BMI, were studied. The following instruments used to evaluate sleep: the Epworth Sleepiness Scale, sleep diaries, actimeters, and polysomnography in a Sleep Lab. Glycemic control in T1DM individuals was evalua...

  18. TCSC control structures for line power scheduling and methods to determine their location and tuning to damp system oscillations

    Energy Technology Data Exchange (ETDEWEB)

    Martins, N.; Pinto, H.J.C.P.; Bianco, A. [Centro de Pesquisas de Energia Eletrica (CEPEL), Rio de Janeiro, RJ (Brazil); Macedo, N.J.P. [FURNAS, Rio de Janeiro, RJ (Brazil)

    1994-12-31

    This paper describes control structures and computer methods to enhance the practical use of thyristor controlled series compensation (TCSC) in power systems. The location and controller design of the TCS devices, to damp system oscillations, are based on modal analysis and frequency response techniques, respectively. Results are given for a large practical power system. (author) 15 refs., 18 figs., 5 tabs.

  19. Reactive Power Control in Eight Bus System Using FC-TCR

    Directory of Open Access Journals (Sweden)

    Thangavelu Vijayakumar

    2010-02-01

    Full Text Available This paper deals with the simulation of eight bus system having fixed capacitor and thyristor controlled reactor. The system is modeled and simulated using MATLAB.The simulation results are presented. The power and control circuits are simulated. The current drawn by the TCR varies with the variation in the firing angle. The simulation results are compared with the theoretical results.

  20. metabolic control of type 2 diabetic patients commonly treated

    African Journals Online (AJOL)

    Kateee

    2003-04-01

    Apr 1, 2003 ... Objective: To assess metabolic control in type 2 diabetic patients predominantly treated with sulphonylurea drugs at ... method. Results: Of the 179 patients studied, 87% of male and 92% of female patients were treated ... patients of East Indian ethnic group had significantly higher prevalence rates of insulin.

  1. Overnight glucose control in people with type 1 diabetes

    DEFF Research Database (Denmark)

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

    2018-01-01

    This paper presents an individualized model predictive control (MPC) algorithm for overnight blood glucose stabilization in people with type 1 diabetes (T1D). The MPC formulation uses an asymmetric objective function that penalizes low glucose levels more heavily. We compute the model parameters...

  2. Control systems of subdifferential type depending on a parameter

    International Nuclear Information System (INIS)

    Tolstonogov, A A

    2008-01-01

    In a separable Hilbert space, we consider a control system with a subdifferential operator and a non-linear perturbation of monotonic type. The control is subject to a restriction that is a multi-valued map depending on the phase variables with closed non-convex values in a reflexive separable Banach space. The subdifferential operator, the perturbation, the restriction on the control and the initial condition depend on a parameter. Along with this system we consider a control system with convexified restrictions on the control. By a solution of such a system we mean a pair 'trajectory-control'. We prove theorems on the existence of selectors that are continuous with respect to the parameter and whose values are solutions of the control system. We establish relations between the sets of selectors continuous with respect to the parameter whose values are solutions of the original system and solutions of the system with convexified restrictions on the control. We deduce from these relations various topological properties of the sets of solutions. We apply the results obtained to a control system described by a vector parabolic equation with a small diffusion coefficient in the elliptic term. We prove that solutions of the control system converge to solutions of the limit singular system as the diffusion coefficient tends to zero

  3. Inteligent control system for a CANDU 600 type reactor process

    International Nuclear Information System (INIS)

    Venescu, B.; Zevedei, D.; Jurian, M.; Venescu, R.

    2013-01-01

    The present paper is set on presenting a highly intelligent configuration, capable of controlling, without the need of the human factor, a complete nuclear power plant type of system, giving it the status of an autonomous system. The urge for such a controlling system is justified by the amount of drawbacks that appear in real life as disadvantages, loses and sometimes even inefficiency in the current controlling and comanding systems of the nuclear reactors. The application stands in the comand sent from the auxiliary feedwater flow control valves to the steam generators. As an environment fit for development I chose Matlab Simulink to simulate the behaviour of the process and the adjusted system. Comparing the results obtained after the fuzzy regulation with those obtained after the classical regulation, we can demonstrate the necessity of implementing artificial intelligence techniques in nuclear power plants and we can agree to the advantages of being able to control everything automatically. (authors)

  4. Multilevel model based glucose control for type-1 diabetes patients.

    Science.gov (United States)

    Garcia-Gabin, Winston; Jacobsen, Elling W

    2013-01-01

    Diabetes is a disease that involves alterations at multiple biological levels, ranging from intracellular signalling to organ processes. Since glucose homeostasis is the consequence of complex interactions that involve a number of factors, the control of diabetes should be based on a multilevel analysis. In this paper, a novel approach to design of closed-loop glucose controllers based on multilevel models is presented. A control scheme is proposed based on combining a pharmacokinetic/pharmacodynamic model with an insulin signal transduction model for type 1 diabetes mellitus patients. Based on this, an insulin feedback control schemes is designed. Two main advantages of explicitly utilizing information at the intracellular level were obtained. First, significant reduction of hypoglycaemic risk by reducing the undershoot in glucose levels in response to added insulin. Second, robust performance for inter-patient changes, demonstrated through application of the multilevel control strategy to a well established in silico population of diabetic patients.

  5. Fault tolerant control based on interval type-2 fuzzy sliding mode controller for coaxial trirotor aircraft.

    Science.gov (United States)

    Zeghlache, Samir; Kara, Kamel; Saigaa, Djamel

    2015-11-01

    In this paper, a robust controller for a Six Degrees of Freedom (6 DOF) coaxial trirotor helicopter control is proposed in presence of defects in the system. A control strategy based on the coupling of the interval type-2 fuzzy logic control and sliding mode control technique are used to design a controller. The main purpose of this work is to eliminate the chattering phenomenon and guaranteeing the stability and the robustness of the system. In order to achieve this goal, interval type-2 fuzzy logic control has been used to generate the discontinuous control signal. The simulation results have shown that the proposed control strategy can greatly alleviate the chattering effect, and perform good reference tracking in presence of defects in the system. Copyright © 2015 ISA. Published by Elsevier Ltd. All rights reserved.

  6. Geriatric Family Support and Diabetic Type-2 Glycemic Control

    Directory of Open Access Journals (Sweden)

    Shiva Heidari

    2008-07-01

    Full Text Available Objectives: As the most part of geriatric (65 years and older diabetic care is given at home, family support has an important role in their blood sugar level control care. This study aimed to assess the relationship between family support and blood sugar level control in such elderly suffering type-2 diabetes. Methods & Materials: Via descriptive-correlative study, one hundred fifty geriatric patients with type-2 diabetes, who referred to Institute of Endocrinology and Metabolism in Iran University of Medical Sciences were selected. Samplings based on nonrandomized and convenience. The questionnaire consisted of three sections: demographic data glucose-labeled hemoglobin (HbA1C and received-perceived family support by applying the standard questionnaire of "Diabetes Social Support-Family Version" format. Data were analyzed by SPSS version 15 by using Chi-square and Pierson Tests. Results: Results showed a significant relationship between family support and glycemic control (r=-0.56, P<0.0001. Also there were significant relationships between family support, gender and marital status (P<0.0001. There were also significant relationships between glycemic control and marital status (P=0.02, financial status (P=0.04 and educational level (P=0.05. Conclusion: Findings of this research added further evidence about the impact of family support on the health of older adults with diabetes. These findings suggest using family centered nursing interventions and collaboration of family members in care of the elderly with type-2 diabetes.

  7. Components inspection of Monju, a sodium bonded type control rod

    International Nuclear Information System (INIS)

    Harada, Kiyoshi; Matsushita, Yuichi; Lee, Chunchan; Abe, Hideaki; Watahiki, Naohisa

    2002-03-01

    This Report addresses a result of a sodium test conducted on components of a Double Poral Filter Sodium Bonded Type Control Rod that is expected to be a next generation, long life Control Rod. Upper and lower Poral Filter Sodium Bonded Type Control Rod components were mocked up to conduct a sodium test. During the test, sodium chargeability, formation of Gas Plenum at the upper part of the components, sodium drain-ability and NaOH clean-ability were recognized under actual plant condition. The following are results obtained: (1) Sodium Chargeability at Control Rod Insertion to EVST. Sodium was charged into the components when the mocked-up was inserted in sodium of 190degC, with insertion speed of 6 m/min which is an actual insertion speed to EVST. (2) Formation of Upper Gas Plenum by Helium Gas generated in Control Rod Components Gas Plenum formation within deviation of 9% was confirmed by releasing helium gas into the mocked-up which is immersed in sodium of 620degC and 190degC. Length of Gas Plenum is confirmed to be retained in certain length even if helium gas is further released into formed Gas Plenum. (3) Sodium Drain-ability of Control Rod Components when Drawing from EVST. Drain-ability was confirmed to be sufficient and no sodium residue was found in the mocked-up when the mocked-up was drawn out from sodium of 190degC, with drawing speed of 6 m/min which is an actual drawing speed from EVST. (4) Clean-ability of NaOH Solution against Sodium Residue in Control Rod Components. Sodium and NaOH solution reacted calmly, however, clean-ability was not sufficient. When Sodium fully remained in Control Rod Components, it made circulation of NaOH solution not enough. (author)

  8. Vibrations control of light rail transportation vehicle via PID type fuzzy controller using parameters adaptive method

    OpenAIRE

    METİN, Muzaffer; GÜÇLÜ, Rahmi

    2014-01-01

    In this study, a conventional PID type fuzzy controller and parameter adaptive fuzzy controller are designed to control vibrations actively of a light rail transport vehicle which modeled as 6 degree-of-freedom system and compared performances of these two controllers. Rail vehicle model consists of a passenger seat and its suspension system, vehicle body, bogie, primary and secondary suspensions and wheels. The similarity between mathematical model and real system is shown by compar...

  9. Fruit and Glycemic Control in Type 2 Diabetes

    DEFF Research Database (Denmark)

    Christensen, Allan Stubbe; Viggers, Lone; Gregersen, Søren

    2015-01-01

    Health professionals often advise subjects with type 2 diabetes (T2D) to restrict fruit intake. We show here that there is no supportive scientific evidence for this. At least 19 studies have tested intake of fruit on postprandial glucose in T2D. Only two long-term intervention studies have inves...... under normal conditions has deleterious health effects. In summary, we find no evidence for a negative impact of fruit on glycemic control in T2D. Subjects with T2D should eat fruit just as the general population, without fearing worsening of their glycemic control....

  10. Overnight glucose control in people with type 1 diabetes

    DEFF Research Database (Denmark)

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

    2018-01-01

    This paper presents an individualized model predictive control (MPC) algorithm for overnight blood glucose stabilization in people with type 1 diabetes (T1D). The MPC formulation uses an asymmetric objective function that penalizes low glucose levels more heavily. We compute the model parameters...... in the MPC in a systematic way based on a priori available patient information. The model used by the MPC algorithm for filtering and prediction is an autoregressive integrated moving average with exogenous input (ARIMAX) model implemented as a linear state space model in innovation form. The control...

  11. Controllability of Urysohn integral inclusions of Volterra type

    Directory of Open Access Journals (Sweden)

    Thomas S. Angell

    2010-06-01

    Full Text Available The aim of this paper is to study the controllability of a system described by an integral inclusion of Urysohn type with delay. In our approach we reduce the controllability problem of the nonlinear system into solvability problem of another integral inclusion. The solvability of this integral inclusion is subsequently established by imposing suitable standard boundedness, convexity and semicontinuity conditions on the set-valued mapping defining the integral inclusion, and by employing Bohnenblust-Karlin extension of Kakutani's fixed point theorem for set-valued mappings.

  12. Equilibrium control of nonlinear verticum-type systems, applied to integrated pest control.

    Science.gov (United States)

    Molnár, S; Gámez, M; López, I; Cabello, T

    2013-08-01

    Linear verticum-type control and observation systems have been introduced for modelling certain industrial systems, consisting of subsystems, vertically connected by certain state variables. Recently the concept of verticum-type observation systems and the corresponding observability condition have been extended by the authors to the nonlinear case. In the present paper the general concept of a nonlinear verticum-type control system is introduced, and a sufficient condition for local controllability to equilibrium is obtained. In addition to a usual linearization, the basic idea is a decomposition of the control of the whole system into the control of the subsystems. Starting from the integrated pest control model of Rafikov and Limeira (2012) and Rafikov et al. (2012), a nonlinear verticum-type model has been set up an equilibrium control is obtained. Furthermore, a corresponding bioeconomical problem is solved minimizing the total cost of integrated pest control (combining chemical control with a biological one). Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  13. A new adaptive configuration of PID type fuzzy logic controller.

    Science.gov (United States)

    Fereidouni, Alireza; Masoum, Mohammad A S; Moghbel, Moayed

    2015-05-01

    In this paper, an adaptive configuration for PID type fuzzy logic controller (FLC) is proposed to improve the performances of both conventional PID (C-PID) controller and conventional PID type FLC (C-PID-FLC). The proposed configuration is called adaptive because its output scaling factors (SFs) are dynamically tuned while the controller is functioning. The initial values of SFs are calculated based on its well-tuned counterpart while the proceeding values are generated using a proposed stochastic hybrid bacterial foraging particle swarm optimization (h-BF-PSO) algorithm. The performance of the proposed configuration is evaluated through extensive simulations for different operating conditions (changes in reference, load disturbance and noise signals). The results reveal that the proposed scheme performs significantly better over the C-PID controller and the C-PID-FLC in terms of several performance indices (integral absolute error (IAE), integral-of-time-multiplied absolute error (ITAE) and integral-of-time-multiplied squared error (ITSE)), overshoot and settling time for plants with and without dead time. Copyright © 2014 ISA. Published by Elsevier Ltd. All rights reserved.

  14. Controlling device for BWR type nuclear power plants

    International Nuclear Information System (INIS)

    Sekimizu, Koichi

    1987-01-01

    Purpose: To enable to operate BWR type nuclear power plants while entirely drawing control rods upon stationary operation near the rated power. Method: Upon stationary operation of nuclear power plants near the rated power, an excess reactivity of nuclear fuels is controlled by entirely withdrawing control rods, and varying the feedwater enthalpy thereby changing the void amount. For this purpose, a feedwater heater is additionally disposed between a high pressure feedwater heater of a feedwater pipeway and a nuclear reactor pressure vessel, in which steams used for rising the temperature of the feedwater are introduced to the high temperature side of the high pressure feedwater heater and used again for the heating of the feedwater. In this case, the feedwater enthalpy can be increased approximately to the saturation enthalpy by adjusting such that about 30 % of the main steams are introduced to the high temperature side of the feedwater heater by a steam flow rate control valve, which enables to control the stationary operation without using control rods. (Horiuchi, T.)

  15. [Molecular typing methods for infection monitoring and control].

    Science.gov (United States)

    Fernández Cuenca, Felipe; López Cerero, Lorena; Pascual Hernández, Álvaro

    2013-02-01

    Molecular typing methods are useful in the surveillance and control of nosocomial outbreaks because they can provide information on the clonal relatedness among isolates, identify reservoirs, and determine routes of transmission. The gold standard assay for molecular typing is pulsed-field gel electrophoresis (PFGE) due to its high discriminatory power. Some major disadvantages of PFGE include the high cost of the equipment, its labor intensiveness (the technique is not automated) and the time required to analyze the profiles of DNA bands (pulsotypes). Although there are many molecular typing methods based on polymerase-chain reaction (PCR), the most widely used is repetitive sequence-based PCR (REP-PCR). Most of the PCR techniques used for molecular typing have none of the limitations of PFGE as they are less expensive and labor intensive (some, such as bioMérieux's Diversilab system, are commercially available) and generate DNA profiles that are easier to interpret, depending on the microorganism. The discriminatory power of PCR is generally lower than or similar to that of PFGE. Both PFGE and PCR require optimal laboratory standardization to guarantee good reproducibility. PCR methods are preferable in the study of small, timelimited outbreaks. In more complex outbreaks of longer duration, in which clonal evolution and dynamics are studied, the use of PFGE is preferable. Molecular typing methods based on DNA sequencing, such as multilocus sequence typing, are applicable in global epidemiological studies or in analyses of the population structure of microorganisms. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  16. Incremental Adaptive Fuzzy Control for Sensorless Stroke Control of A Halbach-type Linear Oscillatory Motor

    Science.gov (United States)

    Lei, Meizhen; Wang, Liqiang

    2018-01-01

    The halbach-type linear oscillatory motor (HT-LOM) is multi-variable, highly coupled, nonlinear and uncertain, and difficult to get a satisfied result by conventional PID control. An incremental adaptive fuzzy controller (IAFC) for stroke tracking was presented, which combined the merits of PID control, the fuzzy inference mechanism and the adaptive algorithm. The integral-operation is added to the conventional fuzzy control algorithm. The fuzzy scale factor can be online tuned according to the load force and stroke command. The simulation results indicate that the proposed control scheme can achieve satisfied stroke tracking performance and is robust with respect to parameter variations and external disturbance.

  17. Platelet indices and glucose control in type 1 and type 2 diabetes mellitus: A case-control study.

    Science.gov (United States)

    Zaccardi, F; Rocca, B; Rizzi, A; Ciminello, A; Teofili, L; Ghirlanda, G; De Stefano, V; Pitocco, D

    2017-10-01

    The relationship between platelet indices and glucose control may differ in type 1 (T1DM) and type 2 (T2DM) diabetes. We aimed to investigate differences in mean platelet volume (MPV), platelet count, and platelet mass between patients with T1DM, T2DM, and healthy controls and to explore associations between these platelet indices and glucose control. A total of 691 T1DM and 459 T2DM patients and 943 control subjects (blood donors) were included. HbA1c was measured in all subjects with diabetes and 36 T1DM patients further underwent 24 h-continuous glucose monitoring to estimate short-term glucose control (glucose mean and standard deviation). Adjusting for age and sex, platelet count was higher and MPV lower in both T1DM and T2DM patients vs control subjects, while platelet mass (MPV × platelet count) resulted higher only in T2DM. Upon further adjustment for HbA1c, differences in platelet count and mass were respectively 19.5 × 10 9 /L (95%CI: 9.8-29.3; p 2-191; p = 0.027) comparing T2DM vs T1DM patients. MPV and platelet count were significantly and differently related in T2DM patients vs both T1DM and control subjects; this difference was maintained also accounting for HbA1c, age, and sex. Platelet mass and the volume-count relationship were significantly related to HbA1c only in T1DM patients. No associations were found between platelet indices and short-term glucose control. By accounting for confounders and glucose control, our data evidenced higher platelet mass and different volume-count kinetics in subjects with T2DM vs T1DM. Long-term glucose control seemed to influence platelet mass and the volume-count relationship only in T1DM subjects. These findings suggest different mechanisms behind platelet formation in T1DM and T2DM patients with long-term glycaemic control being more relevant in T1DM than T2DM. Copyright © 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human

  18. Maternal glycemic control and hypoglycemia in type 1 diabetic pregnancy

    DEFF Research Database (Denmark)

    Mathiesen, Elisabeth R; Kinsley, Brendan; Amiel, Stephanie A

    2007-01-01

    OBJECTIVE: To assess the safety and efficacy of insulin aspart (IAsp) versus regular human insulin (HI) in basal-bolus therapy with NPH insulin in pregnant women with type 1 diabetes. RESEARCH DESIGN AND METHODS: Subjects (n = 322) who were pregnant or planning pregnancy were randomized to IAsp...... in basal-bolus therapy with NPH insulin in pregnant women with type 1 diabetes and may potentially offer some benefits in terms of postprandial glucose control and preventing severe hypoglycemia....... with IAsp than HI (P = 0.003 and P = 0.044, respectively), as were mean plasma glucose levels 90 min after breakfast (P = 0.044 and P = 0.001, respectively). Maternal safety profiles and pregnancy outcomes were similar between treatments. CONCLUSIONS: IAsp is at least as safe and effective as HI when used...

  19. Control of mucin-type O-glycosylation

    DEFF Research Database (Denmark)

    Bennett, Eric P; Mandel, Ulla; Clausen, Henrik

    2012-01-01

    Glycosylation of proteins is an essential process in all eukaryotes and a great diversity in types of protein glycosylation exists in animals, plants and microorganisms. Mucin-type O-glycosylation, consisting of glycans attached via O-linked N-acetylgalactosamine (GalNAc) to serine and threonine...... residues, is one of the most abundant forms of protein glycosylation in animals. Although most protein glycosylation is controlled by one or two genes encoding the enzymes responsible for the initiation of glycosylation, i.e. the step where the first glycan is attached to the relevant amino acid residue......NAc-T family is the largest glycosyltransferase enzyme family covering a single known glycosidic linkage and it is highly conserved throughout animal evolution, although absent in bacteria, yeast and plants. Emerging studies have shown that the large number of genes (GALNTs) in the GalNAc-T family do...

  20. Sleep and glycemic control in adolescents with type 1 diabetes.

    Science.gov (United States)

    von Schnurbein, Julia; Boettcher, Claudia; Brandt, Stephanie; Karges, Beate; Dunstheimer, Desiree; Galler, Angela; Denzer, Christian; Denzer, Friederike; Vollbach, Heike; Wabitsch, Martin; Roenneberg, Till; Vetter, Celine

    2018-02-01

    Increasing evidence link sleep curtailment and circadian misalignment with adverse metabolic outcome. Adolescents might be most affected, given their late sleep timing and early school and work start times. Our aim was to examine the impact of poor sleeping habits on glycemic control in adolescents with type 1 diabetes. This was a non-interventional multicenter study across Germany recruiting pubertally mature adolescents with type 1 diabetes. Medical records were used to collect information on diabetes duration, treatment, and complications. Participants self-reported sleep quality, timing, chronotype, and social jetlag-a measure of circadian misalignment. Hemoglobin A1c (HbA1c) was determined at the time of questionnaire response. We used multivariable linear regression models to examine associations between sleep and glycemic control. A total of 191 patients aged 16.5 years (mean HbA1c 8.0% [64 mmol/mol]) were included in this study. In multivariable adjusted analyses, sleep quality was significantly associated with HbA1c (mean difference; β = -0.07, P = .05). Stratified analysis indicated that this association might be stronger in boys and also in children with migration background. In contrast, neither sleep duration, sleep debt, chronotype, nor social jetlag was associated with HbA1c . Secondary analyses showed that social jetlag was significantly associated with levels of insulin requirements (mean difference; β = 0.035, P = .03). Our study suggests that poor sleep quality is associated with increased HbA1c in adolescents with type 1 diabetes and that higher levels of circadian misalignment are associated with increased insulin requirements. If replicated, our results indicate a clinical relevance of sleep habits in adolescents with type 1 diabetes. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Sleep and glycemic control in type 1 diabetes.

    Science.gov (United States)

    Barone, Mark Thomaz Ugliara; Wey, Daniela; Schorr, Fabiola; Franco, Denise Reis; Carra, Mario Kehdi; Lorenzi Filho, Geraldo; Menna-Barreto, Luiz

    2015-02-01

    Our aim in the present study was to elucidate how type 1 diabetes mellitus (T1DM) and sleep parameters interact, which was rarely evaluated up to the moment. Eighteen T1DM subjects without chronic complications, and 9 control subjects, matched for age and BMI, were studied. The following instruments used to evaluate sleep: the Epworth Sleepiness Scale, sleep diaries, actimeters, and polysomnography in a Sleep Lab. Glycemic control in T1DM individuals was evaluated through: A1C, home fingertip glucometer for 10 days (concomitant with the sleep diary and actimeter), and CGM or concomitant with continuous glucose monitoring (during the polysomnography night). Comparing with the control group, individuals with diabetes presented more pronounced sleep extension from weekdays to weekends than control subjects (p = 0.0303). Among T1DM, glycemic variability (SD) was positively correlated with sleep latency (r = 0.6525, p = 0.0033); full awakening index and arousal index were positively correlated with A1C (r = 0.6544, p = 0.0081; and r = 0.5680, p = 0.0272, respectively); and mean glycemia values were negatively correlated with sleep quality in T1DM individuals with better glycemic control (mean glycemia < 154 mg/dL). Our results support the hypothesis of an interaction between sleep parameters and T1DM, where the glycemic control plays an important role. More studies are needed to unveil the mechanisms behind this interaction, which may allow, in the future, clinicians and educators to consider sleep in the effort of regulating glycemic control.

  2. Method of controlling power distribution in FBR type reactors

    International Nuclear Information System (INIS)

    Sawada, Shusaku; Kaneto, Kunikazu.

    1982-01-01

    Purpose: To attain the power distribution flattening with ease by obtaining a radial power distribution substantially in a constant configuration not depending on the burn-up cycle. Method: As the fuel burning proceeds, the radial power distribution is effected by the accumulation of fission products in the inner blancket fuel assemblies which varies the effect thereof as the neutron absorbing substances. Taking notice of the above fact, the power distribution is controlled in a heterogeneous FBR type reactor by varying the core residence period of the inner blancket assemblies in accordance with the charging density of the inner blancket assemblies in the reactor core. (Kawakami, Y.)

  3. Feedback Control of Floor Reaction Force Based on Force-Reflecting-Type Multilateral Control

    Science.gov (United States)

    Nagase, Kazuki; Katsura, Seiichiro

    Real-world haptics is being studied not only for improving feedback on real-world haptic information in teleoperation but also for developing key technologies for future human support. For the remote operating of systems at distant places, haptic information is required in addition to visual information. The haptic information around a work environment can be the floor reaction force, which can be obtained using a movement-type haptic device. The floor reaction force from the environment that the mobile haptic device touches is fed back accurately to the operator. First, this paper proposes a general force-reflecting-type multilateral control. Second, this paper extends the control to feedback control of the floor reaction force by using force-reflecting-type multilateral control and a novel haptic device employing a biped robot with a slave system. The position response of a master system is transformed to a leg tip position command for the biped-type haptic device. In addition, the floor reaction force determined by the biped-type haptic device is fed back to the master system. The proposed method can determine the force feedback to the sole of the foot, which is not possible with a conventional stationary system. As a result, the floor reaction force from a large area can be obtained, and the operability of the control system is improved by using the proposed system.

  4. The use of lac-type promoters in control analysis

    DEFF Research Database (Denmark)

    Jensen, Peter Ruhdal; Westerhoff, H. v.; Michelsen, Ole

    1993-01-01

    , the tacI promoter when the latter is high. The endogenous lac operon is placed under the control of a second copy of the lacUV5 promoter and a lacYam mutation (eliminating lactose permease, the transport system for the inducer isopropyl-thio-beta-D-galactoside) is introduced. The method was demonstrated...... experimentally by constructing E. coli strains, in which the chromosomal atp operon is transcribed from the lacUV5 and the tacI promoter. We measured the concentration of the c subunit of H+-ATPase, and found that the expression of this enzyme could be modulated between non-detectable levels and up to five times...... the wild-type level. Thus, in the absence of inducer, no expression of atp genes could be detected when the atp operon was controlled by the lacUV5 promoter, and we estimate that the expression was less than 0.0025 times the wild-type level. We show that the introduction of a lac Y mutation facilitated...

  5. Controlled Rapid Adiabatic Passage in a V-Type System

    Science.gov (United States)

    Song, Yunheung; Lee, Han-Gyeol; Jo, Hanlae; Ahn, Jaewook

    2016-05-01

    In chirped rapid adiabatic passage (RAP), chirp sign determines the final state to which the complete population transfer (CPT) occurs in a three-level V-type system. In this study, we show that laser intensity can be alternatively used as a control means in RAP, when the laser pulse is chirped and of a spectral hole resonant to one of the excited states. We verified such excitation selectivity in the experiment performed as-shaped femtosecond laser pulses interacting with the lowest three levels (5S, 5 P1/2, and 5 P3/2) of atomic rubidium. The successful demonstration implies that this intensity-dependent RAP in conjunction with laser beam profile programming may allow excitation selectivity for atoms or ions arranged in space.

  6. Improved Glycemic Control With Intraperitoneal Versus Subcutaneous Insulin in Type 1 Diabetes A randomized controlled trial

    NARCIS (Netherlands)

    Logtenberg, Susan J.; Kleefstra, Nanne; Houweling, Sebastiaan T.; Groenier, Klaas H.; Gans, Reinold O.; van Ballegooie, Evert; Bilo, Henk J.

    OBJECTIVE - Continuous intraperitoneal insulin infusion (CIPII) with an implantable pump has been available for the past 25 years. CIPII, with its specific pharmacodynamic properties, may be a viable treatment alternative to improve glycemic control in patients with type I diabetes for whom other

  7. [Type 2 diabetes and frecuency of prevention and control measures].

    Science.gov (United States)

    Jiménez-Corona, Aída; Aguilar-Salinas, Carlos A; Rojas-Martínez, Rosalba; Hernández-Ávila, Mauricio

    2013-01-01

    To determine the frequency of application of prevention and control measures for type 2 diabetes in Mexican population. ENSANUT 2012 is a nationally and by-state representative survey. Sample design was probabilistic, multistage, stratified and clustered. The information of 46 277 adults≥20 was used for this analysis. A weighted analysis was performed using Stata 12. Prevalence of diabetes by previous diagnosis was 9.2% (6.4 millions) in ENSANUT 2012, 7.3% (3.7 millions) in 2006 and 4.6% (2.1 millions) in 2000. In 2012, the mean of medical examinations in the previous year related to diabetes control was 7.3. However, the percentage of cases in which preventive actions for chronic complications were performed (such as foot care [14.6%], ophthalmology [8.6%] and determination of HbA1c [9.6%]) was low. Patients with diabetes have frequent access to medical services. However, preventive actions are applied insufficiently both in quality and quantity.

  8. K-type geomagnetic index nowcast with data quality control

    Directory of Open Access Journals (Sweden)

    René Warnant

    2011-07-01

    Full Text Available

    A nowcast system for operational estimation of a proxy K-type geomagnetic index is presented. The system is based on a fully automated computer procedure for real-time digital magnetogram data acquisition that includes screening of the dataset and removal of the outliers, estimation of the solar regular variation (SR of the geomagnetic field, calculation of the index, and issuing of an alert if storm-level activity is indicated. This is a time-controlled (rather than event-driven system that delivers the regular output of: the index value, the estimated quality flag, and eventually, an alert. The novel features provided are first, the strict control of the data input and processing, and second, the increased frequency of production of the index (every 1 h. Such quality control and increased time resolution have been found to be of crucial importance for various applications, e.g. ionospheric monitoring, that are of particular interest to us and to users of our service. The nowcast system operability, accuracy and precision have been tested with instantaneous measurements from recent years. A statistical comparison between the nowcast and the definitive index values shows that the average root-mean-square error is smaller than 1 KU. The system is now operational at the site of the Geophysical Centre of the Royal Meteorological Institute in Dourbes (50.1ºN, 4.6ºE, and it is being used for alerting users when geomagnetic storms take place.

  9. Method of controlling moving-coil type control rod driving mechanisms

    International Nuclear Information System (INIS)

    Hosoya, Kazuya; Kanazawa, Takashi; Matsuzaki, Tokunori.

    1986-01-01

    Purpose: To enable solenoid plungers to sufficiently follow after abrupt changes of moving speed of moving-coils in nuclear reactors. Method: In a control circuit for moving-coil type control rod driving mechanisms of nuclear reactors, the velocity of a driving device for the moving-coils is detected by a velocity detector to control the velocity change of exciting currents in the coils depending on a velocity instruction signal. Since the velocity change of the coil exciting current varies depending on the change in the velocity instruction signal, the solenoid plunger can smoothly follow after the moving coils electromagnetically coupled therewith, and the deviation between the moving-coils and the solenoid plunger, that is, the driving axis can be minimized. Accordingly, smooth reactor control can be attained. (Takahashi, M.)

  10. Self-operation type power control device for nuclear reactor

    International Nuclear Information System (INIS)

    Kanbe, Mitsuru.

    1993-01-01

    The device of the present invention operates by sensing the temperature change of a reactor core in all of LMFBR type reactors irrespective of the scale of the reactor core power. That is, a region where liquid poison is filled is disposed at the upper portion and a region where sealed gases are filled is disposed at the lower portion of a pipe having both ends thereof being closed. When the pipe is inserted into the reactor core, the inner diameter of the pipe is determined smaller than a predetermined value so that the boundary between the liquid poison and the sealed gases in the pipe is maintained relative to an assumed maximum acceleration. The sealed gas region is disposed at the reactor core region. If the liquid poison is expanded by the elevation of the reactor core exit temperature, it is moved to the lower gas region, to control the reactor power. Since high reliability can be maintained over a long period of time by this method, it is suitable to FBR reactors disposed in such environments that maintenance can not easily be conducted, such as desserts, isolated islands and undeveloped countries. Further, it is also suitable to ultra small sized nuclear reactors disposed at environments that the direction and the magnitude of gravity are different from those on the ground. (I.S.)

  11. Predictions of fire behavior and resistance to control: for use with photo series for the ponderosa pine type, ponderosa pine and associated species type, and lodgepole pine type.

    Science.gov (United States)

    Franklin R. Ward; David V. Sandberg

    1981-01-01

    This publication presents tables on the behavior of fire and the resistance of fuels to control. The information is to be used with the publication, "Photo Series for Quantifying Forest Residues in the Ponderosa Pine Type, Ponderosa Pine and Associated Species Type, Lodgepole Pine Type" (Maxwell, Wayne G.; Ward, Franklin R. 1976. Gen. Tech. Rep. PNW-GTR-052....

  12. Model Predictive Control of Buoy Type Wave Energy Converter

    DEFF Research Database (Denmark)

    Soltani, Mohsen N.; Sichani, Mahdi T.; Mirzaei, Mahmood

    2014-01-01

    by forcing this condition. In the paper the theoretical framework for this principal is shown. The optimal controller requires information of the sea state for infinite horizon which is not applicable. Model Predictive Controllers (MPC) can have finite horizon which crosses out this requirement....... This approach is then taken into account and an MPC controller is designed for a model wave energy converter and implemented on a numerical example. Further, the power outtake of this controller is compared to the optimal controller as an indicator of the performance of the designed controller....

  13. Robust Adaptive Control for Nonlinear Uncertain Systems Using Type-2 Fuzzy Neural Network System

    Directory of Open Access Journals (Sweden)

    Ching-Hung Lee

    2011-01-01

    Full Text Available This paper proposes a novel intelligent control scheme using type-2 fuzzy neural network (type-2 FNN system. The control scheme is developed using a type-2 FNN controller and an adaptive compensator. The type-2 FNN combines the type-2 fuzzy logic system (FLS, neural network, and its learning algorithm using the optimal learning algorithm. The properties of type-1 FNN system parallel computation scheme and parameter convergence are easily extended to type-2 FNN systems. In addition, a robust adaptive control scheme which combines the adaptive type-2 FNN controller and compensated controller is proposed for nonlinear uncertain systems. Simulation results are presented to illustrate the effectiveness of our approach.

  14. Press-pack components electro-thermo-fluidic modeling: application to the Integrated Gate Commutated Thyristor 4,5 kV-4 kA; Modelisation des couplages electro-thermo-fluidiques des composants en boitier press-pack: application a l'integrated gate commutated thyristor 4,5kV-4kA

    Energy Technology Data Exchange (ETDEWEB)

    Feral, H.

    2005-09-15

    Temperature is an important parameter when you use semi-conductors. In the multi MW power converters the semiconductor losses are upper than kW. The thermal analyzes of the semiconductor package and cooling system must be performed to understand the thermal limitations. The maximal temperature can not be upper than 150 deg. C for silicon components. The temperature variations have an impact on the component life time. The thermal phenomena in the power electronic component can not be dissociated with the electric phenomena (losses) and fluidic phenomena (cooling). An electro-thermo-fluidic modelling method has been elaborated. The method is used to study an IGCT (Integrated Gate commutated Thyristor) 4.5 kV 4 kA in the switching cell with his water cooling system. The IGCT use a press-pack floating mount package technology. The thermal contact resistances have an important impact on the heat transfer in the package. The thermal contact resistances have been estimated with a profile-metric measure and a direct measure. To validate the method and tune the model, thermal, electric and fluidic measurements are performed in an IGCT in MW switching operation. The last chapter introduces the model applications. The model is used to study the water flow direction in the IGCT cooling system. Transient simulations are used to study the temperature fluctuation on an arc furnace melting cycle. (author)

  15. Differential control of muscle mass in type 1 and type 2 diabetes mellitus.

    Science.gov (United States)

    Sala, David; Zorzano, Antonio

    2015-10-01

    Diabetes mellitus--whether driven by insulin deficiency or insulin resistance--causes major alterations in muscle metabolism. These alterations have an impact on nutrient handling, including the metabolism of glucose, lipids, and amino acids, and also on muscle mass and strength. However, the ways in which the distinct forms of diabetes affect muscle mass differ greatly. The most common forms of diabetes mellitus are type 1 and type 2. Thus, whereas type 1 diabetic subjects without insulin treatment display a dramatic loss of muscle, most type 2 diabetic subjects show no changes or even an increase in muscle mass. However, the most commonly used rodent models of type 2 diabetes are characterized by muscle atrophy and do not mimic the features of the disease in humans in terms of muscle mass. In this review, we analyze the processes that are differentially regulated under these forms of diabetes and propose regulatory mechanisms to explain them.

  16. Postural control and central motor pathway involvement in type 2 ...

    African Journals Online (AJOL)

    Mona Mokhtar El Bardawil

    2013-04-18

    Apr 18, 2013 ... parts of the central nervous system (CNS), which consists of the spinal cord and the brain, take part in controlling posture.6. The automatic postural responses are the earliest functionally effective responses that mediate a person's active postural movements' control in response to external balance perturba-.

  17. Hierarchical type-2 fuzzy aggregation of fuzzy controllers

    CERN Document Server

    Cervantes, Leticia

    2016-01-01

    This book focuses on the fields of fuzzy logic, granular computing and also considering the control area. These areas can work together to solve various control problems, the idea is that this combination of areas would enable even more complex problem solving and better results. In this book we test the proposed method using two benchmark problems: the total flight control and the problem of water level control for a 3 tank system. When fuzzy logic is used it make it easy to performed the simulations, these fuzzy systems help to model the behavior of a real systems, using the fuzzy systems fuzzy rules are generated and with this can generate the behavior of any variable depending on the inputs and linguistic value. For this reason this work considers the proposed architecture using fuzzy systems and with this improve the behavior of the complex control problems.

  18. Reactor core control device for FBR type reactor

    International Nuclear Information System (INIS)

    Iida, Norihiko

    1991-01-01

    The device of the present invention comprises a control line having a control pump and a control tank for injecting liquids for neutron reflectors to an annular tank disposed in a reactor container, a supply line having a supply pump and a supply tank for supplying the liquids for the reflectors to the control tank, a drain line having a control valve, a drain valve and a drain tank disposed to the annular tank and a make-up line for supplying the liquids for the reflectors from the drain tank to the control tank. Liquids such as water or oil for the neutron reflectors are injected in the annular tank disposed at the periphery of the reactor core to raise the level of the liquids in the tank and conduct burning in the reactor core. The liquid level may be controlled by an appropriate ON/OFF operation of a pump with no requirement for a motor or a driving device at a high accuracy and rotational portions. Periodical maintenances are not necessary. Reactor scram can be conducted only by opening the drain valve and the reflectors may be made of inexpensive materials. (N.H.)

  19. Oxidative Stress and Glycaemic Control in Type 2 Diabetic Patients ...

    African Journals Online (AJOL)

    Background: There is growing evidence that excess generation of highly reactive free radicals, largely due to hyperglycaemia causes oxidative stress, which further exacerbates the development and progression of type 2 diabetes and its complications. Objectives: In this study, the level of oxidative stress was compared with ...

  20. Postural control and central motor pathway involvement in type 2 ...

    African Journals Online (AJOL)

    Logistic regression analysis showed peripheral neuropathy as the main factor implicated in postural instability in these patients. However, significant correlation was found between MEP amplitude and MCT composite score in patients without peripheral neuropathy. Conclusion: Although type 2 diabetic patients had ...

  1. Phase detector for three-phase power factor controller

    Science.gov (United States)

    Nola, F. J. (Inventor)

    1984-01-01

    A phase detector for the three phase power factor controller (PFC) is described. The phase detector for each phase includes an operational amplifier which senses the current phase angle for that phase by sensing the voltage across the phase thyristor. Common mode rejection is achieved by providing positive feedback between the input and output of the voltage sensing operational amplifier. this feedback preferably comprises a resistor connected between the output and input of the operational amplifier. The novelty of the invention resides in providing positive feedback such that switching of the operational amplifier is synchronized with switching of the voltage across the thyristor. The invention provides a solution to problems associated with high common mode voltage and enables use of lower cost components than would be required by other approaches.

  2. Reactor core and control rod assembly in FBR type reactor

    International Nuclear Information System (INIS)

    Fujimura, Koji; Kawashima, Katsuyuki; Itooka, Satoshi.

    1993-01-01

    Fuel assemblies and control rod assemblies are attached respectively to reactor core support plates each in a cantilever fashion. Intermediate spacer pads are disposed to the lateral side of a wrapper tube just above the fuel rod region. Intermediate space pads are disposed to the lateral side of a control rod guide tube just above a fuel rod region. The thickness of the intermediate spacer pad for the control rod assembly is made smaller than the thickness of the intermediate spacer pad for the fuel assembly. This can prevent contact between intermediate spacer pads of the control guide tube and the fuel assembly even if the temperature of coolants is elevated to thermally expand the intermediate spacer pad, by which the radial displacement amount of the reactor core region along the direction of the height of the control guide tube is reduced substantially to zero. Accordingly, contribution of the control rod assembly to the radial expansion reactivity can be reduced to zero or negative level, by which the effect of the negative radial expansion reactivity of the reactor is increased to improve the safety upon thermal transient stage, for example, loss of coolant flow rate accident. (I.N.)

  3. Optimal Design and Tuning of PID-Type Interval Type-2 Fuzzy Logic Controllers for Delta Parallel Robots

    Directory of Open Access Journals (Sweden)

    Xingguo Lu

    2016-05-01

    Full Text Available In this work, we propose a new method for the optimal design and tuning of a Proportional-Integral-Derivative type (PID-type interval type-2 fuzzy logic controller (IT2 FLC for Delta parallel robot trajectory tracking control. The presented methodology starts with an optimal design problem of IT2 FLC. A group of IT2 FLCs are obtained by blurring the membership functions using a variable called blurring degree. By comparing the performance of the controllers, the optimal structure of IT2 FLC is obtained. Then, a multi-objective optimization problem is formulated to tune the scaling factors of the PID-type IT2 FLC. The Non-dominated Sorting Genetic Algorithm (NSGA-II is adopted to solve the constrained nonlinear multi-objective optimization problem. Simulation results of the optimized controller are presented and discussed regarding application in the Delta parallel robot. The proposed method provides an effective way to design and tune the PID-type IT2 FLC with a desired control performance.

  4. Intensive Blood Pressure Control Affects Cerebral Blood Flow in Type 2 Diabetes Mellitus Patients

    NARCIS (Netherlands)

    Kim, Yu-Sok; Davis, Shyrin C. A. T.; Truijen, Jasper; Stok, Wim J.; Secher, Niels H.; van Lieshout, Johannes J.

    2011-01-01

    Type 2 diabetes mellitus is associated with microvascular complications, hypertension, and impaired dynamic cerebral autoregulation. Intensive blood pressure (BP) control in hypertensive type 2 diabetic patients reduces their risk of stroke but may affect cerebral perfusion. Systemic hemodynamic

  5. Intensive glucose control versus conventional glucose control for type 1 diabetes mellitus.

    Science.gov (United States)

    Fullerton, Birgit; Jeitler, Klaus; Seitz, Mirjam; Horvath, Karl; Berghold, Andrea; Siebenhofer, Andrea

    2014-02-14

    Clinical guidelines differ regarding their recommended blood glucose targets for patients with type 1 diabetes and recent studies on patients with type 2 diabetes suggest that aiming at very low targets can increase the risk of mortality. To assess the effects of intensive versus conventional glycaemic targets in patients with type 1 diabetes in terms of long-term complications and determine whether very low, near normoglycaemic values are of additional benefit. A systematic literature search was performed in the databases The Cochrane Library, MEDLINE and EMBASE. The date of the last search was December 2012 for all databases. We included all randomised controlled trials (RCTs) that had defined different glycaemic targets in the treatment arms, studied patients with type 1 diabetes, and had a follow-up duration of at least one year. Two review authors independently extracted data, assessed studies for risk of bias, with differences resolved by consensus. Overall study quality was evaluated by the 'Grading of Recommendations Assessment, Development, and Evaluation' (GRADE) system. Random-effects models were used for the main analyses and the results are presented as risk ratios (RR) with 95% confidence intervals (CI) for dichotomous outcomes. We identified 12 trials that fulfilled the inclusion criteria, including a total of 2230 patients. The patient populations varied widely across studies with one study only including children, one study only including patients after a kidney transplant, one study with newly diagnosed adult patients, and several studies where patients had retinopathy or microalbuminuria at baseline. The mean follow-up duration across studies varied between one and 6.5 years. The majority of the studies were carried out in the 1980s and all trials took place in Europe or North America. Due to the nature of the intervention, none of the studies could be carried out in a blinded fashion so that the risk of performance bias, especially for

  6. Obestatin controls skeletal muscle fiber-type determination.

    Science.gov (United States)

    Santos-Zas, Icía; Cid-Díaz, Tania; González-Sánchez, Jessica; Gurriarán-Rodriguez, Uxía; Seoane-Mosteiro, Carlos; Porteiro, Begoña; Nogueiras, Rubén; Casabiell, Xesús; Luis Relova, José; Gallego, Rosalía; Mouly, Vincent; Pazos, Yolanda; Camiña, Jesus P

    2017-05-18

    Obestatin/GPR39 signaling stimulates skeletal muscle growth and repair by inducing both G-protein-dependent and -independent mechanisms linking the activated GPR39 receptor with distinct sets of accessory and effector proteins. In this work, we describe a new level of activity where obestatin signaling plays a role in the formation, contractile properties and metabolic profile of skeletal muscle through determination of oxidative fiber type. Our data indicate that obestatin regulates Mef2 activity and PGC-1α expression. Both mechanisms result in a shift in muscle metabolism and function. The increase in Mef2 and PGC-1α signaling activates oxidative capacity, whereas Akt/mTOR signaling positively regulates myofiber growth. Taken together, these data indicate that the obestatin signaling acts on muscle fiber-type program in skeletal muscle.

  7. Evidence against a Central Control Model of Timing in Typing.

    Science.gov (United States)

    1981-12-01

    transcribed normal Englis -prose, typing at a Hazeltine 1500 computer terminal. All five typists were very familiar with this terminal, using it as part of...Against Central Timing December 14, ]’R1 23 References Coover, J.E. A method of teaching typewriting based upon a psychologeical analysis of expert...Newport. How many seats in a chair? The derivation of nouns and verbs in American Sign Language . November, 1977. 74. Donald A. Norman and Daniel G. Bobrow

  8. prevalence, treatment and control of hypertension among type 2

    African Journals Online (AJOL)

    2014-08-01

    Aug 1, 2014 ... diabetes mellitus was defined as: age at diabetes diagnosis >30 years and controlled on oral hypoglycemic agents and/or insulin and/or diet; or any diabetic patient regardless of age who was managed exclusively on oral hypoglycemic agents from the time of diagnosis. Hypertension was defined as ...

  9. Model Predictive Control of Buoy Type Wave Energy Converter

    DEFF Research Database (Denmark)

    Soltani, Mohsen; Sichani, Mahdi Teimouri; Mirzaei, Mahmood

    2014-01-01

    The paper introduces the Wavestar wave energy converter and presents the implementation of model predictive controller that maximizes the power generation. The ocean wave power is extracted using a hydraulic electric generator which is connected to an oscillating buoy. The power generator is an a...

  10. Liquid-poison type power controlling device for nuclear reactor

    International Nuclear Information System (INIS)

    Horiuchi, Tetsuo; Yamanari, Shozo; Sugisaki, Toshihiko; Goto, Hiroshi.

    1981-01-01

    Purpose: To improve the safety and the operability of a nuclear reactor by adjusting the density of liquid poison. Constitution: The thermal expansion follow-up failure between cladding and a pellet upon abrupt and local variations of the power is avoided by adjusting the density of liquid poison during ordinary operation in combination with a high density liquid poison tank and a filter and smoothly controlling the reactor power through a pipe installed in the reactor core. The high density liquid poison is abruptly charged in to the reactor core under relatively low pressure through the tube installed in the reactor core at the time of control rod insertion failure in an accident, thereby effectively shutting down the reactor and improving the safety and the operability of the reactor. (Yoshihara, H.)

  11. Interval type-2 fuzzy gain-adaptive controller of a Doubly Fed ...

    African Journals Online (AJOL)

    This paper presents a comparison between an Interval Type-2 Fuzzy Gain Adaptive IP (IT2FGAIP) controller and a conventional IP controller used for speed control with a direct stator flux orientation control of a doubly fed induction motor. In particular, the introduction part of the paper presents a Direct Stator Flux Orientation ...

  12. Rolls-Royce digital Rod Control System

    International Nuclear Information System (INIS)

    Pouillot, M.

    2010-01-01

    Full text of publication follows: Rolls-Royce has developed a new generation of Rod Control System, based on 40 years of experience. The fifth-generation Rod Control System (RCS) from Rolls-Royce offers a reliable, modular design with adaptability to your preferred platform, for modernization projects or new reactors. Flexible implementation provides the option for you to keep existing cabinets, which permits you to optimize installation approach. Main features for the power part: - Control Rod Drive Mechanism (CRDM) type: 3-coil. - Independent control of each sub-bank. - Each sub-bank is controlled by a cycler unit and 3 identical power racks, each including 4 identical power modules and a common power-supply module. - Coil-per-coil digital control: each power module embeds power-conversion, current-control, and current-monitoring functions for one coil. Control and monitoring are carried out by separate electronics in the module. Current is digitized and fully monitored by means of min-max templates. - A double-hold function is included: a power module assigned to a gripper will activate its coil if a fault risking to cause a reactor trip occurs. - Power modules are standardized, hot-pluggable and self-configured: a power module includes a set of parameters for each type of coil SG, MG, LC. The module recognizes the rack it is plugged in, and chooses automatically parameters to be used. Main benefits: - Reduced operational, maintenance, training, and inventory costs: standardization of power modules and integration of control and monitoring on the same PC-card lead to a drastic reduction of spare part types, and simplification of the system. - Easy maintenance: - Replacement of a power module solves nearly all failures due to current control or monitoring for a coil. It is done instantly thanks to hot-plug capability. - On the front plate of power-modules, LEDs provide useful information for diagnostic: current setpoint from cycler, output current bar

  13. Flood control project selection using an interval type-2 entropy weight with interval type-2 fuzzy TOPSIS

    Science.gov (United States)

    Zamri, Nurnadiah; Abdullah, Lazim

    2014-06-01

    Flood control project is a complex issue which takes economic, social, environment and technical attributes into account. Selection of the best flood control project requires the consideration of conflicting quantitative and qualitative evaluation criteria. When decision-makers' judgment are under uncertainty, it is relatively difficult for them to provide exact numerical values. The interval type-2 fuzzy set (IT2FS) is a strong tool which can deal with the uncertainty case of subjective, incomplete, and vague information. Besides, it helps to solve for some situations where the information about criteria weights for alternatives is completely unknown. Therefore, this paper is adopted the information interval type-2 entropy concept into the weighting process of interval type-2 fuzzy TOPSIS. This entropy weight is believed can effectively balance the influence of uncertainty factors in evaluating attribute. Then, a modified ranking value is proposed in line with the interval type-2 entropy weight. Quantitative and qualitative factors that normally linked with flood control project are considered for ranking. Data in form of interval type-2 linguistic variables were collected from three authorised personnel of three Malaysian Government agencies. Study is considered for the whole of Malaysia. From the analysis, it shows that diversion scheme yielded the highest closeness coefficient at 0.4807. A ranking can be drawn using the magnitude of closeness coefficient. It was indicated that the diversion scheme recorded the first rank among five causes.

  14. Transonic buffet control research with two types of shock control bump based on RAE2822 airfoil

    Directory of Open Access Journals (Sweden)

    Yun TIAN

    2017-10-01

    Full Text Available Current research shows that the traditional shock control bump (SCB can weaken the intensity of shock and better the transonic buffet performance. The author finds that when SCB is placed downstream of the shock, it can decrease the adverse pressure gradient. This may prevent the shock foot separation bubble to merge with the trailing edge separation and finally improve the buffet performance. Based on RAE2822 airfoil, two types of SCB are designed according to the two different mechanisms. By using Reynolds-averaged Navier-Stokes (RANS and unsteady Reynolds-averaged Navier-Stokes (URANS methods to analyze the properties of RAE2822 airfoil with and without SCB, the results show that the downstream SCB can better the buffet performance under a wide range of freestream Mach number and the steady aerodynamics characteristic is similar to that of RAE2822 airfoil. The traditional SCB can only weaken the intensity of the shock under the design condition. Under the off-design conditions, the SCB does not do much to or even worsen the buffet performance. Indeed, the use of backward bump can flatten the leeward side of the airfoil, and this is similar to the mechanism that supercritical airfoil can weaken the recompression of shock wave.

  15. Control rod drives

    International Nuclear Information System (INIS)

    Sato, Takao; Arita, Setsuo; Mizuno, Katsuhiro.

    1986-01-01

    Purpose: To enable fine positioning by using an induction motor of a simple structure as a driving source and thereby improve the reliability of control rod drives. Constitution: A step actuator is directly coupled with an induction motor, in which the induction motor is connected by way of a pulse driving control circuit to an AC power source, while the step actuator is connected to a DC power source. When a thyristor is turned ON, the motor outputs a positive torque and rotates and starts to rotate in the forward direction. When the other thyristor is turned ON, the motor is applied with braking by a reverse excitation in a manner equivalent to the change for the exciting phase sequence. When the speed is lowered to a predetermined value, braking is actuated by the torque of the step actuator and the motor stops at a zero position or balanced position. In this way, braking is actuated from the decelerating step to the stopping with no abrasion and a highly accurate positioning is possible due to the characteristics of the step actuator. (Horiuchi, T.)

  16. Improved Control Strategy for T-type Isolated DC/DC Converters

    DEFF Research Database (Denmark)

    Liu, Dong; Deng, Fujin; Wang, Yanbo

    2017-01-01

    T-type isolated DC/DC converters have recently attracted attention due to their numerous advantages, including few components, low cost, and symmetrical operation of transformers. This study proposes an improved control strategy for increasing the efficiency of T-type isolated DC/DC converters....../DC converters. The operation principles and performances of T-type isolated DC/DC converters under the proposed control strategy are analyzed in detail and verified through the simulation and experimental results....

  17. Assessment of Personality Types and Locus of Control in Multiple Sclerosis Patients

    Directory of Open Access Journals (Sweden)

    Sh. Mazaheri

    2008-07-01

    Full Text Available Introduction & Objective: Multiple sclerosis (MS is an autoimmune disease with unknown cause. MS is one of the disabling neurologic diseases in adult especially young range that myelin part of central nervous system (CNS is destructed. The aim of this study was assessment of types A and B personality and internal and external locus of control in multiple sclerosis (MS patients and comparison of the results with control group.Materials & Methods: In a case-control study, 30 patients with MS and 30 normal persons as control group evaluated with neurological examination, Rotter locus of control test and Friedman-Rosenman questionnaire for detection of types A and B personality. We employed to analyze the results.Results: 43 percent and 57 percent of MS patients had internal and external locus of control respectively. 63 percent and 37 percent of MS patients had type A and B personality respectively. 60 percent and 40 percent of control group had internal and external locus of control respectively. 20 percent and 80 percent of control group had type A and B personality respectively. Difference between personality type in two groups was significant (P<0.01.Conclusions: In this study, MS patients had more type A personality in comparison to control group.

  18. Blood pressure control in type 2 diabetic patients.

    Science.gov (United States)

    Grossman, Alon; Grossman, Ehud

    2017-01-06

    Diabetes mellitus (DM) and essential hypertension are common conditions that are frequently present together. Both are considered risk factors for cardiovascular disease and microvascular complications and therefore treatment of both conditions is essential. Many papers were published on blood pressure (BP) targets in diabetic patients, including several works published in the last 2 years. As a result, guidelines differ in their recommendations on BP targets in diabetic patients. The method by which to control hypertension, whether pharmacological or non-pharmacological, is also a matter of debate and has been extensively studied in the literature. In recent years, new medications were introduced for the treatment of DM, some of which also affect BP and the clinician treating hypertensive and diabetic patients should be familiar with these medications and their effect on BP. In this manuscript, we discuss the evidence supporting different BP targets in diabetics and review the various guidelines on this topic. In addition, we discuss the various options available for the treatment of hypertension in diabetics and the recommendations for a specific treatment over the other. Finally we briefly discuss the new diabetic drug classes and their influence on BP.

  19. CONTROL SYSTEM DESIGN WITH FUZZY LOGIC PID-СONTROLLER TYPE 2

    Directory of Open Access Journals (Sweden)

    A. Tунік

    2011-04-01

    Full Text Available This paper presents a fuzzy logic PID-controller synthesis method for solid body guidance. Formany nonlinear systems with nonlinearities and uncertainties, the performance of fuzzy controllertype 1 may not be satisfactory. Therefore, in this work, fuzzy logic type 2 controller design isintroduced. These controllers capture the advantage of a linear controller in terms of simplicity andalso can handle nonlinearity because of their inference mechanism.The main feature of the proposedmethod constitutes in a membership functions type 2 applications. The membership function type 2is represented by upper and lower membership functions of type 1. The interval between these twofunctions represent the footprint of uncertainty, which give an opportunity to synthesize commonregulator for set of a models. The structure of fuzzy logic controller for solid body control isgrounded. Simulation results confirm the effectiveness of the proposed approach.

  20. Advanced Interval Type-2 Fuzzy Sliding Mode Control for Robot Manipulator

    Directory of Open Access Journals (Sweden)

    Ji-Hwan Hwang

    2017-01-01

    Full Text Available In this paper, advanced interval type-2 fuzzy sliding mode control (AIT2FSMC for robot manipulator is proposed. The proposed AIT2FSMC is a combination of interval type-2 fuzzy system and sliding mode control. For resembling a feedback linearization (FL control law, interval type-2 fuzzy system is designed. For compensating the approximation error between the FL control law and interval type-2 fuzzy system, sliding mode controller is designed, respectively. The tuning algorithms are derived in the sense of Lyapunov stability theorem. Two-link rigid robot manipulator with nonlinearity is used to test and the simulation results are presented to show the effectiveness of the proposed method that can control unknown system well.

  1. Role of Parenting Style in Achieving Metabolic Control in Adolescents With Type 1 Diabetes

    OpenAIRE

    Shorer, Maayan; David, Ravit; Schoenberg-Taz, Michal; Levavi-Lavi, Ifat; Phillip, Moshe; Meyerovitch, Joseph

    2011-01-01

    OBJECTIVE To examine the role of parenting style in achieving metabolic control and treatment adherence in adolescents with type 1 diabetes. RESEARCH DESIGN AND METHODS Parents of 100 adolescents with type 1 diabetes completed assessments of their parenting style and sense of helplessness. Parents and patients rated patient adherence to the treatment regimen. Glycemic control was evaluated by HbA1c values. RESULTS An authoritative paternal parenting style predicted better glycemic control and...

  2. Interval type-2 fuzzy PID controller for uncertain nonlinear inverted pendulum system.

    Science.gov (United States)

    El-Bardini, Mohammad; El-Nagar, Ahmad M

    2014-05-01

    In this paper, the interval type-2 fuzzy proportional-integral-derivative controller (IT2F-PID) is proposed for controlling an inverted pendulum on a cart system with an uncertain model. The proposed controller is designed using a new method of type-reduction that we have proposed, which is called the simplified type-reduction method. The proposed IT2F-PID controller is able to handle the effect of structure uncertainties due to the structure of the interval type-2 fuzzy logic system (IT2-FLS). The results of the proposed IT2F-PID controller using a new method of type-reduction are compared with the other proposed IT2F-PID controller using the uncertainty bound method and the type-1 fuzzy PID controller (T1F-PID). The simulation and practical results show that the performance of the proposed controller is significantly improved compared with the T1F-PID controller. Copyright © 2014 ISA. Published by Elsevier Ltd. All rights reserved.

  3. Multisystemic Therapy for Adolescents with Poorly Controlled Type I Diabetes: Stability of Treatment Effects in a Randomized Controlled Trial

    Science.gov (United States)

    Ellis, Deborah A.; Templin, Thomas; Naar-King, Sylvie; Frey, Maureen A.; Cunningham, Phillippe B.; Podolski, Cheryl-Lynn; Cakan, Nedim

    2007-01-01

    The primary purpose of the present study was to determine whether multisystemic therapy (MST), an intensive, home-based psychotherapy, improved regimen adherence, metabolic control, and rates of hospitalization for diabetic ketoacidosis (DKA) among adolescents with chronically poorly controlled Type 1 diabetes 6 months after the completion of…

  4. Interval Type-2 Fuzzy Logic Controller Based Maximum Power Point Tracking in Photovoltaic Systems

    Directory of Open Access Journals (Sweden)

    ALTIN, N.

    2013-08-01

    Full Text Available In this paper, interval type-2 fuzzy logic controller based maximum power point tracking method is proposed for photovoltaic systems. The proposed interval type-2 fuzzy logic controller has two inputs and one output. Rate of change in photovoltaic system output power and rate of change in photovoltaic system terminal voltage are selected as input variables and change in duty cycle as output variable. Seven type-2 membership functions are used for determined input and output variables of fuzzy logic controller. Since type-2 fuzzy sets are used, effect of uncertainties on maximum power point tracking capability is removed. Operation point of the photovoltaic system is controlled via a boost type DC?DC converter. Simulation results show that the proposed maximum power point tracking method provides fast dynamic response, and it is also useful for rapidly changing atmospheric conditions.

  5. An artificial pancreas for automated blood glucose control in patients with Type 1 diabetes

    DEFF Research Database (Denmark)

    Schmidt, Signe; Boiroux, Dimitri; Ranjan, Ajenthen

    2015-01-01

    Automated glucose control in patients with Type 1 diabetes is much-coveted by patients, relatives and healthcare professionals. It is the expectation that a system for automated control, also know as an artificial pancreas, will improve glucose control, reduce the risk of diabetes complications...

  6. Control of Drosophila Type I and Type II central brain neuroblast proliferation by bantam microRNA

    DEFF Research Database (Denmark)

    Weng, Ruifen; Cohen, Stephen M

    2015-01-01

    Post-transcriptional regulation of stem cell self-renewal by microRNAs is emerging as an important mechanism controlling tissue homeostasis. Here, we provide evidence that bantam microRNA controls neuroblast number and proliferation in the Drosophila central brain. Bantam also supports...... proliferation of transit-amplifying intermediate neural progenitor cells in type II neuroblast lineages. The stem cell factors brat and prospero are identified as bantam targets acting on different aspects of these processes. Thus, bantam appears to act in multiple regulatory steps in the maintenance...... and proliferation of neuroblasts and their progeny to regulate growth of the central brain....

  7. Control of a Linear Distillation Column Using Type-2 Fuzzy Method Optimized by Genetic Algorithm

    Directory of Open Access Journals (Sweden)

    Abbas Asgari

    2017-04-01

    Full Text Available The distillation process is important process in the chemical industry and has wide application in industry. Distillation tower is used by chemical engineers as a popular tool to separate materials and is the most common method for separating materials. Keeping constant the product composition in the distillation column is very important from control perspective. Control of these complicated processes need intelligent methods to adopt the appropriate decision for control based on the behavior of the system. Between intelligent methods, fuzzy technique has superior response in complex systems control and so is used in this study. In this article at first, a type-1fuzzy controller is designed for linear model of distillation tower. In design of this Fuzzy controller, genetic algorithm (GA is used for optimization of fuzzy rules base. It has been shown that the fuzzy controller is better than conventional PI one. Then the type-1 fuzzy controller has been replaced with type-2 fuzzy controller and has been shown that the performance of type-2 is better than type-1 in various points of view. In this study, the MATLAB/SIMULINK software has been used for modeling and implementing the proposed methods.

  8. Method of controlling steam temperature of a fluid heating separation type steam generator

    International Nuclear Information System (INIS)

    Iwashita, Tsuyoshi; Monta, Kazuo.

    1975-01-01

    Object: To keep constant the stability and normal deviation in the entire control system by connecting an element of variable gain substantially in proportion to a preset load in series with the ordinary PID type control system. Structure: Changes in steam temperature at an evaporator outlet due to changes in sodium flow rate are detected by a thermocouple. The resultant detection signal is compared with a preset value of the steam generator output temperature, and a portion proportional to the difference between them is added as an operating signal, the operating signal also being used as a sodium flow rate control signal coupled to a sodium flow rate control means. In this method of control of vapor temperature of a fluid heating separation type steam generator, a control gain variable means is connected in series with a temperature control system to obtain control substantially proportional to the preset load. (Kamimura, M.)

  9. Development of hemoglobin typing control materials for laboratory investigation of thalassemia and hemoglobinopathies.

    Science.gov (United States)

    Pornprasert, Sakorn; Tookjai, Monthathip; Punyamung, Manoo; Pongpunyayuen, Panida; Jaiping, Kanokwan

    2016-01-01

    To date, the hemoglobin (Hb) typing control materials for laboratory investigation of thalassemia with low (1.8%-3.2%) and high (4%-6%) levels of HbA2 are available but there are no Hb typing quality control materials for analysis of thalassemia and hemoglobinopathies which are highly prevalent in South-East Asian countries. The main aim of the present study was to develop the lyophilized Hb typing control materials for laboratory investigation of thalassemia and hemoglobinopathies that are commonly found in South-East Asia. Erythrocytes of blood samples containing Hb Bart's, HbH, HbE, HbF, Hb Constant Spring (CS), Hb Hope, and Hb Q-Thailand were washed and dialysed with 0.85% saline solution. The erythrocytes were then lysed in 5% sucrose solution. The lyophilized Hb typing control materials were prepared by using a freeze drying (lyophilization) method. The high performance liquid chromatography (HPLC) analysis of lyophilized Hb was performed after the storage at -20 °C for 1 year and also after reconstitution and storage at 4 or -20 °C for 30 days. In addition, the Hb analysis was compared between the three different methods of HPLC, low pressure liquid chromatography (LPLC) and capillary electrophoresis (CE). Following a year of storage at -20 °C, the HPLC chromatograms of lyophilized Hb typing control materials showed similar patterns to the equivalent fresh whole blood. The stability of reconstituted Hb typing control materials was also observed through 30 days after reconstitution and storage at -20 °C. Moreover, the Hb typing control materials could be analyzed by three methods, HPLC, LPLC and CE. Even a degraded peak of HbCS was found on CE electropherogram. The lyophilized Hb typing control materials could be developed and used as control materials for investigation of thalassemia and hemoglobinopathies.

  10. Performance Analysis of Fuzzy-PID Controller for Blood Glucose Regulation in Type-1 Diabetic Patients.

    Science.gov (United States)

    Yadav, Jyoti; Rani, Asha; Singh, Vijander

    2016-12-01

    This paper presents Fuzzy-PID (FPID) control scheme for a blood glucose control of type 1 diabetic subjects. A new metaheuristic Cuckoo Search Algorithm (CSA) is utilized to optimize the gains of FPID controller. CSA provides fast convergence and is capable of handling global optimization of continuous nonlinear systems. The proposed controller is an amalgamation of fuzzy logic and optimization which may provide an efficient solution for complex problems like blood glucose control. The task is to maintain normal glucose levels in the shortest possible time with minimum insulin dose. The glucose control is achieved by tuning the PID (Proportional Integral Derivative) and FPID controller with the help of Genetic Algorithm and CSA for comparative analysis. The designed controllers are tested on Bergman minimal model to control the blood glucose level in the facets of parameter uncertainties, meal disturbances and sensor noise. The results reveal that the performance of CSA-FPID controller is superior as compared to other designed controllers.

  11. Hypoglycemia in pregnant women with type 1 diabetes: predictors and role of metabolic control

    DEFF Research Database (Denmark)

    Nielsen, Lene Ringholm; Pedersen-Bjergaard, Ulrik; Thorsteinsson, Birger

    2008-01-01

    In pregnancy with type 1 diabetes, we evaluated occurrence of mild and severe hypoglycemia and analyzed the influence of strict metabolic control, nausea, vomiting, and other potential predictors of occurrence of severe hypoglycemia....

  12. EDF's (Electricite de France) in service control for GCR type reactor vessels

    International Nuclear Information System (INIS)

    Douillet, M.G.

    1979-01-01

    This paper presents the performance of the data acquisition and processing systems developed by the French EDF for controlling and testing the mechanical properties (thermal stress, deformations, cracks,...) of prestressed concrete vessels for GCR type reactors

  13. Intelligent control for braking-induced longitudinal vibration responses of floating-type railway bridges

    International Nuclear Information System (INIS)

    Qu, Wei-Lian; Tu, Jian-Weia; Liu, Jia; Zhou, Qiang; Qin, Shun-Quan; Cheng, Haibin; Pi, Yong-Lin

    2009-01-01

    This paper presents an intelligent control method and its engineering application in the control of braking-induced longitudinal vibration of floating-type railway bridges. Equations of motion for the controlled floating-type railway bridges have been established based on the analysis of the longitudinal vibration responses of floating-type railway bridges to train braking and axle-loads of moving trains. For engineering applications of the developed theory, a full-scale 500 kN smart magnetorheologic (MR) damper has been designed, fabricated and used to carry out experiments on the intelligent control of braking-induced longitudinal vibration. The procedure for using the developed intelligent method in conjunction with the full-scale 500 kN MR dampers has been proposed and used to control the longitudinal vibration responses of the deck of floating-type railway bridges induced by train braking and axle-loads of moving trains. This procedure has been applied to the longitudinal vibration control of the Tian Xingzhou highway and railway cable-stayed bridge over the Yangtze River in China. The simulated results have shown that the intelligent control system using the smart MR dampers can effectively control the longitudinal response of the floating-type railway bridge under excitations of braking and axle-loads of moving trains

  14. Intelligent control for braking-induced longitudinal vibration responses of floating-type railway bridges

    Science.gov (United States)

    Qu, Wei-Lian; Qin, Shun-Quan; Tu, Jian-Weia; Liu, Jia; Zhou, Qiang; Cheng, Haibin; Pi, Yong-Lin

    2009-12-01

    This paper presents an intelligent control method and its engineering application in the control of braking-induced longitudinal vibration of floating-type railway bridges. Equations of motion for the controlled floating-type railway bridges have been established based on the analysis of the longitudinal vibration responses of floating-type railway bridges to train braking and axle-loads of moving trains. For engineering applications of the developed theory, a full-scale 500 kN smart magnetorheologic (MR) damper has been designed, fabricated and used to carry out experiments on the intelligent control of braking-induced longitudinal vibration. The procedure for using the developed intelligent method in conjunction with the full-scale 500 kN MR dampers has been proposed and used to control the longitudinal vibration responses of the deck of floating-type railway bridges induced by train braking and axle-loads of moving trains. This procedure has been applied to the longitudinal vibration control of the Tian Xingzhou highway and railway cable-stayed bridge over the Yangtze River in China. The simulated results have shown that the intelligent control system using the smart MR dampers can effectively control the longitudinal response of the floating-type railway bridge under excitations of braking and axle-loads of moving trains.

  15. Pain sensitivity and pericranial tenderness in children with tension-type headache: a controlled study

    DEFF Research Database (Denmark)

    Soee, ABL; Skov, L; Kreiner, S

    2013-01-01

    To compare tenderness and pain sensitivity in children (aged 7-17 years) with tension-type headache (TTH) and healthy controls using total tenderness score (TTS), pressure pain threshold (PPT), and pain perceived at suprapressure pain threshold (supraPPT).......To compare tenderness and pain sensitivity in children (aged 7-17 years) with tension-type headache (TTH) and healthy controls using total tenderness score (TTS), pressure pain threshold (PPT), and pain perceived at suprapressure pain threshold (supraPPT)....

  16. School Age Workaholic Children: Type A Behaviors, Self-Esteem, Anxiety and Locus of Control.

    Science.gov (United States)

    Robinson, Bryan E.; Kelley, Lisa

    1999-01-01

    Examined relationships between childhood workaholism and Type A behavior among fourth and fifth graders. Found no relationships between parent-rated Type A behaviors and children's self-perceived workaholism, self esteem, anxiety, or locus of control. Found no relationship between parental workaholism and child scores. Teachers' ratings related to…

  17. Symptoms and well-being in relation to glycemic control in type II diabetes

    NARCIS (Netherlands)

    Van Der Does, Ferdinand E.E.; De Neeling, J. Nico D.; Snoek, Frank J.; Kostense, Pieter J.; Grootenhuis, Peter A.; Bouter, Lex M.; Heine, Robert J.

    1996-01-01

    OBJECTIVE - To describe the cross-sectional relation between glycemic control and physical symptoms, emotional well-being, and general well-being in patients with type II diabetes. RESEARCH DESIGN AND METHODS - The study population consisted of 188 patients with type II diabetes between 40 and 75

  18. Damping of Electromechanical Oscillations in Multi-Machinery Power System with Various Types of Excitation Controller

    Directory of Open Access Journals (Sweden)

    A. M. Gashimov

    2011-01-01

    Full Text Available The paper cites investigation results of electromechanical oscillations in the power system where synchronous generators are equipped with various types of excitation controllers in the presence or absence of system stabilizers. Influence of every controller types on oscillation processes in the power system has been shown in the paper. The paper proposes an approach of optimum selection of setup excitation controller parameters while having system stabilizers. A complete scheme of the «Azerenergy» system has been taken as an example for an analysis of electromechanical oscillations and an influence of excitation controllers on them. Synchronous generators of the system are using excitation controllers of dramatic effect and СДП1- and UNITROL-types having a system stabilizer.

  19. The Relationship Between Sleep Duration and Glycemic Control Among Hispanic Adults With Uncontrolled Type 2 Diabetes.

    Science.gov (United States)

    Full, Kelsie M; Schmied, Emily A; Parada, Humberto; Cherrington, Andrea; Horton, Lucy A; Ayala, Guadalupe X

    2017-10-01

    Purpose The purpose of this study was to examine the relationship between sleep duration and glycemic control in adult Hispanic patients with uncontrolled type 2 diabetes. Methods This cross-sectional study used baseline data from 317 Hispanic adults with uncontrolled type 2 diabetes who participated in a randomized controlled trial testing a peer support intervention to improve diabetes control. To be eligible, participants had to be 18 years or older and have A1C >7% in the 3 months prior to randomization. Glycemic control was assessed by A1C ascertained through medical chart review; higher A1C levels reflected poorer glycemic control. Sleep duration (hours/night), diabetes control behaviors, and demographics were obtained by interviewer-administered questionnaire. We used multivariable generalized linear models to estimate the association between sleep duration and glycemic control. Results Forty-three percent of participants reported sleeping fewer than 7 hours per night. Sleep duration (hours/night) was inversely associated with A1C levels; however, the relationship was no longer statistically significant after adjusting for insulin status. Conclusions Sleep duration was not significantly associated with glycemic control in this sample of Hispanic adults with uncontrolled type 2 diabetes when adjusting for insulin. Future research should continue to explore this relationship among Hispanic adults with diabetes using an objective measure of sleep duration and a larger sample of Hispanic adults with both controlled and uncontrolled type 2 diabetes to determine if these results hold true.

  20. Effects of Long-Term Exercise Interventions on Glycaemic Control in Type 1 and Type 2 Diabetes: a Systematic Review.

    Science.gov (United States)

    Röhling, M; Herder, C; Roden, M; Stemper, T; Müssig, K

    2016-09-01

    Aim: Physical activity is one of the cornerstones in the prevention and management of diabetes mellitus, but the effects of different training forms on metabolic control still remain unclear. The aims of this review are to summarize the recommendations of 5 selected diabetes associations and to systematically review the effects of long-term supervised exercise interventions without calorie-restriction on glycemic control in people with type 1 and 2 diabetes focusing on resistance, endurance and combined training consisting of both endurance and resistance training. Methods: Literature searches were performed using MEDLINE for articles published between January 1, 2000 and March 17, 2015. Of 76 articles retrieved, 15 randomized and controlled studies met the inclusion criteria and allowed for examining the effect of exercise training in type 1 and 2 diabetes. Results: Diabetes associations recommend volume-focused exercise in their guidelines. In our analysis, all 3 training forms have the potential to improve the glycemic control, as assessed by HbA 1c (absolute changes in HbA 1c ranging from -0.1% to -1.1% (-1.1 to -12 mmol/mol) in resistance training, from -0.2% to -1.6% (-2.2 to -17.5 mmol/mol) in endurance training and from +0.1% to -1.5% (+1.1 to -16.4 mmol/mol) in combined training, respectively). Conclusions: There is evidence that combined exercise training may improve glycemic control to a greater extent than single forms of exercise, especially under moderate-intensive training conditions with equal training durations. In addition, intensity of training appears to be an important determinant of the degree of metabolic improvement. Nonetheless, it is still unknown to what extent exercise effects glycemic homeostasis. © Georg Thieme Verlag KG Stuttgart · New York.

  1. The improvement of control rod in experimental fast reactor JOYO. The development of a sodium bonded type control rod

    Energy Technology Data Exchange (ETDEWEB)

    Soga, T.; Miyakawa, S.; Mitsugi, T. [Japan Nuclear Cycle Development Inst., Oarai Engineering Center, Irradiation Center, Irradiation and Administration Section, Oarai, Ibaraki (Japan)

    1999-06-01

    Currently, the lifetime of control rods in JOYO is limited by Absorber-Cladding Mechanical Interaction (ACMI) due to swelling of B{sub 4}C(boron carbide) pellets accelerated by relocation of pellet fragments. A sodium bonded type control rod was developed which improves the thermal conductivity by means of charging sodium into the gap between B{sub 4}C and cladding and by utilizing a shroud which wraps the pellet fragments in a thin tube. This new design will be able to enlarge the gap between B{sub 4}C and cladding, without heating B{sub 4}C or fragment relocation, thus extending the life of the control rod. The sodium bonded type will be fabricated as the ninth reload control rods in JOYO. (1) The specification of a sodium bonded type control rod was determined with the wide gap between B{sub 4}C and cladding. In the design simulation, main component temperature were below the maximum limit. And the local heating by helium bubble generated from B{sub 4}C in the sodium gap, was not a serious problem in the analysis which was considered. (2) A structural design for the sodium entrance into the pin was determined. A formula was developed which the limit for sodium charging given physical dimension of the structure and sodium property. Result from sodium out-pile experiments validated the theoretical formula. (3) The analysis of ACMI indicated a lifetime extension of the sodium bonded type by 4.6% in comparison with lifetime of the helium bonded type of 1.6%. This is due to the boron10 burn-up rate being three times higher in the sodium bonded type than in the helium bonded type. To achieve a target burn-up 10% in the future, it will be necessary to modify design based on irradiation data which will be obtained by practical use of the sodium bonded control rods in JOYO. (4) The effects due to Absorber-Cladding Chemical Interaction (ACCI) were reduced by controlling the cladding temperature and chromium coating to the cladding's inner surface. It was confirmed

  2. Persistent poor glycaemic control in adult Type 1 diabetes. A closer look at the problem

    NARCIS (Netherlands)

    DeVries, J. H.; Snoek, F. J.; Heine, R. J.

    2004-01-01

    Around 25% of the adult Type 1 diabetes population is in persistent poor glycaemic control and thus at increased risk of developing microvascular complications. We here discuss correlates of long-standing poor glycaemic control and review the efficacy of clinical strategies designed to overcome

  3. Improving glycaemic control in patients with Type 2 diabetes mellitus without insulin therapy

    NARCIS (Netherlands)

    Goudswaard, AN; Stolk, RP; de Valk, HW; Rutten, GEHM

    Aims In general practice at least 30% of those with Type 2 diabetes do not achieve good glycaemic control. We studied the effect of improving oral glucose-lowering medication in a primary care setting in patients treated with oral hypoglycaemic agents without satisfactory glycaemic control. Methods

  4. Bihormonal control of blood glucose in people with type 1 diabetes

    DEFF Research Database (Denmark)

    Batora, Vladimir; Tárnik, Marían; Murgaš, Ján

    2015-01-01

    This paper presents a bihormonal artificial pancreas (AP) for people with type 1 diabetes (T1D) designed to provide a safe blood glucose control with minimal use of glucagon. The control algorithm uses insulin as well as glucagon to prevent hyper- and hypoglycemia. We employ a novel prediction...

  5. Overnight Control of Blood Glucose in People with Type 1 Diabetes

    DEFF Research Database (Denmark)

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

    2012-01-01

    In this paper, we develop and test a Model Predictive Controller (MPC) for overnight stabilization of blood glucose in people with type 1 diabetes. The controller uses glucose measurements from a continuous glucose monitor (CGM) and its decisions are implemented by a continuous subcutaneous insulin...

  6. Bihormonal model predictive control of blood glucose in people with type 1 diabetes

    DEFF Research Database (Denmark)

    Batora, Vladimir; Tarnik, Marian; Murgas, Jan

    2014-01-01

    In this paper we present a bihormonal control system that controls blood glucose in people with type 1 diabetes (T1D). We use insulin together with glucagon to mitigate the negative effects of hyper- and hypoglycemia. The system consists of a Kalman filter, a micro-bolus insulin and glucagon...

  7. A Saturated Output Feedback Controller for the Three Phase Voltage Sourced Reversible Boost Type Rectifier

    NARCIS (Netherlands)

    Escobar, Gerardo; Ortega, Romeo; Schaft, Arjan J. van der

    1998-01-01

    In this article, we present a saturating controller to regulate the output voltage load in a three phase Boost type rectifier. The controller only needs the output voltage signal to be implemented. Moreover, by forcing the inductance currents to track desired suitable sinusoidal signals in phase

  8. Practical Implementation for the interval type-2 fuzzy PID controller using a low cost microcontroller

    Directory of Open Access Journals (Sweden)

    Ahmad M. El-Nagar

    2014-06-01

    Full Text Available In this study, we propose an embedded real-time interval type-2 fuzzy proportional – integral – derivative (IT2F-PID controller which is a parallel combination of the interval type-2 fuzzy proportional – integral (IT2F-PI controller and the interval type-2 fuzzy proportional – derivative (IT2F-PD controller. The proposed IT2F-PID controller is able to handle the effect of the system uncertainties due to the structure of the interval type-2 fuzzy logic controller. The proposed IT2F-PID controller is implemented practically using a low cost PIC microcontroller for controlling the uncertain nonlinear inverted pendulum to minimize the effect of the system uncertainties due to the uncertainty in the mass of the pendulum, the measurement error in the rotation angle of the pendulum and the structural uncertainty. The test is carried out using the hardware-in-the-loop (HIL simulation. The experimental results show that the performance of the IT2F-PID controller improves significantly the performance over a wide range of system uncertainties.

  9. Model-based closed-loop glucose control in type 1 diabetes

    DEFF Research Database (Denmark)

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

    2013-01-01

    To improve type 1 diabetes mellitus (T1DM) management, we developed a model predictive control (MPC) algorithm for closed-loop (CL) glucose control based on a linear second-order deterministic-stochastic model. The deterministic part of the model is specified by three patient-specific parameters...

  10. Controlling Unknown Saddle Type Steady States of Dynamical Systems with Latency in the Feedback Loop

    DEFF Research Database (Denmark)

    Tamasevicius, Arunas; Bumeliene, Skaidra; Tamaseviciute, Elena

    2009-01-01

    We suggest an adaptive control technique for stabilizing saddle type unstable steady states of dynamical systems. The controller is composed of an unstable and a stable high-pass filters operating in parallel. The mathematical model is considered analytically and numerically. The conjoint...

  11. Intensive blood pressure control affects cerebral blood flow in type 2 diabetes mellitus patients

    DEFF Research Database (Denmark)

    Kim, Yu-Sok; Davis, Shyrin C A T; Truijen, Jasper

    2011-01-01

    Type 2 diabetes mellitus is associated with microvascular complications, hypertension, and impaired dynamic cerebral autoregulation. Intensive blood pressure (BP) control in hypertensive type 2 diabetic patients reduces their risk of stroke but may affect cerebral perfusion. Systemic hemodynamic...... · s-1). Cognitive function did not change during the 6 months. Static cerebrovascular autoregulation appears to be impaired in type 2 diabetes mellitus, with a transient reduction in CBFV in uncomplicated diabetic patients on tight BP control, but with a progressive reduction in CBFV in diabetic...... variables and transcranial Doppler-determined cerebral blood flow velocity (CBFV), cerebral CO2 responsiveness, and cognitive function were determined after 3 and 6 months of intensive BP control in 17 type 2 diabetic patients with microvascular complications (T2DM+), in 18 diabetic patients without (T2DM...

  12. Guidelines for controlled trials of drugs in tension-type headache: second edition

    DEFF Research Database (Denmark)

    Bendtsen, L; Bigal, M E; Cerbo, R

    2010-01-01

    and chronic tension-type headache have been published, providing new information on trial methodology for this disorder. Furthermore, the classification of the headaches, including tension-type headache, has been revised. These developments support the need for also revising the guidelines for drug treatments......The Clinical Trials Subcommittee of the International Headache Society published its first edition of the guidelines on controlled trials of drugs in tension-type headache in 1995. These aimed 'to improve the quality of controlled clinical trials in tension-type headache', because 'good quality...... controlled trials are the only way to convincingly demonstrate the efficacy of a drug, and form the basis for international agreement on drug therapy'. The Committee published similar guidelines for clinical trials in migraine and cluster headache. Since 1995 several studies on the treatment of episodic...

  13. Targeting intensive glycaemic control versus targeting conventional glycaemic control for type 2 diabetes mellitus

    DEFF Research Database (Denmark)

    Hemmingsen, Bianca; Lund, Søren; Gluud, Christian

    2011-01-01

    Patients with type 2 diabetes mellitus (T2D) exhibit an increased risk of cardiovascular disease and mortality compared to the background population. Observational studies report a relationship between reduced blood glucose and reduced risk of both micro- and macrovascular complications in patients...... with T2D....

  14. Role of parenting style in achieving metabolic control in adolescents with type 1 diabetes.

    Science.gov (United States)

    Shorer, Maayan; David, Ravit; Schoenberg-Taz, Michal; Levavi-Lavi, Ifat; Phillip, Moshe; Meyerovitch, Joseph

    2011-08-01

    To examine the role of parenting style in achieving metabolic control and treatment adherence in adolescents with type 1 diabetes. Parents of 100 adolescents with type 1 diabetes completed assessments of their parenting style and sense of helplessness. Parents and patients rated patient adherence to the treatment regimen. Glycemic control was evaluated by HbA(1c) values. An authoritative paternal parenting style predicted better glycemic control and adherence in the child; a permissive maternal parenting style predicted poor adherence. A higher sense of helplessness in both parents predicted worse glycemic control and lesser adherence to treatment. Parental sense of helplessness was a significant predictor of diabetes control after correcting for other confounders (patient age, sex, and treatment method). An authoritative nonhelpless parenting style is associated with better diabetes control in adolescents. Paternal involvement is important in adolescent diabetes management. These results have implications for psychological interventions.

  15. The Association of Binge Eating Disorder with Glycemic Control in Patients with Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Fatih Canan

    2011-06-01

    Full Text Available Objective: Our aim was to assess the prevalence of binge eating disorder (BED in individuals with type 2 diabetes and to investigate whether a comorbidity with BED would affect glycemic control in these patients. Materials and Methods: Eighty-two type 2 diabetic patients were enrolled. The participants were assessed for eating disorders by a psychiatrist. Blood samples were drawn and HbA1c and other biochemical parameters were measured. Results: Of the 82 subjects, 27 (34.1% met the criteria for BED. No other types of eating disorders were detected. HbA1c was significantly higher in individuals with BED (p<0.05. Conclusion: Our findings reveal that BED is highly prevalent among type 2 diabetic patients and it impairs glycemic control. Thus, patients with type 2 diabetes should be assessed carefully for eating disorders. Turk Jem 2011; 15: 26-7

  16. A Current Sensorless MPPT Control Method for a Stand-Alone-Type PV Generation System

    Science.gov (United States)

    Itako, Kazutaka; Mori, Takeaki

    In this paper, a current sensorless MPPT control method for a stand-alone-type PV generation system is proposed. This control method offers advantages of the simplified hardware configuration and the low cost, by using only one sensor to measure the PV output voltage. In the application to stand-alone-type with a battery load, the experimental results show that the estimated values of PV output current are accurate, and the use of the proposed MPPT control increases the PV generated energy by 16.3% compared to the conventional system. Furthermore, it is clarified that the proposed method has extremely high UUF (Useful utilization factor) of 98.7%.

  17. A Modified Model Reference Adaptive Control for a Single Motor of Latch Type Control Element Drive Mechanism

    International Nuclear Information System (INIS)

    Park, Bae Jeong

    2016-01-01

    A modified Model Reference Adaptive Control (MRAC) for a single motor of latch type Control Element Drive Mechanism (CEDM) is described herein. The CEDM has complicated dynamic characteristics including electrical, mechanical, and magnetic effects. The previous control system has utilized a Proportional-Integral (PI) controller, and the control performance is limited according to nonlinear dynamic characteristics and environmental conditions. The modified MRAC using system identification (ID) technique improves the control performance in the operating condition such as model parameter variation and environmental condition change. The modified MRAC using the identified reference model with feed-forward gain and 180Hz noise reduction filter presents better performance under normal and/or abnormal condition. The simplified reference model can make H/W implementation more practical on the viewpoint of less computation and good performance. Actually, the CEDM controller shall be capable of controlling 101 control element assemblies (CEAs) individually in the nuclear power plant. Because the load conditions and the environmental condition around the 101 CEAs are all different minutely, the proposed modified MRAC can be a good practice. The modified MRAC controller will be applied in the real nuclear power plant later and this will overcome some weak point of PI controller

  18. FORMATION CONTROL OF MULTIPLE UNICYCLE-TYPE ROBOTS USING LIE GROUP

    Directory of Open Access Journals (Sweden)

    Youwei Dong

    2016-02-01

    Full Text Available In this paper the formation control of a multi-robots system is investigated. The proposed control law, based on Lie group theory, is applied to control the formation of a group of unicycle-type robots. The communication topology is supposed to be a rooted directed acyclic graph and fixed. Some numerical simulations using Matlab are made to validate our results.

  19. Computationally Efficient Adaptive Type-2 Fuzzy Control of Flexible-Joint Manipulators

    Directory of Open Access Journals (Sweden)

    Hicham Chaoui

    2013-05-01

    Full Text Available In this paper, we introduce an adaptive type-2 fuzzy logic controller (FLC for flexible-joint manipulators with structured and unstructured dynamical uncertainties. Simplified interval fuzzy sets are used for real-time efficiency, and internal stability is enhanced by adopting a trade-off strategy between the manipulator’s and the actuators’ velocities. Furthermore, the control scheme is independent of the computationally expensive noisy torque and acceleration signals. The controller is validated through a set of numerical simulations and by comparing it against its type-1 counterpart. The ability of the adaptive type-2 FLC in coping with large magnitudes of uncertainties yields an improved performance. The stability of the proposed control system is guaranteed using Lyapunov stability theory.

  20. Decentralized RBFNN Type-2 Fuzzy Sliding Mode Controller for Robot Manipulator Driven by Artificial Muscles

    Directory of Open Access Journals (Sweden)

    Rezoug Amar

    2012-11-01

    Full Text Available In the few last years, investigations in neural networks, fuzzy systems and their combinations become attractive research areas for modeling and controlling of uncertain systems. In this paper, we propose a new robust controller based on the integration of a Radial Base Function Neural Network (RBFNN and an Interval Type-2 Fuzzy Logic (IT2FLC for robot manipulator actuated by pneumatic artificial muscles (PAM. The proposed approach was synthesized for each joint using Sliding Mode Control (SMC and named Radial Base Function Neural Network Type-2 Fuzzy Sliding Mode Control (RBFT2FSMC. Several objectives can be accomplished using this control scheme such as: avoiding difficult modeling, attenuating the chattering effect of the SMC, reducing the rules number of the fuzzy control, guaranteeing the stability and the robustness of the system, and finally handling the uncertainties of the system. The proposed control approach is synthesized and the stability of the robot using this controller was analyzed using Lyapunov theory. In order to demonstrate the efficiency of the RBFT2FSMC compared to other control technique, simulations experiments were performed using linear model with parameters uncertainties obtained after identification stage. Results show the superiority of the proposed approach compared to RBFNN Type-1 Fuzzy SMC. Finally, an experimental study of the proposed approach was presented using 2-DOF robot.

  1. Resveratrol as Add-on Therapy in Subjects With Well-Controlled Type 2 Diabetes: A Randomized Controlled Trial.

    NARCIS (Netherlands)

    Timmers, S.; Ligt, M. de; Phielix, E.; Weijer, T. van de; Hansen, J.; Moonen-Kornips, E.; Schaart, G.; Kunz, I.; Hesselink, M.K.; Schrauwen-Hinderling, V.B.; Schrauwen, P.

    2016-01-01

    OBJECTIVE: To determine whether resveratrol supplementation can improve insulin sensitivity and promote overall metabolic health on top of standard diabetes care. RESEARCH DESIGN AND METHODS: Seventeen subjects with well-controlled type 2 diabetes (T2D) were treated with placebo and 150 mg/day

  2. A front-end system for industrial type controls at the SSC

    International Nuclear Information System (INIS)

    Haenni, D.R.

    1992-01-01

    The SSC control system is tasked with coordinating the operation of many different accelerator subsystems, a number of which use industrial type process controls. The design of a high-performance control system front end is presented which serves both as a data concentrator and a distributed process controller. In addition it provides strong support for a centralized control system architecture, allows for regional control systems, and simplifies the construction of inter-subsystem controls. An implementation of this design will be discussed which uses STD-Bus for accelerator hardware interfacing, a time domain multiplexing (TDM) communications transport system, and a modified reflective memory interface to the rest of the control system. (author)

  3. Protocol converter for serial communication between digital rectifier controllers and a power plant SCADA system

    Directory of Open Access Journals (Sweden)

    Vukić Vladimir Đ.

    2016-01-01

    Full Text Available The paper describes the protocol converter INT-485-MBRTU, developed for serial communication between the thyristor rectifier (based on the proprietary protocol "INT-CPD-05", according to standard RS-485 and the SCADA system (based on protocol "Modbus RTU", of the same standard in the thermal power plant "Nikola Tesla B1". Elementary data on industrial communication protocols and communication gateways were provided. The basic technical characteristics of the "Omron" programmable logic controller CJ series were described, as well as the developed device INT-485-MBRTU. Protocol converters with two versions of communication software were tested, differing only in one control word, intended for a forced successive change of communication sequences, in opposite to automatic sequence relieve. The device iNT-485-MBRTU, with the program for forced successive change of communication sequences, demonstrated the reliability of data transfer of 100 %, in a sample of approximately 480 messages. For nearly the same sample, the same protocol converter, with a version of the program without any type of message identifiers, transferred less than 60 % of the foreseen data. During multiple sixty-hour tests, the reliability of data transfer of at least 99.9979% was recorded, in 100% of the analysed cases, and for a sample of nearly 96,000 pairs of the send and receive messages. We analysed the results and estimated the additional possibilities for application of the INT-485-MBRTU protocol converter.

  4. A Stochastic Maximum Principle for Risk-Sensitive Mean-Field Type Control

    KAUST Repository

    Djehiche, Boualem

    2015-02-24

    In this paper we study mean-field type control problems with risk-sensitive performance functionals. We establish a stochastic maximum principle (SMP) for optimal control of stochastic differential equations (SDEs) of mean-field type, in which the drift and the diffusion coefficients as well as the performance functional depend not only on the state and the control but also on the mean of the distribution of the state. Our result extends the risk-sensitive SMP (without mean-field coupling) of Lim and Zhou (2005), derived for feedback (or Markov) type optimal controls, to optimal control problems for non-Markovian dynamics which may be time-inconsistent in the sense that the Bellman optimality principle does not hold. In our approach to the risk-sensitive SMP, the smoothness assumption on the value-function imposed in Lim and Zhou (2005) needs not be satisfied. For a general action space a Peng\\'s type SMP is derived, specifying the necessary conditions for optimality. Two examples are carried out to illustrate the proposed risk-sensitive mean-field type SMP under linear stochastic dynamics with exponential quadratic cost function. Explicit solutions are given for both mean-field free and mean-field models.

  5. Evaluation of PD/PID controller for insulin control on blood glucose regulation in a Type-I diabetes

    Science.gov (United States)

    Mahmud, Farhanahani; Isse, Nadir Hussien; Daud, Nur Atikah Mohd; Morsin, Marlia

    2017-01-01

    This project introduces a simulation of Proportional-Derivative (PD) and Proportional-Integral-Derivative (PID) controller based on a virtual Type 1 Diabetes Mellitus (T1DM) patient: Hovorka diabetic model using MATLAB-Simulink software. The results of these simulations are based on three tuning responses for each controller which are fast, slow and oscillation responses. The main purpose of this simulation is to achieve an acceptable stability and fastness response towards the regulation of glucose concentration using PD and PID controller response with insulin infusion rate. Therefore, in order to analyze and compare the responses of both controller performances, one-day simulations of the insulin-glucose dynamic have been conducted using a typical day meal plan that contains five meals of different bolus size. It is found that the PID closed-loop control with a short rise time is required to retrieve a satisfactory glucose regulation.

  6. Control of non-conventional synchronous motors

    CERN Document Server

    Louis, Jean-Paul

    2013-01-01

    Classical synchronous motors are the most effective device to drive industrial production systems and robots with precision and rapidity. However, numerous applications require efficient controls in non-conventional situations. Firstly, this is the case with synchronous motors supplied by thyristor line-commutated inverters, or with synchronous motors with faults on one or several phases. Secondly, many drive systems use non-conventional motors such as polyphase (more than three phases) synchronous motors, synchronous motors with double excitation, permanent magnet linear synchronous motors,

  7. JUSTIFICATION OF CONTROL SYSTEM TYPES OF UNMANNED AERIAL VEHICLE FOR CIVIL AVIATION

    Directory of Open Access Journals (Sweden)

    Volodymyr Kharchenko

    2017-03-01

    Full Text Available Objective: The problem of unmanned aerial vehicle control systems is a complicated issue which requires consideration of the tasks and applications of unmanned aerial vehicles. The typology of control systems combination for civil unmanned aerial vehicle is suggested and justified. Methods: The methodology of the research was based on application of the varieties of the experts method for rationale of the variants of control system combinations for a specific type of unmanned aerial vehicle and the morphological analysis was used to generate the variants of control system combinations. Results: The causes that lead to discrepancies in types of control systems for civil unmanned aerial vehicle are revealed. Compliance between remote radio control application and type of feedback signal are considered. Based on morphological analysis method, 25 variants of combined unmanned aerial vehicle control systems are suggested. Discussion: Regulatory, substantive and technical components of basic unmanned aerial vehicle control systems are considered. The practical experience of the development by Scientific Production Center of Unmanned Aviation “Virazh” is used to demonstrate the applicability of findings.

  8. Evaluation of random plasma glucose for assessment of glycaemic control in type 2 diabetes mellitus.

    Science.gov (United States)

    Ain, Qurratul; Latif, Atif; Jaffar, Syed Raza; Ijaz, Aamir

    2017-09-01

    To evaluate the accuracy of random plasma glucose in outpatients with type 2 diabetes mellitus for assessing glycaemic control. This comparative, cross-sectional study was conducted at the chemical pathology department of PNS Shifa Hospital, Karachi, from August 2015 to March 2016, and comprised data of subjects with type 2 diabetes mellitus who reported for evaluation of glycaemic control in non-fasting state. All blood samples were analysed for random plasma glucose and glycated haemoglobin. Random plasma glucose was compared as an index test with glycated haemoglobin considering it as reference standard at a value of less than 7% for good glycaemic control. SPSS 20 was used for data analysis. Of the 222 subjects, 93(42%) had good glycaemic control. Random plasma glucose showed strong positive correlation with glycated haemoglobin (p=0.000).Area under curve for random plasma glucose as determined by plotting receiver operating characteristic curve against glycated haemoglobin value of 7% was 0.89 (95% confidence interval: 0.849-0.930). Random plasma glucose at cut-off value of 150 mg/dl was most efficient for ruling out poor glycaemic control among patients with type 2 diabetes mellitus with 90.7% sensitivity and69.9% specificity and Youden's index of 0.606. Random plasma glucose may be used to reflect glycaemic control in adults with type 2 diabetes mellitus in areas where glycated haemoglobin is not feasible.

  9. A Lead Angle Control for HB-Type Stepping Motor in the Constant Voltage Range

    Science.gov (United States)

    Okumatsu, Yoshihiro; Kawamura, Atsuo

    Stepping motors are generally used as a positioning servo in the OA (Office Automation) and FA (Factory Automation) system because the construction cost is very low and the construction of system is very easy. Since they are generally driven by an open loop controller, the response of stepping motors is oscillatory and it is possible to be out of drive. Therefore they are driven by a closed loop controller in the special system, which requires the high reliability and stability. The lead angle control is used as a closed loop controller of stepping motors because an applied voltage amplitude is not able to be controlled. However a closed loop control of stepping motors is hardly used at present. This paper presents the lead angle control based on the vector control in the constant voltage drive range for 2 phases HB type stepping motors. In the constant voltage range, since the HB type stepping motor is modeled as a surface permanent magnet motor, the motor torque is controlled by the q-axis current. The d-axis current is calculated by the voltage limit condition because of the constant voltage amplitude operation. The control performances are examined by the simulations and experimental results.

  10. Inhibitory control in bulimic-type eating disorders: a systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Mudan Wu

    Full Text Available The aim of this meta-analysis was to summarise data from neuropsychological studies on inhibitory control to general and disease-salient (i.e., food/eating, body/shape stimuli in bulimic-type eating disorders (EDs. A systematic literature search was conducted to identify eligible experimental studies. The outcome measures studied included the performance on established inhibitory control tasks in bulimic-type EDs. Effect sizes (Hedges' g were pooled using random-effects models. For inhibitory control to general stimuli, 24 studies were included with a total of 563 bulimic-type ED patients: 439 had bulimia nervosa (BN, 42 had anorexia nervosa of the binge/purge subtype (AN-b, and 82 had binge eating disorder (BED. With respect to inhibitory control to disease-salient stimuli, 12 studies were included, representing a total of 218 BN patients. A meta-analysis of these studies showed decreased inhibitory control to general stimuli in bulimic-type EDs (g = -0.32. Subgroup analysis revealed impairments with a large effect in the AN-b group (g = -0.91, impairments with a small effect in the BN group (g = -0.26, and a non-significant effect in the BED group (g = -0.16. Greater impairments in inhibitory control were observed in BN patients when confronted with disease-salient stimuli (food/eating: g = -0.67; body/shape: g = -0.61. In conclusion, bulimic-type EDs showed impairments in inhibitory control to general stimuli with a small effect size. There was a significantly larger impairment in inhibitory control to disease salient stimuli observed in BN patients, constituting a medium effect size.

  11. Inhibitory control in bulimic-type eating disorders: a systematic review and meta-analysis.

    Science.gov (United States)

    Wu, Mudan; Hartmann, Mechthild; Skunde, Mandy; Herzog, Wolfgang; Friederich, Hans-Christoph

    2013-01-01

    The aim of this meta-analysis was to summarise data from neuropsychological studies on inhibitory control to general and disease-salient (i.e., food/eating, body/shape) stimuli in bulimic-type eating disorders (EDs). A systematic literature search was conducted to identify eligible experimental studies. The outcome measures studied included the performance on established inhibitory control tasks in bulimic-type EDs. Effect sizes (Hedges' g) were pooled using random-effects models. For inhibitory control to general stimuli, 24 studies were included with a total of 563 bulimic-type ED patients: 439 had bulimia nervosa (BN), 42 had anorexia nervosa of the binge/purge subtype (AN-b), and 82 had binge eating disorder (BED). With respect to inhibitory control to disease-salient stimuli, 12 studies were included, representing a total of 218 BN patients. A meta-analysis of these studies showed decreased inhibitory control to general stimuli in bulimic-type EDs (g = -0.32). Subgroup analysis revealed impairments with a large effect in the AN-b group (g = -0.91), impairments with a small effect in the BN group (g = -0.26), and a non-significant effect in the BED group (g = -0.16). Greater impairments in inhibitory control were observed in BN patients when confronted with disease-salient stimuli (food/eating: g = -0.67; body/shape: g = -0.61). In conclusion, bulimic-type EDs showed impairments in inhibitory control to general stimuli with a small effect size. There was a significantly larger impairment in inhibitory control to disease salient stimuli observed in BN patients, constituting a medium effect size.

  12. A New Type Hi-Speed BLDC Control System Base on Indirect Current Control Strategy

    Science.gov (United States)

    Wang, D. P.; Wang, Y. C.; Zhang, F. G.; Jin, S.

    2017-05-01

    High speed BLDC has the characteristic as larger air gap smaller armature inductance, traditional PWM modulation will produce a great number of high frequency current harmonics which led problem like large torque ripple and serious motor heat. In the meantime traditional PWM modulation use the diode rectifier which cause harmonic pollution in electric power net. To solve the problem above, proposes a new motor controller topology. Using the IGBT device to replace the diode on frequency converter rectifier side, apply the power factor correction technology, reduce the pollution on the grid. Using busbar current modulation on the inverter, driving bridge-arm use 3-phase 6-state open as driving Mode, realize the control on a 10000r/min,10kw BLDC. The results of Simulation on matlab show the topological structure as proposed can effectively improve the network side power factor and reduce the motor armature winding harmonic and motor torque ripple.

  13. An artificial pancreas for automated blood glucose control in patients with Type 1 diabetes.

    Science.gov (United States)

    Schmidt, Signe; Boiroux, Dimitri; Ranjan, Ajenthen; Jørgensen, John Bagterp; Madsen, Henrik; Nørgaard, Kirsten

    2015-01-01

    Automated glucose control in patients with Type 1 diabetes is much-coveted by patients, relatives and healthcare professionals. It is the expectation that a system for automated control, also know as an artificial pancreas, will improve glucose control, reduce the risk of diabetes complications and markedly improve patient quality of life. An artificial pancreas consists of portable devices for glucose sensing and insulin delivery which are controlled by an algorithm residing on a computer. The technology is still under development and currently no artificial pancreas is commercially available. This review gives an introduction to recent progress, challenges and future prospects within the field of artificial pancreas research.

  14. Approximate controllability of Sobolev type fractional stochastic nonlocal nonlinear differential equations in Hilbert spaces

    Directory of Open Access Journals (Sweden)

    Mourad Kerboua

    2014-12-01

    Full Text Available We introduce a new notion called fractional stochastic nonlocal condition, and then we study approximate controllability of class of fractional stochastic nonlinear differential equations of Sobolev type in Hilbert spaces. We use Hölder's inequality, fixed point technique, fractional calculus, stochastic analysis and methods adopted directly from deterministic control problems for the main results. A new set of sufficient conditions is formulated and proved for the fractional stochastic control system to be approximately controllable. An example is given to illustrate the abstract results.

  15. PID-Type Fuzzy Control for Anti-Lock Brake Systems with Parameter Adaptation

    Science.gov (United States)

    Chen, Chih-Keng; Shih, Ming-Chang

    In this research, a platform is built to accomplish a series of experiments to control the Antilock Brake System (ABS). A commercial ABS module controlled by a controller is installed and tested on the platform. The vehicle and tire models are deduced and simulated by a personal computer for real time control. An adaptive PID-type fuzzy control scheme is used. Two on-off conversion methods: pulse width modulation (PWM) and conditional on-off, are used to control the solenoid valves in the ABS module. With the pressure signal feedbacks in the caliper, vehicle dynamics and wheel speeds are computed during braking. Road surface conditions, vehicle weight and control schemes are varied in the experiments to study braking properties.

  16. Impact of Glycemic Control on Risk of Infections in Patients With Type 2 Diabetes

    DEFF Research Database (Denmark)

    Mor, Anil; Dekkers, Olaf M.; Nielsen, Jens S.

    2017-01-01

    Infections are a major clinical challenge for type 2 diabetes patients, but little is known about the impact of glycemic control. We used Cox regression analyses to examine the association between baseline and time-varying HbA1c values and development of community antiinfective-treated and hospital.......51, 1.79) for the latest updated HbA1c. Our findings provide evidence for an association of current hyperglycemia with infection risk in type 2 diabetes patients....

  17. Validity of the Type D personality construct in Danish post-MI patients and healthy controls

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; Denollet, Johan

    2004-01-01

    was developed in Belgian cardiac patients, but little is known about its applicability in other nationalities. The objectives of the present article were to cross-validate the Type D Personality Scale-16 (DS16) in a Danish sample of patients with a first myocardial infarction and a random sample of healthy...... controls, and to investigate whether Type D is associated with posttraumatic stress disorder (PTSD)....

  18. Academic abilities and glycaemic control in children and young people with Type 1 diabetes mellitus.

    Science.gov (United States)

    Semenkovich, K; Patel, P P; Pollock, A B; Beach, K A; Nelson, S; Masterson, J J; Hershey, T; Arbeláez, A M

    2016-05-01

    To determine if children and young people aged age-matched control subjects without Type 1 diabetes and whether academic scores are related to glycaemic control. Using a cross-sectional study design, we administered cognitive and academic tests (Woodcock-Johnson III Spatial Relations, General Information, Letter-Word Recognition, Calculation and Spelling tests) to young people with Type 1 diabetes (n=61) and control subjects (n=26) aged 9-22 years. The groups did not differ in age or gender. Participants with Type 1 diabetes had a disease duration of 5-17.7 years. History of glycaemic control (HbA1c , diabetic ketoacidosis and severe hypoglycaemic episodes) was obtained via medical records and interviews. The participants with Type 1 diabetes had a lower mean estimated verbal intelligence (IQ) level compared with those in the control group (P=0.04). Greater exposure to hyperglycaemia over time was associated with lower spelling abilities within the group with Type 1 diabetes (P=0.048), even after controlling for age, gender, socio-economic status, blood glucose level at time of testing and verbal IQ (P=0.01). History of severe hypoglycaemia or ketoacidosis was not associated with differences in academic abilities. In children and young people, Type 1 diabetes was associated with a lower verbal IQ. Moreover, increased exposure to hyperglycaemia was associated with lower spelling performance. These results imply that hyperglycaemia can affect cognitive function and/or learning processes that may affect academic achievement. © 2015 Diabetes UK.

  19. Development of the 'JFT-2' tokamak plasma position control system

    International Nuclear Information System (INIS)

    Fujisawa, Noboru; Matsuzaki, Yoshimi; Suzuki, Norio; Murai, Katsuji; Suzuki, Satoshi.

    1980-01-01

    Digital control technique was applied to control the plasma position in the JFT-2 tokamak experiment device. The detail of the JFT-2 is described elsewhere. The plasma position control system consists of a Hitachi control computer, HIDIC 80, and a Hitachi micro-computer, HIDIC 08E. The plasma position is detected by the position control computer, and compared with a preset value. Then, a reference signal is supplied to the micro-computer controlling power source, and the phase control of the thyristor controlling power source is performed. Since the behavior of plasma is very fast, the fast control is required. The control of the thyristor controlling power source is made by direct digital control (DDC). The main component of the hardware of the present system is the micro-computer HIDIC 08E. The software is the direct task system without the operating system (OS). The results of experiments showed that the feedback control of the system worked well. (Kato, T.)

  20. DESCRIPTION OF THE BUDGET CONTROL TYPES IN MODERN CONDITIONS OF PUBLIC FINANCE MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Nataliya Melnichuk

    2016-11-01

    Full Text Available The article highlights the essence of budgetary control. The features of control in the public sector performance are grounded as well as the relationship between verifiability and the controllability. It is proved that the achievement of public finance management needs its controllability. There is no alternative verifiability by ensuring controllability of budget resources. The classification criteria of budgetary control types according to the different classification criteria are developed. It has allowed to distinguish its following types: scheduled, unscheduled, previous, current, next, state, municipal, specialized, departmental, public, external, internal, solid, selective, comprehensive, effective, ineffective, centralized, decentralized, legislative, realizable, further, active, passive, available, projected, intermediate, final, mixed. The purpose of the article is to provide a classification criteria of budgetary control development, taking into account the role and functions of control in public finance management. The subject of the study is a set of financial relationships arising during the budgetary control due to appropriation of financial resources. Methodology. The following methods have been used in the process of writing: cognition, induction, deduction, analysis and synthesis. Results of the survey. Thus, the main directions of budgetary control implementation we can consider the following ones: monitoring compliance with procedures for preparation, review and approval of state and local budgets; the implementation of revenue and expenditure of the budget at the national and local levels control; detection of theft of public funds, as well as their misuse; accuracy of accounting control; increasing the revenue base of the state budget detection; preventive measures to combat corruption and bribery in the public sector. The author’s approach to classification criteria of budgetary control types, unlike existing ones

  1. Distress and type 2 diabetes-treatment adherence: A mediating role for perceived control.

    Science.gov (United States)

    Gonzalez, Jeffrey S; Shreck, Erica; Psaros, Christina; Safren, Steven A

    2015-05-01

    To better understand independent pathways linking emotional distress, medication adherence, and glycemic control in adults with Type 2 diabetes, as well as the potential mediating effects of perceived control over illness and self-efficacy. Adults with Type 2 diabetes (N = 142) were recruited for an intervention study evaluating cognitive-behavioral therapy for adherence and depression. Depressive symptom severity was assessed via semistructured interview. Validated self-reports assessed diabetes-related distress, perceived control over diabetes (perceived control), self-efficacy for diabetes self-management, and medication adherence. Glycemic control was evaluated by hemoglobin A1C. Only baseline data were included in correlational and linear regression analyses. Perceived control was an important mediator of emotional distress for both medication adherence and A1C outcomes. Specifically, regression analyses demonstrated that diabetes distress, but not depression severity, was significantly related to medication adherence and A1C. Self-efficacy and perceived control were also independently associated with medication adherence and A1C. Mediation analyses demonstrated a significant indirect effect for diabetes distress and medication adherence through perceived control and self-efficacy. The relationship between distress and A1C was accounted for by an indirect effect through perceived control. Results demonstrated that diabetes-related emotional distress is associated with poorer treatment adherence and glycemic control among adults with Type 2 diabetes; these relationships were partially mediated through perceived control over diabetes. Perceptions of one's personal ability to influence the course of diabetes may be important in understanding the pathway between emotional distress and poor diabetes-treatment outcomes. (c) 2015 APA, all rights reserved).

  2. Optimization of control parameters of a hot cold controller by means of Simplex type methods

    Science.gov (United States)

    Porte, C.; Caron-Poussin, M.; Carot, S.; Couriol, C.; Moreno, M. Martin; Delacroix, A.

    1997-01-01

    This paper describes a hot/cold controller for regulating crystallization operations. The system was identified with a common method (the Broida method) and the parameters were obtained by the Ziegler-Nichols method. The paper shows that this empirical method will only allow a qualitative approach to regulation and that, in some instances, the parameters obtained are unreliable and therefore cannot be used to cancel variations between the set point and the actual values. Optimization methods were used to determine the regulation parameters and solve this identcation problem. It was found that the weighted centroid method was the best one. PMID:18924791

  3. Periodontitis deteriorates metabolic control in type 2 diabetic Goto-Kakizaki rats

    DEFF Research Database (Denmark)

    Pontes Andersen, Carla C; Buschard, Karsten; Flyvbjerg, Allan

    2006-01-01

    BACKGROUND: Epidemiologic and clinical studies have indicated that periodontal disease (PD) may cause disturbances in general health and even affect diabetes. The aim of this study was to gain knowledge on the effect of PD on diabetes metabolic control in a new model for type 2 diabetes-associate......BACKGROUND: Epidemiologic and clinical studies have indicated that periodontal disease (PD) may cause disturbances in general health and even affect diabetes. The aim of this study was to gain knowledge on the effect of PD on diabetes metabolic control in a new model for type 2 diabetes...

  4. Prevention of complications in glycogen storage disease type Ia with optimization of metabolic control.

    Science.gov (United States)

    Dambska, M; Labrador, E B; Kuo, C L; Weinstein, D A

    2017-08-01

    Prior to 1971, type Ia glycogen storage disease was marked by life-threatening hypoglycemia, lactic acidosis, severe failure to thrive, and developmental delay. With the introduction of continuous feeds in the 1970s and cornstarch in the 1980s, the prognosis improved, but complications almost universally developed. Changes in the management of type Ia glycogen storage disease have resulted in improved metabolic control, and this manuscript reviews the increasing evidence that complications can be delayed or prevented with optimal metabolic control as previously was seen in diabetes. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. Critical experiment on a flux-trap-type hafnium control blade for BWRs

    International Nuclear Information System (INIS)

    Ueda, M.; Tanzawa, T.; Yoshioka, R.

    1987-01-01

    Boron carbide has been utilized as a neutron absorber in boiling water reactors (BWRs) and other types of reactors. It has a number of advantages, yet is not well suited for very high neutron exposure. An alternative long-lived control blade has therefore been sought. It is well known that hafnium may be best suited for this purpose, yet it has the disadvantage of heavy weight and low reactivity worth. This has been overcome by introducing a flux-trap-type all-hafnium control blade for BWRs. The blades are now involved in licensing procedures in some Japanese BWR plants

  6. Adolescents with poorly controlled type 1 diabetes can benefit from coaching

    DEFF Research Database (Denmark)

    Ammentorp, Jette; Thomsen, Jane; Kofoed, Poul-Erik

    2013-01-01

    Traditional interventions aimed at improving patient self-management and at motivating the patients to change behaviour seem to be insufficient in adolescents with very high HbA1c. In this paper we present a case consisting of nine adolescents with poorly controlled diabetes type 1. They had prev...... gained more self-esteem and more energy.......Traditional interventions aimed at improving patient self-management and at motivating the patients to change behaviour seem to be insufficient in adolescents with very high HbA1c. In this paper we present a case consisting of nine adolescents with poorly controlled diabetes type 1. They had...

  7. About a New Type of Fuse Based on the Controllable Fusing Effect

    Directory of Open Access Journals (Sweden)

    PLESCA, A.

    2009-06-01

    Full Text Available Fuses are among the best known of electrical devices and there are an extremely large number in use throughout the world. Beside of the advantageous features, the nowadays fuses have certain drawbacks. Therefore, a new type of fuse based on controllable fusing concept is proposed and a study as regards the total clearing time is done. The new concept has been validated through many experimental tests at different current values. The new type of fuse based on controllable fusing concept can be integrated within an overcurrent protection system especially to protect power semiconductors where the Joule integral criterion is better satisfied.

  8. Power flow control strategy in distribution network for dc type distributed energy resource at load bus

    International Nuclear Information System (INIS)

    Hanif, A.; Choudhry, M.A.

    2013-01-01

    This research work presents a feed forward power flow control strategy in the secondary distribution network working in parallel with a DC type distributed energy resource (DER) unit with SPWM-IGBT Voltage Source Converter (VSC). The developed control strategy enables the VSC to be used as power flow controller at the load bus in the presence of utility supply. Due to the investigated control strategy, power flow control from distributed energy resource (DER) to common load bus is such that power flows to the load without facing any power quality problem. The technique has an added advantage of controlling power flow without having a dedicated power flow controller. The SPWM-IGBT VSC is serving the purpose of dc-ac converter as well as power flow controller. Simulations for a test system using proposed power flow control strategy are carried out using SimPower Systems toolbox of MATLAB at the rate and Simulink at the rate. The results show that a reliable, effective and efficient operation of DC type DER unit in coordination with main utility network can be achieved. (author)

  9. Continuous, saturation, and discontinuous tokamak plasma vertical position control systems

    Energy Technology Data Exchange (ETDEWEB)

    Mitrishkin, Yuri V., E-mail: y_mitrishkin@hotmail.com [M. V. Lomonosov Moscow State University, Faculty of Physics, Moscow 119991 (Russian Federation); Pavlova, Evgeniia A., E-mail: janerigoler@mail.ru [M. V. Lomonosov Moscow State University, Faculty of Physics, Moscow 119991 (Russian Federation); Kuznetsov, Evgenii A., E-mail: ea.kuznetsov@mail.ru [Troitsk Institute for Innovation and Fusion Research, Moscow 142190 (Russian Federation); Gaydamaka, Kirill I., E-mail: k.gaydamaka@gmail.com [V. A. Trapeznikov Institute of Control Sciences of the Russian Academy of Sciences, Moscow 117997 (Russian Federation)

    2016-10-15

    Highlights: • Robust new linear state feedback control system for tokamak plasma vertical position. • Plasma vertical position relay control system with voltage inverter in sliding mode. • Design of full models of multiphase rectifier and voltage inverter. • First-order unit approximation of full multiphase rectifier model with high accuracy. • Wider range of unstable plant parameters of stable control system with multiphase rectifier. - Abstract: This paper is devoted to the design and comparison of unstable plasma vertical position control systems in the T-15 tokamak with the application of two types of actuators: a multiphase thyristor rectifier and a transistor voltage inverter. An unstable dynamic element obtained by the identification of plasma-physical DINA code was used as the plasma model. The simplest static feedback state space control law was synthesized as a linear combination of signals accessible to physical measurements, namely the plasma vertical displacement, the current, and the voltage in a horizontal field coil, to solve the pole placement problem for a closed-loop system. Only one system distinctive parameter was used to optimize the performance of the feedback system, viz., a multiple real pole. A first-order inertial unit was used as the rectifier model in the feedback. A system with a complete rectifier model was investigated as well. A system with the voltage inverter model and static linear controller was brought into a sliding mode. As this takes place, real time delays were taken into account in the discontinuous voltage inverter model. The comparison of the linear and sliding mode systems showed that the linear system enjoyed an essentially wider range of the plant model parameters where the feedback system was stable.

  10. Risk factors for periodontal diseases among Yemeni type II diabetic patients. A case-control study.

    Directory of Open Access Journals (Sweden)

    Anas Shamala

    2017-08-01

    Full Text Available Background: Chronic periodontal diseases are one of diabetes mellitus complications. The present study aims to compare the periodontal status of type II diabetic patients to a control group and assess the role of risk factors in both groups. Materials and methods: A case-control study was conducted of 270 individuals (132 type II diabetics and 138 non-diabetics. Full mouth periodontal examination including plaque index, gingival bleeding, gingival recession, clinical attachment loss (CAL, tooth mobility, furcation involvement and the number of missing teeth. The case group was subdivided according to glycosylated hemoglobin (HbA1c status (poorly controlled HbA1c >8 and well controlled HbA1c≤8 Likewise, the duration of diabetes mellitus as short or long duration (DM≤10 or >10. The diabetic group was also subdivided according to smoking and Khat chewing habits. Result: The severity of periodontal disease among type II diabetic patients were significantly higher compared to the control group regarding the plaque index 2.6 (1.6-4.3, bleeding on probing 3.5 (2.3-13.0, gingival recession 2.0 (1.2-3.4, furcation involvement 4.0 (2.3-6.7, clinical attachment loss 5.7 (3.1-10.5, tooth mobility 2.0 (1.2-3.4, and number of missing teeth 4.4 (2.3-8.5. In addition, poorly controlled type II DM and long duration had higher CAL and number of missing teeth than well-controlled DM and short duration. No significant differences were found between smokers/nonsmokers and Khat chewers/non-chewers among the diabetic group. Conclusion: Type II diabetic patients have severe periodontal destruction and tooth loss compared to non-diabetic people and there were no differences within the diabetic group in regards to smoking and Khat chewing habits.

  11. Doping in controlling the type of conductivity in bulk and nanostructured thermoelectric materials

    International Nuclear Information System (INIS)

    Fuks, D.; Komisarchik, G.; Kaller, M.; Gelbstein, Y.

    2016-01-01

    Doping of materials for thermoelectric applications is widely used nowadays to control the type of conductivity. We report the results of ab-initio calculations aimed at developing the consistent scheme for determining the role of impurities that may change the type of conductivity in two attractive thermoelectric classes of materials. It is demonstrated that alloying of TiNiSn with Cu makes the material of n-type, and alloying with Fe leads to p-type conductivity. Similar calculations for PbTe with small amount of Na substituting for Pb leads to p-type conductivity, while Cl substituting for Te makes PbTe an n-type material. It is shown also that for nano-grained materials the n-type conductivity should be observed. The effect of impurities segregating to the grain boundaries in nano-structured PbTe is also discussed. - Highlights: • Bulk and nano-grained TE materials were analyzed by DFT. • The electronic effects on both PbTe and TiNiSn were demonstrated. • The role of impurities on the conductivity type was analyzed. • Interfacial states in nano-grained PbTe affect the conductivity type.

  12. Glycemic control during consecutive days with prolonged walking exercise in individuals with type 1 diabetes mellitus.

    Science.gov (United States)

    van Dijk, Jan-Willem; Eijsvogels, Thijs M; Nyakayiru, Jean; Schreuder, Tim H A; Hopman, Maria T; Thijssen, Dick H; van Loon, Luc J C

    2016-07-01

    Despite its general benefits for health, exercise complicates the maintenance of stable blood glucose concentrations in individuals with type 1 diabetes. The aim of the current study was to examine changes in food intake, insulin administration, and 24-h glycemic control in response to consecutive days with prolonged walking exercise (∼8h daily) in individuals with type 1 diabetes. Ten individuals with type 1 diabetes participating in the worlds' largest walking event were recruited for this observational study. Simultaneous measurements of 24-h glycemic control (continuous glucose monitoring), insulin administration and food intake were performed during a non-walking day (control) and during three subsequent days with prolonged walking exercise (daily distance 40 or 50km). Despite an increase in daily energy (31±18%; p10 mmol/L) and hypoglycemia (blood glucose 0.05 for all variables). The prolonged walking exercise was associated with a modest increase in glycemic variability compared with the control day (pexercise allows for profound reductions in daily insulin administration in persons with type 1 diabetes, despite large increments in energy and carbohydrate intake. When taking such adjustments into account, prolonged moderate-intensity exercise does not necessarily impair 24-h glycemic control. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  13. Zero-Disturbance Control of Free-Floating Space Manipulators Using Integral-Type Sliding Mode Control

    Directory of Open Access Journals (Sweden)

    Heping Li

    2015-01-01

    Full Text Available A free-floating space manipulator is an underactuated system, of which the spacecraft is permitted to rotate freely in response to the manipulator motions. The dynamic coupling property between the spacecraft and the manipulator makes motion control of such systems a significant challenge. In the paper, a zero-disturbance control method for free-floating space manipulators operating in task space is presented. An explicit direct relationship between the spacecraft attitude quaternions and the manipulator joint variables is established using nonholonomic constraints of the angular momentum conservation. By this means the kinematic redundancy of the system is used to adjust the spacecraft attitude. An integral-type sliding mode controller with adaptive switching gains is developed for coordinated motion control of the spacecraft and the manipulator. Simulations on three-link planar model show that the spacecraft remains undisturbed during the whole process of manipulations, which confirms the effectiveness of the proposed method.

  14. Effect of a group-based rehabilitation programme on glycaemic control and cardiovascular risk factors in type 2 diabetes patients: The Copenhagen Type 2 Diabetes Rehabilitation Project

    DEFF Research Database (Denmark)

    Vadstrup, Eva Soelberg; Frølich, Anne; Perrild, Hans Jørgen Duckert

    2011-01-01

    To compare the effectiveness of a group-based rehabilitation programme with an individual counselling programme at improving glycaemic control and cardiovascular risk factors among patients with type 2 diabetes.......To compare the effectiveness of a group-based rehabilitation programme with an individual counselling programme at improving glycaemic control and cardiovascular risk factors among patients with type 2 diabetes....

  15. Intensive glucose control and risk of cancer in patients with type 2 diabetes

    DEFF Research Database (Denmark)

    Stefansdottir, G; Zoungas, S; Chalmers, J

    2011-01-01

    AIMS/HYPOTHESIS: Type 2 diabetes has been associated with an increased risk of cancer. This study examines the effect of more vs less intensive glucose control on the risk of cancer in patients with type 2 diabetes. METHODS: All 11,140 participants from the Action in Diabetes and Vascular Disease......: Preterax and Diamicron-MR Controlled Evaluation (ADVANCE) trial (ClinicalTrials.gov NCT00145925) were studied. Cancer incidence and cancer mortality was compared in groups randomised to intensive or standard glucose control. Information on events during follow-up was obtained from serious adverse event...... reports and death certificates. HRs (95% CI) were calculated for all cancers, all solid cancers, cancer deaths and site-specific cancers. RESULTS: After a median follow-up of 5 years, 363 and 337 cancer events were reported in the intensive and standard control groups, respectively (incidence 1...

  16. Two-dimensional optical feedback control of Euglena confined in closed-type microfluidic channels.

    Science.gov (United States)

    Ozasa, Kazunari; Lee, Jeesoo; Song, Simon; Hara, Masahiko; Maeda, Mizuo

    2011-06-07

    We examined two-dimensional (2D) optical feedback control of phototaxis flagellate Euglena cells confined in closed-type microfluidic channels (microaquariums), and demonstrated that the 2D optical feedback enables the control of the density and position of Euglena cells in microaquariums externally, flexibly, and dynamically. Using three types of feedback algorithms, the density of Euglena cells in a specified area can be controlled arbitrarily and dynamically, and more than 70% of the cells can be concentrated into a specified area. Separation of photo-sensitive/insensitive Euglena cells was also demonstrated. Moreover, Euglena-based neuro-computing has been achieved, where 16 imaginary neurons were defined as Euglena-activity levels in 16 individual areas in microaquariums. The study proves that 2D optical feedback control of photoreactive flagellate microbes is promising for microbial biology studies as well as applications such as microbe-based particle transportation in microfluidic channels or separation of photo-sensitive/insensitive microbes.

  17. 46 CFR 72.05-10 - Type, location, and construction of fire control bulkheads and decks.

    Science.gov (United States)

    2010-10-01

    ...)—Decks—Main Vertical Zones ADJACENT TO THIS SPACE: Control stations Stairway and elevator enclosures... SPACE: Control stations 1 A-30 A-30 A-15 A-0 A-0 A-15 A-30 A-0 A-0 A-0 A-0 A-0 A-0 Stairway and elevator..., B-15, B-0, or C, depending upon the type of space on each side of the bulkhead or above and below...

  18. Targeting intensive versus conventional glycaemic control for type 1 diabetes mellitus

    DEFF Research Database (Denmark)

    Kähler, Pernille; Grevstad, Berit; Almdal, Thomas

    2014-01-01

    , EMBASE, Science Citation Index Expanded and LILACS to January 2013. STUDY SELECTION: Randomised clinical trials that prespecified different targets of glycaemic control in participants at any age with type 1 diabetes mellitus were included. DATA EXTRACTION: Two authors independently assessed studies...... macrovascular outcome and on nephropathy, and detrimental effects on severe hypoglycaemia. Notably, the data for retinopathy and ketoacidosis were inconsistent. There was a severe lack of reporting on patient relevant outcomes, and all trials had poor bias control....

  19. Measuring channels for data transmission for on-line control systems of tokamak type thermonuclear devices

    International Nuclear Information System (INIS)

    Arsen'ev, V.A.; Bondarenko, I.M.; Gerasimov, V.P.; Repin, S.S.; Turkin, V.B.

    1982-01-01

    The experimental results are given of studying the measuring channel accuracy of automated control systems, automatic adjustment systems, interlocking and signalling control apparatus on tokamak-type devices. The diagram of the whole measuring channel is presented. It includes a measuring amplifier, a primary converter, a receiver-transmitter, secondary converters. Measurements of metrological characteristics of the measuring channels have shown that the design principles of the channels meet the measurement requarements of a tokamak device

  20. Dengue Virus Control of Type I IFN Responses: A History of Manipulation and Control.

    Science.gov (United States)

    Castillo Ramirez, Jorge Andrés; Urcuqui-Inchima, Silvio

    2015-06-01

    The arthropod-borne diseases caused by dengue virus (DENV) are a major and emerging problem of public health worldwide. Infection with DENV causes a series of clinical manifestations ranging from mild flu syndrome to severe diseases that include hemorrhage and shock. It has been demonstrated that the innate immune response plays a key role in DENV pathogenesis. However, in recent years, it was shown that DENV evades the innate immune response by blocking type I interferon (IFN-I). It has been demonstrated that DENV can inhibit both the production and the signaling of IFN-I. The viral proteins, NS2A and NS3, inhibit IFN-I production by degrading cellular signaling molecules. In addition, the viral proteins, NS2A, NS4A, NS4B, and NS5, can inhibit IFN-I signaling by blocking the phosphorylation of the STAT1 and STAT2 molecules. Finally, NS5 mediates the degradation of STAT2 using the proteasome machinery. In this study, we briefly review the most recent insights regarding the IFN-I response to DENV infection and its implication for pathogenesis.

  1. Tests of a sodium bonded type control element of 'Monju' with the actual conditions. Pt. 1

    International Nuclear Information System (INIS)

    Katoh, Jungo; Tanaka, Masako; Ikarimoto, Iwao

    2004-03-01

    This report provides a summary of the following three experimental and analytical results conducted on the sodium bonded double porous-plug type control element: the pretest of retention of the absorber in the double C-type shroud tube (the ASMI test); the stress analysis of the double C-type shroud tube; and the long-term submersion test of the sodium bonded type control element. The objective of the ASMI test and the stress analysis is to define the shroud tube's bottom structure. First, simulating the absorber shroud mechanical interaction (ASMI), we checked the function of absorber holding of the double C-type shroud tube. Second, we conducted the stress analysis, changing the distance between the end plug of the tube and the bottom end of the absorber, to determine proper position of the absorber. In addition, we conducted the long-term submersion test of the control element on which sodium residues had been left, and confirmed that no trouble occurred even though the element was submerged for a long time. The results of the above tests and analysis are as follows: (1) On the conditions that the end plug of the shroud tube was fitted from outside of the double C-type shroud tube was double-layered, we checked through the ASMI test that no absorber leaked and the holding property was secured even though the absorber be powdery. (2) The stress analysis showed that the structural integrity was satisfied when the distance between the end plug of the tube and the bottom end of the absorber was 40 mm or longer, and that the stress in the shroud tube was within the elastic range when the distance was 50 mm or longer. From these results, we could assure the structure integrity of 50 mm distance case. (3) The result of the long-term submersion test showed that no trouble occurred when the sodium bonded type control rod assembly (control element) is stored under water with sodium residues after cleaning in the sodium cleansing facility, the temperature increase and the

  2. Higher sleep variability is associated with poorer glycaemic control in patients with type 1 diabetes.

    Science.gov (United States)

    Chontong, Sasipas; Saetung, Sunee; Reutrakul, Sirimon

    2016-08-01

    Sleep disturbances have been linked to insulin resistance and poor glycaemic control in patients with type 2 diabetes. However, the data are limited in type 1 diabetes. Recently, varying day-to-day sleep schedules, i.e. sleep variability, have been associated with adverse metabolic profile in healthy individuals. This study explored whether sleep variability affects glycaemic control and insulin requirement in type 1 diabetes. Forty-one adult patients with type 1 diabetes wore an actigraphy for 5 nights. Standard deviation of sleep duration, efficiency and mid-sleep time were sleep variability parameters. Sleep apnoea risk and self-reported sleep quality were assessed by the Berlin questionnaire and Pittsburgh Sleep Quality Index. Haemoglobin A1c, diabetes complications and insulin regimen were obtained from medical records. After adjusting for neuropathic symptoms, sleep apnoea risk and poor self-reported sleep quality, higher sleep variability was significantly associated with poorer glycaemic control (standard deviation of sleep duration, B = 0.100, P = 0.004; and standard deviation of mid-sleep time, B = 0.068, P = 0.04). In addition, standard deviations of sleep duration and mid-sleep time were highly correlated, suggesting that participants changed their sleep duration along with sleep timing. After adjusting for covariates, the standard deviation of sleep duration (P = 0.009) and standard deviation of mid-sleep time (P = 0.012) were associated with higher insulin requirement. In summary, higher sleep variability, which likely reflects sleep deprivation alternating with sleep compensation along with shifts in their circadian timing, was associated with poorer glycaemic control and higher insulin requirement in patients with type 1 diabetes. Increased sleep regularity may improve metabolic control in type 1 diabetes. © 2016 European Sleep Research Society.

  3. Metabolic Control and Illness Perceptions in Adolescents with Type 1 Diabetes

    Directory of Open Access Journals (Sweden)

    Line Wisting

    2016-01-01

    Full Text Available Background. Disturbed eating behavior and psychosocial variables have been found to influence metabolic control, but little is known about how these variables interact or how they influence metabolic control, separately and combined. Objective. To explore associations between metabolic control (measured by HbA1c and eating disorder psychopathology, coping strategies, illness perceptions, and insulin beliefs in adolescents with type 1 diabetes. Methods. A total of 105 patients (41.9% males with type 1 diabetes (12–20 years were interviewed with the Child Eating Disorder Examination. In addition, self-report psychosocial questionnaires were completed. Clinical data, including HbA1c, was obtained from the Norwegian Childhood Diabetes Registry. Results. Significant gender differences were demonstrated. Among females, HbA1c correlated significantly with eating restriction (.29, p < .05, the illness perception dimensions consequences, personal control, coherence, and concern (ranging from .33 to .48, and the coping strategy ventilating negative feelings (−.26, p < .05. Illness perception personal control contributed significantly to HbA1c in a regression model, explaining 23% of the variance among females (β .48, p < .001. None of the variables were significantly associated with HbA1c among males. Conclusions. Illness perceptions appear to be important contributors to metabolic control in females, but not males, with type 1 diabetes.

  4. ZnO based transparent conductive oxide films with controlled type of conduction

    Energy Technology Data Exchange (ETDEWEB)

    Zaharescu, M., E-mail: mzaharescu@icf.ro [Institute of Physical Chemistry “Ilie Murgulescu”, Romanian Academy, 202 Splaiul Independentei, 060021 Bucharest (Romania); Mihaiu, S., E-mail: smihaiu@icf.ro [Institute of Physical Chemistry “Ilie Murgulescu”, Romanian Academy, 202 Splaiul Independentei, 060021 Bucharest (Romania); Toader, A. [Institute of Physical Chemistry “Ilie Murgulescu”, Romanian Academy, 202 Splaiul Independentei, 060021 Bucharest (Romania); Atkinson, I., E-mail: irinaatkinson@yahoo.com [Institute of Physical Chemistry “Ilie Murgulescu”, Romanian Academy, 202 Splaiul Independentei, 060021 Bucharest (Romania); Calderon-Moreno, J.; Anastasescu, M.; Nicolescu, M.; Duta, M.; Gartner, M. [Institute of Physical Chemistry “Ilie Murgulescu”, Romanian Academy, 202 Splaiul Independentei, 060021 Bucharest (Romania); Vojisavljevic, K.; Malic, B. [Institute Jožef Stefan, Ljubljana (Slovenia); Ivanov, V.A.; Zaretskaya, E.P. [State Scientific and Production Association “Scientific-Practical Materials Research Center of the National Academy of Science Belarus, P. Brovska str.19, 220072, Minsk (Belarus)

    2014-11-28

    The transparent conductive oxide films with controlled type of conduction are of great importance and their preparation is intensively studied. In our work, the preparation of such films based on doped ZnO was realized in order to achieve controlled type of conduction and high concentration of the charge carriers. Sol–gel method was used for films preparation and several dopants were tested (Sn, Li, Ni). Multilayer deposition was performed on several substrates: SiO{sub 2}/Si wafers, silica-soda-lime and/or silica glasses. The structural and morphological characterization of the obtained films were done by scanning electron microscopy, X-ray diffraction, X-ray fluorescence, X-ray photoelectron spectroscopy and atomic force microscopy respectively, while spectroscopic ellipsometry and transmittance measurements were done for determination of optical properties. The selected samples with the best structural, morphological and optical properties were subjected to electrical measurement (Hall and Seebeck effect). In all studied cases, samples with good adherence and homogeneous morphology as well as monophasic wurtzite type structure were obtained. The optical constants (refractive index and extinction coefficient) were calculated from spectroscopic ellipsometry data using Cauchy model. Films with n- or p-type conduction were obtained depending on the composition, number of deposition and thermal treatment temperature. - Highlights: • Transparent conductive ZnO based thin films were prepared by the sol–gel method. • Controlled type of conduction is obtained in (Sn, Li) doped and Li-Ni co-doped ZnO films. • Hall and Seebeck measurements proved the p-type conductivity for Li-Ni co-doped ZnO films. • The p-type conductivity was maintained even after 4-months of storage. • Influence of dopant- and substrate-type on the ZnO films properties was established.

  5. Control console conceptual design for sheet type fuels of Triga Mark-II reactor

    International Nuclear Information System (INIS)

    Eko Priyono; Kurnia Wibowo; Anang Susanto

    2016-01-01

    The control console conceptual design for sheet type fuel of TRIGA Mark-II reactor has been made. The control console conceptual design was made with refer study result of instrument and control system which is used in BATAN'S reactor i.e TRIGA-2000 Bandung, TRIGA Yogyakarta and MPR-30 Serpong. The control console conceptual design was made by using AutoCad software. The control console conceptual design reactor for sheet type fuel of TRIGA Mark-II reactor consist of 5 segments that is 3 segments for placing the computer monitors, 1 segment for placing bargraph displays and recorders and 1 segment for placing panel meters. There are the door on front and back position at each segment for enter and out devices in the console. The control console conceptual design is also equipped by the table along in front of console for placing reactor panel control and for writing, 3 drawers for 3 keyboards. The dimension of console will refer control room size and the components will be placed on console which will be detailed in detail design if this conceptual design has been approved. (author)

  6. Significance of family and peer support for metabolic control of type 1 diabetes in adolescents

    Directory of Open Access Journals (Sweden)

    Đurović Dušanka

    2009-01-01

    Full Text Available The aim of the paper was to explore the significance of family and peer support for metabolic control of Type 1 diabetes in adolescents. Metabolic control refers to maintenance of acceptable blood glucose level thus diminishing risk for chronic complications. It involves regular insulin shots, measuring blood glucose and keeping diary, as the daily based self-control. Regular visits to endocrinologist and screening for chronic complications are compulsory. The sample comprised 79 adolescents age 10-17 years with diagnose of Type 1 diabetes and properly treated at the institute. The sample was divided in two groups - with good (N=40 and poor (N=39 metabolic control. A criterium for good metabolic control was glycosilated hemoglobin less than 7,6%. Social support was measured by Social Support Scale consisting of two parts - the first for estimation of registered family support (based upon modified Perceived Social Support Family Scale and the second for estimation of registered friends' support (modified Perceived Social Support Friend Scale. Adolescents with good metabolic control referred statistically more significant social support in the family, unlike the group with poor metabolic control. Considering peer social support, there was no statistically significant difference. Positive family history for diabetes also appeared to be directly linked to good metabolic control.

  7. Midodrine in the prevention of hepatorenal syndrome type 2 recurrence: a case-control study.

    Science.gov (United States)

    Alessandria, C; Debernardi-Venon, W; Carello, M; Ceretto, S; Rizzetto, M; Marzano, A

    2009-04-01

    Hepatorenal syndrome is a severe complication of cirrhosis. Treatment with terlipressin has currently the best efficacy pedigree, inducing hepatorenal syndrome reversal in a high proportion of patients. However, hepatorenal syndrome recurrence after terlipressin withdrawal is very common, especially in type 2 hepatorenal syndrome. Midodrine, an oral adrenergic vasoconstrictor, has been suggested to be an effective therapy in hepatorenal syndrome. To analyse the impact of treatment with midodrine after hepatorenal syndrome type 2 reversal induced by terlipressin on the prevention of hepatorenal syndrome recurrence. A case-control design was used. The outcome of 10 patients with hepatorenal syndrome type 2 treated successfully with terlipressin and then with midodrine (7.5-12.5mg/tid) was compared with that of an historical control group of hepatorenal syndrome type 2 patients responders to treatment with terlipressin. Patients and controls were matched by age, plasma renin activity (PRA) levels and severity of renal and liver failure. Cases and controls were similar with respect to pre-treatment with terlipressin. The hepatorenal syndrome recurrence probability was the same in the two groups (cases and control: 9/10, 90%, p=ns). No significant differences were found between cases and controls with respect to serum creatinine (1.9+/-0.1mg/dl vs. 2+/-0.2mg/dl), blood creatinine clearance (28+/-5ml/min vs. 24+/-5ml/min), urinary sodium excretion (12+/-6mequiv./d vs. 19+/-4mequiv./d) and PRA levels (17+/-3ng/ml/h) vs. 20+/-3ng/ml/h) after terlipressin withdrawal (p=ns). These results show that in patients responders to terlipressin hepatorenal syndrome recurrence is not different between patients treated with midodrine and subjects who did not receive vasoconstrictor treatment after terlipressin withdrawal. These data suggest that midodrine is not effective in preventing hepatorenal syndrome type 2 recurrence.

  8. A coordinated control strategy for insulin and glucagon delivery in type 1 diabetes.

    Science.gov (United States)

    Herrero, Pau; Bondia, Jorge; Oliver, Nick; Georgiou, Pantelis

    2017-10-01

    Type 1 diabetes is an autoimmune condition characterised by a pancreatic insulin secretion deficit, resulting in high blood glucose concentrations, which can lead to micro- and macrovascular complications. Type 1 diabetes also leads to impaired glucagon production by the pancreatic α-cells, which acts as a counter-regulatory hormone to insulin. A closed-loop system for automatic insulin and glucagon delivery, also referred to as an artificial pancreas, has the potential to reduce the self-management burden of type 1 diabetes and reduce the risk of hypo- and hyperglycemia. To date, bihormonal closed-loop systems for glucagon and insulin delivery have been based on two independent controllers. However, in physiology, the secretion of insulin and glucagon in the body is closely interconnected by paracrine and endocrine associations. In this work, we present a novel biologically-inspired glucose control strategy that accounts for such coordination. An in silico study using an FDA-accepted type 1 simulator was performed to evaluate the proposed coordinated control strategy compared to its non-coordinated counterpart, as well as an insulin-only version of the controller. The proposed coordinated strategy achieves a reduction of hyperglycemia without increasing hypoglycemia, when compared to its non-coordinated counterpart.

  9. Factors controlling phase formation of novel Sr-based Y-type ...

    Indian Academy of Sciences (India)

    Factors controlling phase formation of novel Sr-based Y-type hexagonal ferrite nanoparticles. R THOLKAPPIYAN K VISHISTA FATHALLA HAMED. Regular Volume 88 Issue 2 February 2017 Article ID 27. Fulltext. Click here to view fulltext PDF. Permanent link: http://www.ias.ac.in/article/fulltext/pram/088/02/0027 ...

  10. Dermatoglyphic patterns in dementia of the Alzheimer type: a case-control study.

    Science.gov (United States)

    Berr, C; Okra-Podrabinek, N; Feteanu, D; Taurand, S; Hervy, M P; Forette, F; Piette, F; Sebag-Lanoe, R; Alperovitch, A

    1992-01-01

    STUDY OBJECTIVE--The aim was to compare digital and palmar dermatoglyphics in subjects with dementia of Alzheimer type and in mentally healthy elderly controls. DESIGN--This design was a case-control study. SETTING--The study was carried out in geriatric units and retirement communities in the Paris area. PARTICIPANTS--Cases were women with clinically diagnosed Alzheimer type dementia according to DSM III-R criteria (n = 82), mainly with late onset of the disease. Controls were women aged 85 years or older without cognitive deterioration (n = 76). MEASUREMENTS AND MAIN RESULTS--Finger and palm prints obtained from both hands by the classical ink method were examined. Fingerprints were classified into four types of figures. On palms, palmar flexion creases, palmar axial triradii, true patterns of the hypothenar area, and main line terminations were described. Examinations were performed by two examiners blind to the subjects's diagnostic category. For the different patterns studied, no major differences between dementia patients and elderly controls were found. Nor was there evidence of high frequencies of features commonly observed in Down's syndrome (trisomy 21), which have previously, though sporadically, been reported. CONCLUSIONS--On one of the largest samples of Alzheimer dementia patients studied, and with evaluation blind to diagnosis, no evidence has been found that particular dermatoglyphic patterns occur like those observed in Down's syndrome, a disease which is related to dementia of the Alzheimer type. PMID:1479321

  11. Antipsychotic drugs may worsen metabolic control in type 2 diabetes mellitus

    NARCIS (Netherlands)

    Spoelstra, JA; Stolk, RP; Cohen, D; Klungel, OH; Erkens, JA; Leufkens, HGM; Grobbee, DE

    (B)ackground: Several studies have indicated that type 2 diabetes mellitus is more common among schizophrenic patients than in the general population. In this study, we investigated whether the use of antipsychotic drugs in patients with diabetes leads to worsening of glycemic control. Method: In

  12. Metabolic control and morbidity of Type 2 diabetic patients in a general practice network.

    NARCIS (Netherlands)

    Bouma, M.; Dekker, J.H.; Eijk, J.T.M. van; Schellevis, F.G.; Kriegsman, D.M.W.; Heine, R.J.

    1999-01-01

    Methods: glycaemic control and the prevalence of modifiable cardiovascular risk factors, and micro- and macrovascular morbidity was examined in 637 Type 2 diabetic patients in general practice, of whom 405 consented to undergo a more extensive examination. Results: in these 405 patients, HbA1c was

  13. Exercise and 24-h Glycemic Control: Equal Effects for All Type 2 Diabetes Patients?

    NARCIS (Netherlands)

    van Dijk, J.W.; Manders, R.J.F.; Canfora, E.E.; van Mechelen, W.; Hartgens, F.; Stehouwer, C.D.A.; van Loon, L.J.C.

    2013-01-01

    Purpose: We assessed the effect of a single bout of moderate-intensity exercise on subsequent 24-h glycemic control in 60 type 2 diabetes patients. Moreover, we examined whether individual responses to exercise were related to subjects' baseline characteristics, including age, body mass index,

  14. Glycemic control during consecutive days with prolonged walking exercise in individuals with type 1 diabetes mellitus.

    NARCIS (Netherlands)

    Dijk, J.W.; Eijsvogels, T.M.H.; Nyakayiru, J.D.O.A.; Schreuder, T.H.A.; Hopman, M.T.E.; Thijssen, D.H.J.; Loon, L.J. van

    2016-01-01

    AIMS: Despite its general benefits for health, exercise complicates the maintenance of stable blood glucose concentrations in individuals with type 1 diabetes. The aim of the current study was to examine changes in food intake, insulin administration, and 24-h glycemic control in response to

  15. The development of the physical conceptions of the FBR type reactors control methods

    International Nuclear Information System (INIS)

    Matveev, V.I.; Ivanov, A.P.

    1984-01-01

    The physical concepts and specific problems of the control elements for LMFBR type reactors are discussed in this paper. Typical temperature coefficient of reactivity, its dependency on reactor power and burnup level are given. The authors give us the most advisable methods of the reactivity coefficient compensation

  16. Virtual Clutch Controller for Clutch-to-Clutch Shifts in Planetary-Type Automatic Transmission

    OpenAIRE

    Yunjiang Cheng; Peng Dong; Shuai Yang; Xiangyang Xu

    2015-01-01

    It is known that the shift processes of the four types of clutch-to-clutch shifts can theoretically be divided into two phases which are torque phase and inertia phase, but the execution orders are different. Two virtual clutch controllers are designed with the same eight states which include all control processes for these shifts. An equivalent method is proposed so that AT can be controlled just like DCT by adopting the torque ratios of oncoming clutch and offgoing clutch of each gear. The ...

  17. Decentralized H∞ Control for Uncertain Interconnected Systems of Neutral Type via Dynamic Output Feedback

    Directory of Open Access Journals (Sweden)

    Heli Hu

    2014-01-01

    Full Text Available The design of the dynamic output feedback H∞ control for uncertain interconnected systems of neutral type is investigated. In the framework of Lyapunov stability theory, a mathematical technique dealing with the nonlinearity on certain matrix variables is developed to obtain the solvability conditions for the anticipated controller. Based on the corresponding LMIs, the anticipated gains for dynamic output feedback can be achieved by solving some algebraic equations. Also, the norm of the transfer function from the disturbance input to the controlled output is less than the given index. A numerical example and the simulation results are given to show the effectiveness of the proposed method.

  18. Obese adolescents with type 2 diabetes perform worse than controls on cognitive and behavioral assessments.

    Science.gov (United States)

    Brady, Cassandra C; Vannest, Jennifer J; Dolan, Lawrence M; Kadis, Darren S; Lee, Gregory R; Holland, Scott K; Khoury, Jane C; Shah, Amy S

    2017-06-01

    Children with type 1 diabetes demonstrate worse cognitive performance compared with their peers. Little is known regarding the cognitive and behavioral performance in obese adolescents with type 2 diabetes. Cross sectional evaluation of 20 obese adolescents with type 2 diabetes and 20 healthy adolescents was performed in Cincinnati, Ohio. Cognitive tests that included measures of processing speed, working memory, verbal and semantic fluency and parent reports of executive function and problem behavior were compared. Academic achievement and the relationship between cognitive/behavioral scores and diabetes duration and diabetes control (hemoglobin A1c) were assessed in the type 2 diabetes group only. The type 2 diabetes group had mean duration of diabetes of 2.8 ± 2.2 yr and hemoglobin A1c of 7.9 ± 2.2%. Adolescents with type 2 diabetes scored lower than controls on tests of working and verbal memory and processing speed (all p academic achievement, most notably calculation. Working memory and processing speed were negatively correlated with duration of diabetes (r = -0.50 and -0.47, respectively, p work is needed to determine if these effects are driven by obesity, diabetes or other demographic and socioeconomic risk factors. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. The Framingham Type A Scale and anxiety, irrational beliefs, and self-control.

    Science.gov (United States)

    Smith, T W; Houston, B K; Zurawski, R M

    1983-06-01

    The present study examined the relations between the Framingham Type A Scale and measures of trait anxiety, irrational beliefs, and self-control in a sample of healthy young adults. Furthermore, the obtained relationships were contrasted with those between two other self-report measures of the Type A pattern and the above psychological dimensions. Results indicated that the Framingham Scale consistently exhibited positive relations with anxiety and general irrational thinking and a negative relation with self-control. The Jenkins Activity Survey and Thurstone Activity Scale generally were unrelated to these dimensions. Results indicate the psychological heterogeneity of the Type A measures and suggest a possible link between Framingham scores, anxiety, and manifestations of CHD.

  20. Hypoglycemia in pregnant women with type 1 diabetes - Predictors and role of metabolic control

    DEFF Research Database (Denmark)

    Nielsen, L.R.; Johansen, M.; Pedersen-Bjergaard, U.

    2008-01-01

    observational study of 108 consecutive pregnant women with type 1 diabetes was conducted. At 8, 14, 21, 27, and 33 weeks of gestation, patients performed self-monitored plasma glucose (SMPG) (eight/day) for 3 days and completed a questionnaire on nausea, vomiting, hypoglycemia awareness, and history of mild...... awareness or unawareness (3.2 [1.2-8.2]) as independent predictors for severe hypoglycemia. CONCLUSIONS - In pregnancy with type 1 diabetes, the incidence of mild and severe hypoglycemia was highest in early pregnancy, although metabolic control was tighter in the last part of pregnancy. Predictors......OBJECTIVE- In pregnancy with type 1 diabetes, we evaluated occurrence of mild and severe hypoglycemia and analyzed the influence of strict metabolic control, nausea, Vomiting, and other potential predictors of occurrence of severe hypoglycemia. RESEARCH DESIGN AND METHODS- A prospective...

  1. Mother, father, and adolescent self-control and adherence in adolescents with Type 1 diabetes.

    Science.gov (United States)

    Lansing, Amy Hughes; Crochiere, Rebecca; Cueto, Carrie; Wiebe, Deborah J; Berg, Cynthia A

    2017-06-01

    This study explored whether shared self-control across a family system, including adolescent, mother, and father self-control, as well as the interaction of mother and father self-control, was associated with ease of completing adherence tasks and the completion of adherence behaviors related to the Type 1 diabetes (T1D) regimen. One hundred thirty-seven adolescents (M = 13.48 years), mothers, and fathers completed a self-report measure of self-control, while adolescents also self-reported on ease of completing adherence tasks and the frequency with which they completed adherence tasks. Higher adolescent, mother, father, and the interaction of mother and father self-control were each associated with greater adolescent perceptions of ease of completing adherence tasks. Also, greater adolescent perception of ease of adherence mediated the association of higher adolescent, father, and the interaction of mother and father self-control on more frequent adherence behaviors. The results are consistent with the idea that family members may share the load of self-control within the family system. The results point to the importance of assessing and intervening within the entire family system to support improved quality of life and better adherence to the medical regimen in adolescents with Type 1 diabetes. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  2. Glycemic Control in Kenyan Children and Adolescents with Type 1 Diabetes Mellitus.

    Science.gov (United States)

    Ngwiri, Thomas; Were, Fred; Predieri, Barbara; Ngugi, Paul; Iughetti, Lorenzo

    2015-01-01

    Background. Type 1 diabetes mellitus (T1DM) is the most common endocrine disorder in children and adolescents worldwide. While data about prevalence, treatment, and complications are recorded in many countries, few data exist for Sub-Saharan Africa. The aim of this study was to determine the degree of control in patients with T1DM aged 1-19 years over a 6-month period in 3 outpatient Kenyan clinics. It also sought to determine how control was influenced by parameters of patient and treatment. Methods. Eighty-two children and adolescents with T1DM were included in the study. Clinical history regarding duration of illness, type and dose of insulin, and recent symptoms of hypoglycemia/hyperglycemia were recorded. Glycaemia, HbA1c, and ketonuria were tested. HbA1c of 8.0% and below was defined as the cut-off for acceptable control. Results. The median HbA1c for the study population was 11.1% (range: 6.3-18.8). Overall, only 28% of patients had reasonable glycemic control as defined in this study. 72% therefore had poor control. It was also found that age above 12 years was significantly associated with poor control. Conclusions. African children and with T1DM are poorly controlled particularly in adolescents. Our data strongly support the necessity of Kenya children to receive more aggressive management and follow-up.

  3. Glycemic Control in Kenyan Children and Adolescents with Type 1 Diabetes Mellitus

    Directory of Open Access Journals (Sweden)

    Thomas Ngwiri

    2015-01-01

    Full Text Available Background. Type 1 diabetes mellitus (T1DM is the most common endocrine disorder in children and adolescents worldwide. While data about prevalence, treatment, and complications are recorded in many countries, few data exist for Sub-Saharan Africa. The aim of this study was to determine the degree of control in patients with T1DM aged 1–19 years over a 6-month period in 3 outpatient Kenyan clinics. It also sought to determine how control was influenced by parameters of patient and treatment. Methods. Eighty-two children and adolescents with T1DM were included in the study. Clinical history regarding duration of illness, type and dose of insulin, and recent symptoms of hypoglycemia/hyperglycemia were recorded. Glycaemia, HbA1c, and ketonuria were tested. HbA1c of 8.0% and below was defined as the cut-off for acceptable control. Results. The median HbA1c for the study population was 11.1% (range: 6.3–18.8. Overall, only 28% of patients had reasonable glycemic control as defined in this study. 72% therefore had poor control. It was also found that age above 12 years was significantly associated with poor control. Conclusions. African children and with T1DM are poorly controlled particularly in adolescents. Our data strongly support the necessity of Kenya children to receive more aggressive management and follow-up.

  4. Diabetes management and glycemic control in youth with type 1 diabetes: test of a predictive model

    Science.gov (United States)

    Ittenbach, Richard; Rohan, Jennifer M.; Gupta, Resmi; Pendley, Jennifer Shroff; Delamater, Alan

    2014-01-01

    The objective of this study was to test a comprehensive model of biologic (pubertal status), family (communication and conflict), and psychological influences (behavioral autonomy) on diabetes management and glycemic control in a sample of youth (N = 226) with type 1 diabetes recruited during late childhood/early adolescence (ages 9–11 years). The study design was a prospective, multisite, multi-method study involving prediction of diabetes management and glycemic control 1 year post-baseline. The primary outcome measures included diabetes management behaviors based on the Diabetes Self-Management Profile (DSMP) administered separately to mothers and youth and glycemic control measured by glycated hemoglobin (HbA1c) obtained by blood samples and analyzed by a central laboratory to ensure standardization. Our hypothesized predictive model received partial support based on structural equation modeling analyses. Family conflict predicted less adequate glycemic control 1 year later (p < 0.05). Higher conflict predicted less adequate diabetes management and less adequate glycemic control. More advanced pubertal status also predicted less adequate glycemic control, but behavioral autonomy did not. Family conflict is an important, potentially clinically significant influence on glycemic control that should be considered in primary and secondary prevention in the management of type 1 diabetes in youth. PMID:22569775

  5. Supported Telemonitoring and Glycemic Control in People with Type 2 Diabetes: The Telescot Diabetes Pragmatic Multicenter Randomized Controlled Trial.

    Directory of Open Access Journals (Sweden)

    Sarah H Wild

    2016-07-01

    Full Text Available Self-monitoring of blood glucose among people with type 2 diabetes not treated with insulin does not appear to be effective in improving glycemic control. We investigated whether health professional review of telemetrically transmitted self-monitored glucose results in improved glycemic control in people with poorly controlled type 2 diabetes.We performed a randomized, parallel, investigator-blind controlled trial with centralized randomization in family practices in four regions of the United Kingdom among 321 people with type 2 diabetes and glycated hemoglobin (HbA1c >58 mmol/mol. The supported telemonitoring intervention involved self-measurement and transmission to a secure website of twice-weekly morning and evening glucose for review by family practice clinicians who were not blinded to allocation group. The control group received usual care, with at least annual review and more frequent reviews for people with poor glycemic or blood pressure control. HbA1c assessed at 9 mo was the primary outcome. Intention-to-treat analyses were performed. 160 people were randomized to the intervention group and 161 to the usual care group between June 6, 2011, and July 19, 2013. HbA1c data at follow-up were available for 146 people in the intervention group and 139 people in the control group. The mean (SD HbA1c at follow-up was 63.0 (15.5 mmol/mol in the intervention group and 67.8 (14.7 mmol/mol in the usual care group. For primary analysis, adjusted mean HbA1c was 5.60 mmol/mol / 0.51% lower (95% CI 2.38 to 8.81 mmol/mol/ 95% CI 0.22% to 0.81%, p = 0·0007. For secondary analyses, adjusted mean ambulatory systolic blood pressure was 3.06 mmHg lower (95% CI 0.56-5.56 mmHg, p = 0.017 and mean ambulatory diastolic blood pressure was 2.17 mmHg lower (95% CI 0.62-3.72, p = 0.006 among people in the intervention group when compared with usual care after adjustment for baseline differences and minimization strata. No significant differences were identified

  6. Periodontal disease and type 1 diabetes mellitus: associations with glycemic control and complications: an Indian perspective.

    Science.gov (United States)

    Ajita, Meenawat; Karan, Punn; Vivek, Govila; S, Meenawat Anand; Anuj, Maheshwari

    2013-01-01

    To evaluate the frequency of periodontal disease in a group of patients with type 1 diabetes mellitus and its relationship with diabetic metabolic control, duration and complications. A comparison was made of periodontal parameters (plaque index, bleeding index, pocket depth and attachment loss) in a group of diabetic patients versus a group of non-diabetics (n=20). Statistical analysis was performed to evaluate the relationship between periodontal parameters and degree of metabolic control, the duration of the disease and the appearance of complications. Diabetics had greater bleeding index (pdiabetes for shorter duration of time (4-7 years) showed bleeding index-disease severity correlation to be 1.760 ± 0.434. Patients with type 1 diabetes have increased periodontal disease susceptibility. Periodontal inflammation is greatly increased in subjects with longer disease course, poor metabolic control and diabetic complications. Copyright © 2013 Diabetes India. Published by Elsevier Ltd. All rights reserved.

  7. Theoretical Insights on Contraction-Type Iterative Learning Control for Biorobotic Systems with Preisach Hysteresis

    Directory of Open Access Journals (Sweden)

    Tianjiang Hu

    2016-06-01

    Full Text Available This article offers new insights on the learning control approach developed by [Hu et al. IEEE/ASME Trans. Mechatronics, 19(1: 191–200, 2014]. Theoretical insights are further proposed to unveil why the contraction-type iterative learning control (ILC schemes are suitable and effective in compensating for hysteresis, widely existing in biorobotic locomotion. Under such circumstances, iteration-based second-order dynamics is adopted to describe the biorobotic systems acted upon by one unknown Preisach hysteresis term. The memory clearing operator is mathematically proven to enable feasibility of contraction-type ILC methods, regardless of whether the initial state is accurately set or not. The simulation examples confirm that the developed iteration-based controller combined with a preceded operator effectively reduce tracking errors caused by the hysteresis nonlinearity. Furthermore, the new insights on theoretical feasibility are definitively corroborated in accordance with the previously published experimental results.

  8. 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...... during daytime. These trials demonstrate the importance of observer design in ARMAX models and show the possibility of stabilizing blood glucose during the night....

  9. A Control Method for Maximum Power Point Tracking in Stand-Alone-Type PV Generation Systems

    Science.gov (United States)

    Itako, Kazutaka; Mori, Takeaki

    In this paper, a new control method for maximum power point tracking (MPPT) in stand-alone-type PV generaton systems is proposed. In this control method, the operations detecting the maximum power point and tracking its point are alternately carried out by using a step-up DC—DC converter. This method requires neither the measurement of temperature and insolation level nor PV array model. In a stand-alone-type application with a battery load, the design method for the boost inductance L of the step-up DC—DC converter is described, and the experimental results show that the use of the proposed MPPT control increases the PV generated energy by 14.8% compared to the conventional system.

  10. Interval-walking training for the treatment of type 2 diabetes: a randomized, controlled trial

    DEFF Research Database (Denmark)

    Karstoft, Kristian; Winding, Kamilla; Knudsen, Sine H.

    [CGM]). Resultater: Training adherence was high (89 + 4%), and training energy expenditure and mean intensity were comparable between training groups. Nine and four of the subjects reported “Improved Health” in the IWT and CWT group, respectively. VO2max increased 16.1 + 3.7% in the IWT group (P...Formål: To evaluate the feasibility of free-living walking training in type 2 diabetes patients, and to investigate the effects of interval-walking training (IWT) versus continuous-walking training (CWT) upon self reported health, physical fitness, body composition and glycemic control. Metoder......: Subjects with type 2 diabetes were randomized to a control (n = 8), CWT (n = 12), or IWT group (n = 12). Training groups were prescribed five sessions per week (60 min/session) and were controlled with an accelerometer and a heart-rate monitor. CWT performed all training at moderate intensity, whereas IWT...

  11. Metabolic Control and Illness Perceptions in Adolescents with Type 1 Diabetes.

    Science.gov (United States)

    Wisting, Line; Bang, Lasse; Natvig, Henrik; Skrivarhaug, Torild; Dahl-Jørgensen, Knut; Lask, Bryan; Rø, Øyvind

    2016-01-01

    Disturbed eating behavior and psychosocial variables have been found to influence metabolic control, but little is known about how these variables interact or how they influence metabolic control, separately and combined. To explore associations between metabolic control (measured by HbA1c) and eating disorder psychopathology, coping strategies, illness perceptions, and insulin beliefs in adolescents with type 1 diabetes. A total of 105 patients (41.9% males) with type 1 diabetes (12-20 years) were interviewed with the Child Eating Disorder Examination. In addition, self-report psychosocial questionnaires were completed. Clinical data, including HbA1c, was obtained from the Norwegian Childhood Diabetes Registry. Significant gender differences were demonstrated. Among females, HbA1c correlated significantly with eating restriction (.29, p diabetes.

  12. Attitude and Altitude Controller Design for Quad-Rotor Type MAVs

    Directory of Open Access Journals (Sweden)

    Wei Wang

    2013-01-01

    Full Text Available Micro air vehicles (MAVs have a wide application such as the military reconnaissance, meteorological survey, environmental monitoring, and other aspects. In this paper, attitude and altitude control for Quad-Rotor type MAVs is discussed and analyzed. For the attitude control, a new method by using three gyroscopes and one triaxial accelerometer is proposed to estimate the attitude angle information. Then with the approximate linear model obtained by system identification, Model Reference Sliding Mode Control (MRSMC technique is applied to enhance the robustness. In consideration of the relatively constant altitude model, a Linear Quadratic Gaussian (LQG controller is adopted. The outdoor experimental results demonstrate the superior stability and robustness of the controllers.

  13. Optimization of type-2 fuzzy controllers using the bee colony algorithm

    CERN Document Server

    Amador, Leticia

    2017-01-01

    This book focuses on the fields of fuzzy logic, bio-inspired algorithm; especially bee colony optimization algorithm and also considering the fuzzy control area. The main idea is that this areas together can to solve various control problems and to find better results. In this book we test the proposed method using two benchmark problems; the problem for filling a water tank and the problem for controlling the trajectory in an autonomous mobile robot. When Interval Type-2 Fuzzy Logic System is implemented to model the behavior of systems, the results show a better stabilization, because the analysis of uncertainty is better. For this reason we consider in this book the proposed method using fuzzy systems, fuzzy controllers, and bee colony optimization algorithm improve the behavior of the complex control problems.

  14. Stabilization loop of a two axes gimbal system using self-tuning PID type fuzzy controller.

    Science.gov (United States)

    Abdo, Maher Mahmoud; Vali, Ahmad Reza; Toloei, Ali Reza; Arvan, Mohammad Reza

    2014-03-01

    The application of inertial stabilization system is to stabilize the sensor's line of sight toward a target by isolating the sensor from the disturbances induced by the operating environment. The aim of this paper is to present two axes gimbal system. The gimbals torque relationships are derived using Lagrange equation considering the base angular motion and dynamic mass unbalance. The stabilization loops are constructed with cross coupling unit utilizing proposed fuzzy PID type controller. The overall control system is simulated and validated using MATLAB. Then, the performance of proposed controller is evaluated comparing with conventional PI controller in terms of transient response analysis and quantitative study of error analysis. The simulation results obtained in different conditions prove the efficiency of the proposed fuzzy controller which offers a better response than the classical one, and improves further the transient and steady-state performance. Copyright © 2013 ISA. Published by Elsevier Ltd. All rights reserved.

  15. Adaptive control in an artificial pancreas for people with type 1 diabetes

    DEFF Research Database (Denmark)

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

    2017-01-01

    is an adaptive ARMAX model in which we use a recursive extended least squares (RELS) method to estimate parameters of the stochastic part. In addition, we describe some safety layers in the control algorithm that improve the controller robustness and reduce the risk of hypoglycemia. We test and compare our......In this paper, we discuss overnight blood glucose stabilization in patients with type 1 diabetes using a Model Predictive Controller (MPC). We compute the model parameters in the MPC using a simple and systematic method based on a priori available patient information. We describe and compare 3...... increases during the night. The numerical results suggest that the use of an integrator leads to higher occurrence of hypoglycemia than for the controllers without the integrator. Compared to other control strategies, the adaptive MPC reduces both the time spent in hypoglycemia and the time spent...

  16. Tuning of Controller for Type 1 Diabetes Treatment with Stochastic Differential Equations

    DEFF Research Database (Denmark)

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

    2012-01-01

    People with type 1 diabetes need several insulin injections every day to keep their blood glucose level in the normal range and thereby avoiding the acute and long term complications of diabetes. One of the recent treatments consists of a pump injecting insulin into the subcutaneous layer combined...... with a continuous glucose monitor (CGM) frequently observing the glucose level. Automatic control of the insulin pump based on CGM observations would ease the burden of constant diabetes treatment and management. We have developed a controller designed to keep the blood glucose level in the normal range...... by adjusting the size of insulin infusions from the pump based on model predictive control (MPC). A clinical pilot study to test the performance of the MPC controller overnight was performed. The conclusion was that the controller relied too much on the local trend of the blood glucose level which is a problem...

  17. Food insecurity is related to glycemic control deterioration in patients with type 2 diabetes.

    Science.gov (United States)

    Bawadi, Hiba Ahmad; Ammari, Fawaz; Abu-Jamous, Dima; Khader, Yousef Saleh; Bataineh, Safa'a; Tayyem, Reema Fayez

    2012-04-01

    Poor glycemic control has been shown to play a major role in the development and progression of diabetes complications. This cross-sectional study tested the hypothesis that food insecurity may deteriorate glycemic control in patients with type 2 diabetes. The objectives of this study were to assess the prevalence of food insecurity among type 2 diabetics in a major hospital that serves the area of northern Jordan, and to investigate its relation to glycemic control. A sample of 843 patients diagnosed with type 2 diabetes participated in the study. Socioeconomic and health data were collected by interview-based questionnaire. Weight and height were measured by a trained nutritionist. Dietary assessment was done using food frequency questionnaire. Dietary data were processed using food processor software. Food insecurity was assessed by the short form of the U.S. food security survey module. Glycemic control was assessed by measuring glycosyated hemoglobin (HbA1c). Statistical procedures used to analyze the data were chi-square, and post-hoc analysis of variance. About 22% of the tested sample were food secure (FS); 51% were moderately food insecure (MFIS); and 27% were severely food insecure (SFIS). Higher BMI was associated with SFIS patients. After adjusting for age, gender, income, education, and duration of diabetes, body mass index, and caloric consumption; moderate and severe food insecurity were associated with poor glycemic control (p = 0.04). food insecurity may be associated with glycemic control deterioration in patients with type 2 diabetes. Copyright © 2011 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  18. Glycaemic control of Type 1 diabetes in clinical practice early in the 21st century

    DEFF Research Database (Denmark)

    McKnight, J A; Wild, S H; Lamb, M J E

    2015-01-01

    AIMS: Improving glycaemic control in people with Type 1 diabetes is known to reduce complications. Our aim was to compare glycaemic control among people with Type 1 diabetes using data gathered in regional or national registries. METHODS: Data were obtained for children and/or adults with Type 1 ...

  19. Effect of Ramadan fasting on glycemic control in patients with Type 2 diabetes.

    Science.gov (United States)

    Norouzy, A; Mohajeri, S M R; Shakeri, S; Yari, F; Sabery, M; Philippou, E; Varasteh, A-R; Nematy, M

    2012-09-01

    Although Muslim patients with Type 2 diabetes may be exempt from fasting during Ramadan for medical reasons, a high proportion of them fast. To investigate the association between Ramadan fasting and glycemic control in patients with Type 2 diabetes. A prospective cohort clinical trial was designed. Eighty-eight patients with Type 2 diabetes (45 male, 43 female, age 51±10 yr) who opted to fast for at least 10 days during the month of Ramadan were recruited. Fasting blood samples were taken at the beginning and end of Ramadan, and 1 month after Ramadan, to assess fasting blood glucose (FBG), fasting insulin, full blood count, glycated hemoglobin (HbA(1c)) and fasting lipid profile. Insulin resistance was estimated using the homeostatic model assessment. Anthropometrics and blood pressure were also measured. There was a significant deterioration in FBG and HbA(1c) (p=0.002 and p≤0.001, respectively) and significant improvements in HDL and LDL cholesterol and body mass index after Ramadan (pRamadan (9.4±2% at the end of Ramadan vs 8.4±2.5% 1 month after Ramadan; pfasting during Ramadan deteriorated the glycemic control in Type 2 diabetes patients. This was more evident in patients using oral hypoglycemic medication than diet- controlled patients. However, Ramadan fasting had small positive effects on lipid profile and body weight.

  20. Monocyte matrix metalloproteinase production in Type 2 diabetes and controls – a cross sectional study

    Directory of Open Access Journals (Sweden)

    Davies Isabel R

    2003-03-01

    Full Text Available Abstract Background Coronary plaque rupture may result from localised over expression of matrix metalloproteinases (MMPs within the plaque by infiltrating monocyte – macrophages. As MMP expression can be promoted by the modified lipoproteins, oxidative stress and hyperglycaemia that characterises Type 2 diabetes, we hypothesised that peripheral monocytes in these patients, exposed to these factors in vivo, would demonstrate increased MMP production compared to controls. Methods We examined peripheral venous monocyte expression of MMP and tissue inhibitor of metalloproteinase-1 (TIMP-1 in 18 controls and 22 subjects with Type 2 diabetes and no previous cardiovascular complications. Results No significant difference in MMP-1, 3 or 9 or TIMP-1 production was observed between control and diabetes groups. Conclusions Monocyte MMP-1, 3, and 9, and TIMP-1, production are not abnormal in Type 2 diabetes. This data cannot be extrapolated to monocyte – macrophage behaviour in the vessel wall, but it does suggest MMP and TIMP-1 expression prior to monocyte infiltration and transformation are not abnormal in Type 2 diabetes.

  1. PD-Type Iterative Learning Control for the Trajectory Tracking of a Pneumatic X-Y Table with Disturbances

    Science.gov (United States)

    Chen, Chih-Keng; Hwang, James

    In this paper, a proportional-valve controlled pneumatic X-Y table system is built to perform position tracking control experiments. The pneumatic system is subjected to external loads and parameter changes during the control. ILC (Iterative Learning Control) controllers are implemented in the experiments to show their ability to reject disturbances. The P and PD-typed updating laws with delay parameters are used respectively for the repetitive trajectory tracking control of X-Y table. Pre-saved control signals for different types of disturbances are also used to compare control performances. Experimental results show that under the disturbances, the PD-typed ILC controller is superior to the P-typed one and can effectively control the system to track the given circular trajectory.

  2. Design of proportional-integral-derivative type optimal controller for a nuclear reactor

    International Nuclear Information System (INIS)

    Pal, Jayanta

    1976-01-01

    A theoretic approach to the design of a proportional integral derivative (PID) type optimal controller for a nuclear reactor is considered. A linearized version of the state-space model of a nuclear-reactor-plant is investigated which shows very 'sluggish' response (settling time of the order of 600 seconds) to changes in the power demand and frequency. It is shown that with a judicious choice of state variables a PID type optimal controller realisation is possible. A controller is designed to minimise the effects of (a) a sudden increase or decrease in the electrical power demand (b) change in frequency at grid. The above controller, designed for a tracking problem, reduces the steady-state error (in response to a step input) to zero and the dynamics of the system become 'faster' (setting time of the order of 100 seconds). The controller is also insensitive to changes in system parameters. The superiority in the performance of the system with the optimal PID controller as compared with that of the conventional regulator is conclusively established. (author)

  3. Adaptive Interval Type-2 Fuzzy Logic Control for PMSM Drives with a Modified Reference Frame

    KAUST Repository

    Chaoui, Hicham

    2017-01-10

    In this paper, an adaptive interval type-2 fuzzy logic control scheme is proposed for high-performance permanent magnet synchronous machine drives. This strategy combines the power of type-2 fuzzy logic systems with the adaptive control theory to achieve accurate tracking and robustness to higher uncertainties. Unlike other controllers, the proposed strategy does not require electrical transducers and hence, no explicit currents loop regulation is needed, which yields a simplified control scheme. But, this limits the machine\\'s operation range since it results in a higher energy consumption. Therefore, a modified reference frame is also proposed in this paper to decrease the machine\\'s consumption. To better assess the performance of the new reference frame, comparison against its original counterpart is carried-out under the same conditions. Moreover, the stability of the closed-loop control scheme is guaranteed by a Lyapunov theorem. Simulation and experimental results for numerous situations highlight the effectiveness of the proposed controller in standstill, transient, and steady-state conditions.

  4. Metabolic control targets in Sudanese adults with type 1 diabetes: A population-based study

    Directory of Open Access Journals (Sweden)

    Ahmed O Almobarak

    2017-01-01

    Full Text Available Background: Type 1 diabetes is a challenging metabolic disorder for health authorities in Sudan. The objective of this study was to assess the level of glycemic control and to determine the prevalence of dyslipidemia and complications among individuals with type 1 diabetes in Sudan. Materials and Methods: Individuals with type 1 diabetes, who were having the disease for at least 1 year, were invited to participate in this study. Data were collected from two diabetes centers, in the Capital Khartoum and Atbara City, North of Sudan. Participants were interviewed using standardized pretested questionnaire to record medical history, sociodemographic data, and life style characteristics. Blood pressure, body mass index, and waist circumference were measured. Blood samples were taken for measurement of lipid profile and glycosylated hemoglobin. Results: A total of eighty individuals with type 1 diabetes volunteered to participate in this study, 37.5% of males and 62.5% of females. Majority of the patients were aged between 40 and 70 years old. There was poor glycemic control (glycosylated hemoglobin> 7%, in 83.8%. Age and sex were significant factors associated with poor glycemic control in this cohort. High cholesterol, triglyceride, and low density lipoprotein were seen in 76.2%, 27.5%, and 48.8% of participants, respectively. Low high density lipoprotein was seen in 33.8%. Hypertension was determined in 21.3%. Peripheral neuropathy, visual impairment, diabetic foot, and myocardial infarction were seen in 50%, 48.8%, 18.8%, and 2.5% of patients, respectively. Conclusion: Sudanese adults with type 1 diabetes have poor glycemic control, high prevalence of dyslipidemia, and long-term complications.

  5. The Acute Effects of Interval-Type Exercise on Glycemic Control in Type 2 Diabetes Subjects: Importance of Interval Length. A Controlled, Counterbalanced, Crossover Study.

    Directory of Open Access Journals (Sweden)

    Ida Jakobsen

    Full Text Available Interval-type exercise is effective for improving glycemic control, but the optimal approach is unknown. The purpose of this study was to determine the importance of the interval length on changes in postprandial glycemic control following a single exercise bout. Twelve subjects with type 2 diabetes completed a cross-over study with three 1-hour interventions performed in a non-randomized but counter-balanced order: 1 Interval walking consisting of repeated cycles of 3 min slow (aiming for 54% of Peak oxygen consumption rate [VO2peak] and 3 min fast (aiming for 89% of VO2peak walking (IW3; 2 Interval walking consisting of repeated cycles of 1 min slow and 1 min fast walking (IW1 and 3 No walking (CON. The exercise interventions were matched with regards to walking speed, and VO2 and heart rate was assessed throughout all interventions. A 4-hour liquid mixed meal tolerance test commenced 30 min after each intervention, with blood samples taken regularly. IW3 and IW1 resulted in comparable mean VO2 and heart rates. Overall mean postprandial blood glucose levels were lower after IW3 compared to CON (10.3±3.0 vs. 11.1±3.3 mmol/L; P 0.05 for both. Conversely blood glucose levels at specific time points during the MMTT differed significantly following both IW3 and IW1 as compared to CON. Our findings support the previously found blood glucose lowering effect of IW3 and suggest that reducing the interval length, while keeping the walking speed and time spend on fast and slow walking constant, does not result in additional improvements.ClinicalTrials.gov NCT02257190.

  6. Periodontal disease and type I diabetes mellitus: Associations with glycemic control and complications.

    Science.gov (United States)

    Meenawat, Ajita; Punn, Karan; Srivastava, Vivek; Meenawat, Anand S; Dolas, R S; Govila, Vivek

    2013-09-01

    The aim of the study was to evaluate periodontal health status in patients diagnosed with type 1 diabetes mellitus (DM1) and to establish a correlation between metabolic control and periodontal health status. Periodontal health parameters namely plaque index (PI), gingival index (GI), probing pocket depth (PPD) and clinical attachment loss (CAL) were recorded in 28 patients diagnosed with type 1 diabetes mellitus (DM1) and 20 healthy controls. Diabetes history was recorded based on the information provided by the physician and it included date of diagnosis, duration, age of diagnosis, latest values of glycosylated haemoglobin and existing diabetic complications. Statistical analysis was performed to evaluate the relationship between periodontal parameters and degree of metabolic control, the duration of the disease and the appearance of complications. The periodontal health in the diabetic group was compromised and they had greater bleeding index (P diabetes for shorter duration of time (4-7 years) showed bleeding index-disease severity correlation to be 1.760 ± 0.434. Periodontal disease was more evident in type 1 diabetes mellitus patients and periodontal inflammation is greatly increased in subjects with longer disease course, poor metabolic control and diabetic complications.

  7. Power and Type I Error Control for Univariate Comparisons in Multivariate Two-Group Designs.

    Science.gov (United States)

    Frane, Andrew V

    2015-01-01

    Simulations were conducted to evaluate the statistical power and Type I error control provided by several multiple-comparisons procedures in two-group designs. Stepwise Bonferroni-based procedures, which are known to control the familywise Type I error rate, tended to be more powerful than other methods but did not control the per-family Type I error rate (PFER). It is proposed that more attention should be given to the PFER, particularly with regard to these procedures. Only two methods controlled the PFER: the classical Bonferroni procedure and a modified version of MANOVA-protection. Which of these two procedures was more powerful depended on multiple factors that this article describes in detail and illustrates graphically. It is concluded that which multiple-comparisons procedure is preferable depends on the number of outcome variables, the importance of the PFER, the necessity of confidence intervals, and the extent to which significance in multiple variables is more valuable than significance in one variable.

  8. Gaps and barriers in the control of blood glucose in people with type 2 diabetes.

    Science.gov (United States)

    Blonde, Lawrence; Aschner, Pablo; Bailey, Clifford; Ji, Linong; Leiter, Lawrence A; Matthaei, Stephan

    2017-05-01

    Glycaemic control is suboptimal in a large proportion of people with type 2 diabetes who are consequently at an increased and avoidable risk of potentially severe complications. We sought to explore attitudes and practices among healthcare professionals that may contribute to suboptimal glycaemic control through a review of recent relevant publications in the scientific literature. An electronic search of the PubMed database was performed to identify relevant publications from January 2011 to July 2015. The electronic search was complemented by a manual search of abstracts from key diabetes conferences in 2014/2015 available online. Recently published data indicate that glycaemic control is suboptimal in a substantial proportion (typically 40%-60%) of people with diabetes. This is the case across geographic regions and in both low- and higher-income countries. Therapeutic inertia appears to be an important contributor to poor glycaemic control in up to half of people with type 2 diabetes. In particular, prescribers are often willing to tolerate extended periods of 'mild' hyperglycaemia as well as having low expectations for their patients. There are often delays of 3 years or longer in initiating or intensifying glucose-lowering therapy when needed. Many people with type 2 diabetes are failed by current management, with approximately half not achieving or maintaining appropriate target blood glucose levels, leaving these patients at increased and avoidable risk of serious complications. Review criteria: The methodology of this review article is detailed in the 'Methods' section.

  9. A Recourse-Based Type-2 Fuzzy Programming Method for Water Pollution Control under Uncertainty

    Directory of Open Access Journals (Sweden)

    Jing Liu

    2017-11-01

    Full Text Available In this study, a recourse-based type-2 fuzzy programming (RTFP method is developed for supporting water pollution control of basin systems under uncertainty. The RTFP method incorporates type-2 fuzzy programming (TFP within a two-stage stochastic programming with recourse (TSP framework to handle uncertainties expressed as type-2 fuzzy sets (i.e., a fuzzy set in which the membership function is also fuzzy and probability distributions, as well as to reflect the trade-offs between conflicting economic benefits and penalties due to violated policies. The RTFP method is then applied to a real case of water pollution control in the Heshui River Basin (a rural area of China, where chemical oxygen demand (COD, total nitrogen (TN, total phosphorus (TP, and soil loss are selected as major indicators to identify the water pollution control strategies. Solutions of optimal production plans of economic activities under each probabilistic pollutant discharge allowance level and membership grades are obtained. The results are helpful for the authorities in exploring the trade-off between economic objective and pollutant discharge decision-making based on river water pollution control.

  10. Glycaemic control in Sudanese individuals with type 2 diabetes: Population based study.

    Science.gov (United States)

    Noor, Sufian K; Elmadhoun, Wadie M; Bushara, Sarra O; Almobarak, Ahmed O; Salim, Reham S; Forawi, Sittana A; Awadallah, Heitham; Elwali, Einas S; Ahmed, Mohamed H

    2017-11-01

    Diabetes mellitus (DM) is a major health problem in Sudan and is a leading cause of morbidity and mortality. The objective of this study was to determine the prevalence of glycaemic control among individuals with type 2 diabetes across different cities in Sudan. Individuals with type 2 diabetes attending selected diabetes centres in Sudan, who had been on treatment for DM for at least one year and volunteered to participate were included. Participants were interviewed using standardized pretested questionnaire to record medical history, sociodemographic and life style characteristics. Lipid profile and glycosylated hemoglobin were tested by calibrated laboratory methods. Blood pressure, Body mass index (BMI) and waist circumference were measured. Chi squared and logistic regression were used as statistical methods. A total of 387 individuals with T2DM were included in this study (50.4% males and 49.6% females). The glycemic control indicator (HbAIc>7) was poor in 85% of patients. Factors associated with poor glycemic control were prolonged duration of diabetes (p=0.03), high plasma triglyceride (p=0.02), low high density lipoprotein (HDL) level (p=0.04) and low glomerular filtration rate (GFR) (P=0.01). Logistic regression analysis showed that low GFR is independent factor with poor diabetes control. High prevalence of uncontrolled diabetes (85%) is noted in Sudanese individuals with type 2 diabetes. Copyright © 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.

  11. The Effect of Metformine on Glucose Control in Patients with Diabetes Type 1

    Directory of Open Access Journals (Sweden)

    A. Ziaee

    2010-07-01

    Full Text Available Introduction & Objective: Metabolic control in adolescents with type 1 DM who are in pubertal period will be impaired, thus finding a therapeutic strategy such as adding metformin to insulin to reduce insulin resistance will be useful in blood glucose control and metabolic state improvement.Materials & Methods: This was a randomized double blind placebo controlled 3-month trial metformin therapy in 32 adolescents with type 1 DM. These patients were divided in two groups of metformin and placebo and treated with metformin and placebo for 3-months. Their HbA1C, FBS, Insulin dosage, TG, Cholesterol, and LDL were measured at the initiation and end of the treatment.Results: After the study there was a significant improvement of FBS and TG in metformin group versus placebo group (P=0.02 and P=0.028 in order. But, there was not significant difference in other variables such as BMI, insulin dosage, HbA1C, Cholesterol and LDL between the two groups.Conclusion: Metformin treatment in teenagers with type1 DM who are in pubertal period will improve the control of FBS and lowers TG but has not any significant effect on HbA1C, BMI, insulin dosage, Cholesterol and LDL.

  12. Periodontal disease and type I diabetes mellitus: Associations with glycemic control and complications

    Directory of Open Access Journals (Sweden)

    Ajita Meenawat

    2013-01-01

    Full Text Available Objective: The aim of the study was to evaluate periodontal health status in patients diagnosed with type 1 diabetes mellitus (DM1 and to establish a correlation between metabolic control and periodontal health status. Materials and Methods: Periodontal health parameters namely plaque index (PI, gingival index (GI, probing pocket depth (PPD and clinical attachment loss (CAL were recorded in 28 patients diagnosed with type 1 diabetes mellitus (DM1 and 20 healthy controls. Diabetes history was recorded based on the information provided by the physician and it included date of diagnosis, duration, age of diagnosis, latest values of glycosylated haemoglobin and existing diabetic complications. Statistical analysis was performed to evaluate the relationship between periodontal parameters and degree of metabolic control, the duration of the disease and the appearance of complications. Results: The periodontal health in the diabetic group was compromised and they had greater bleeding index (P < 0.001, probing pocket depth (P < 0.001 and clinical attachment level (P = 0.001. Patients diagnosed for diabetes for shorter duration of time (4-7 years showed bleeding index-disease severity correlation to be 1.760 ΁ 0.434. Conclusion: Periodontal disease was more evident in type 1 diabetes mellitus patients and periodontal inflammation is greatly increased in subjects with longer disease course, poor metabolic control and diabetic complications.

  13. Controlling chaos based on a novel intelligent integral terminal sliding mode control in a rod-type plasma torch

    Science.gov (United States)

    Safa, Khari; Zahra, Rahmani; Behrooz, Rezaie

    2016-05-01

    An integral terminal sliding mode controller is proposed in order to control chaos in a rod-type plasma torch system. In this method, a new sliding surface is defined based on a combination of the conventional sliding surface in terminal sliding mode control and a nonlinear function of the integral of the system states. It is assumed that the dynamics of a chaotic system are unknown and also the system is exposed to disturbance and unstructured uncertainty. To achieve a chattering-free and high-speed response for such an unknown system, an adaptive neuro-fuzzy inference system is utilized in the next step to approximate the unknown part of the nonlinear dynamics. Then, the proposed integral terminal sliding mode controller stabilizes the approximated system based on Lyapunov’s stability theory. In addition, a Bee algorithm is used to select the coefficients of integral terminal sliding mode controller to improve the performance of the proposed method. Simulation results demonstrate the improvement in the response speed, chattering rejection, transient response, and robustness against uncertainties.

  14. Design and Testing of Boost Type DC/DC Converter for DC Motor Control Applications

    OpenAIRE

    Samman, Faizal Arya; Akil, Yusri Syam; Noor, Nirwan A.

    2017-01-01

    in The Proceeding of The 2nd International Symposium on Smart Material and Mechatronics 2015 This paper presents the design and testing of a boost type DC/DC converter circuit, which can be used for DC motor control applications. The Boost converter is designed using DC chopper and DC chopper cascade configurations. The experimental setup was made by connecting the boost converter circuit with four types of DC motor, i.e. self-excited DC motor shunt, series, compound and separately exci...

  15. Presumptive binge eating disorder in type 2 diabetes mellitus patients and its effect in metabolic control

    OpenAIRE

    Sandra Soares Melo; Cíntia Milene Comelli Odorizzi

    2009-01-01

    Objective: This study sought to determine the presence of diagnosis suggestive of binge eating disorder in individuals with type 2 diabetes mellitus, and to evaluate the influence of such disorder on the metabolic control. Methods: sixty-three patients with type 2 diabetes mellitus and registered  at the Diabetes and Hypertension Program of a Health Unit in the town of Balneário Camboriú, Santa Catarina, Brazil, were evaluated. The diagnosis of binge eating disorder was made by analysis of th...

  16. Closed loop control of a cylindrical tube type Ionic Polymer Metal Composite (IPMC)

    Science.gov (United States)

    Mead, Benjamin T.

    The goal of this research is to provide a framework for the integration of tube type, cylindrical Ionic Polymer Metal-Composite (IPMC) into conventional devices. IPMCs are one of the most widely used types of electro-active polymer actuator, due to their low electric driving potential and large deformation range. For this research a tube type IPMC was investigated. This IPMC has a circular cross section with four separate electrodes on its surface and a hole through the middle. The four electrodes allow for biaxial bending and accurate control of the tip location. One of the main advantages of using this type of IPMC is the ability to embed a specific tool and accurately control the tool tip location using the large deflection range of the IPMC. This ability has widespread applications including in the biomedical field for use in active catheter procedures. First, this relatively new type of IPMC is investigated and characterized. The processes and materials used are described and the functional design is explored. Before the modeling process beings the basic functions of the IPMC are investigated. To this end force and displacement experiments are performed to describe the activation of the tube type IPMC. This data will be used later to verify and calibrate the mathematical simulations. Second, a three dimensional multi-physics finite element model is developed using COMSOL 4.3a. This model will automatically couple three physics packages and provide a description of the fluid interactions within the tube type IPMC. This model is then compared against the experimental displacement results to calibrate the simulation. Using this simulation design parameters are declared including, overall diameter, and tool hole size. The performance of the IPMC is then simulated while varying these parameters. Third, an electro-mechanical model of the IPMC is developed. This macroscopic model is used to relate the input voltage to an associated tip deflection. Several model types

  17. Control and protection system for an electron injector installed in a high-voltage terminal

    International Nuclear Information System (INIS)

    Martin, D.; Radu, A.; Baciu, G.; Grigore, D.

    1979-01-01

    The basic principles of operation of the control and protection system for an electron accelerator gun are described. The electron gun parameters are independently controlled by using four special secondary windings of the high-voltage transformer providing the accelerating voltage. Four groups of thyristor ac regulators employing phase control are connected so as to provide independent adjustment of each parameter of the gun. The power controller of modular construction has a single-phase supply from the 50 Hz 220 V mains. (orig.)

  18. A master-follower type distributed scheme for reactor inlet temperature control

    International Nuclear Information System (INIS)

    Garcia, H.E.; Dean, E.M.; Vilim, R.B.

    1995-01-01

    This paper describes the implementation of a computer-based controller for regulating reactor inlet temperature in a pool-type power plant. The elements of the control system are organized in a master-follower hierarchical architecture that takes advantage of existing in-plant hardware and software to minimize the need for plant modifications. Low level control algorithms are executed on existing local digital controllers (followers) with the high level algorithms executed on a new plant supervisory computer (master). A distributed computing strategy provides integration of the existing and additional computer platforms. The control system operates by having the master controller first estimate the secondary sodium flow needed to achieve a given reactor inlet temperature. The estimated flow is then used as a setpoint by the follower controller to regulate sodium flow using a motor-generator pump set. The control system has been implemented in a Hardware-In-the-Loop (FM) setup and qualified for operation in the Experimental Breader reactor 11 of Argonne National Laboratory. Some HIL results are provided

  19. Comparison of glycemic control and variability in patients with type 2 and posttransplantation diabetes mellitus.

    Science.gov (United States)

    Werzowa, Johannes; Pacini, Giovanni; Hecking, Manfred; Fidler, Catharina; Haidinger, Michael; Brath, Helmut; Thomas, Andreas; Säemann, Marcus D; Tura, Andrea

    2015-01-01

    Posttransplantation diabetes mellitus (PTDM) is a common complication after renal transplantation leading to increased cardiovascular morbidity and mortality. In subjects with type 2 diabetes (T2DM) increased glycemic variability and poor glycemic control have been associated with cardiovascular complications. We therefore aimed at determining glycemic variability and glycemic control in subjects with PTDM in comparison to T2DM subjects. In this observational study we analyzed 10 transplanted subjects without diabetes (Control), 10 transplanted subjects with PTDM, and 8 non-transplanted T2DM subjects using Continuous Glucose Monitoring (CGM). Several indices of glycemic control quality and variability were computed. Many indices of both glycemic control quality and variability were different between control and PTDM subjects, with worse values in PTDM. The indices of glycemic control, such as glucose mean, GRADE and M-value, were similar in PTDM and T2DM, but some indices of glycemic variability, that is CONGA, lability index and shape index, showed a markedly higher (i.e., worse) value in T2DM than in PTDM (P value range: 0.001-0.035). Although PTDM and T2DM subjects showed similar glycemic control quality, glycemic variability was significantly higher in T2DM. These data underscore potential important pathophysiological differences between T2DM and PTDM indicating that increased glycemic variability may not be a key factor for the excess cardiovascular mortality in patients with PTDM. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Scalable control program for multiprecursor flow-type atomic layer deposition system

    Energy Technology Data Exchange (ETDEWEB)

    Selvaraj, Sathees Kannan [Department of Chemical Engineering, University of Illinois at Chicago, Chicago, Illinois 60607 (United States); Takoudis, Christos G., E-mail: takoudis@uic.edu [Department of Chemical Engineering, University of Illinois at Chicago, Chicago, Illinois 60607 and Department of Bioengineering, University of Illinois at Chicago, Chicago, Illinois 60607 (United States)

    2015-01-01

    The authors report the development and implementation of a scalable control program to control flow type atomic layer deposition (ALD) reactor with multiple precursor delivery lines. The program logic is written and tested in LABVIEW environment to control ALD reactor with four precursor delivery lines to deposit up to four layers of different materials in cyclic manner. The programming logic is conceived such that to facilitate scale up for depositing more layers with multiple precursors and scale down for using single layer with any one precursor in the ALD reactor. The program takes precursor and oxidizer exposure and purging times as input and controls the sequential opening and closing of the valves to facilitate the complex ALD process in cyclic manner. The program could be used to deposit materials from any single line or in tandem with other lines in any combination and in any sequence.

  1. Calculation of Hamilton energy and control of dynamical systems with different types of attractors.

    Science.gov (United States)

    Ma, Jun; Wu, Fuqiang; Jin, Wuyin; Zhou, Ping; Hayat, Tasawar

    2017-05-01

    Strange attractors can be observed in chaotic and hyperchaotic systems. Most of the dynamical systems hold a finite number of attractors, while some chaotic systems can be controlled to present an infinite number of attractors by generating infinite equilibria. Chaos can also be triggered in some dynamical systems that can present hidden attractors, and the attractors in these dynamical systems find no equilibria and the basin of attraction is not connected with any equilibrium (the equilibria position meets certain restriction function). In this paper, Hamilton energy is calculated on the chaotic systems with different types of attractors, and energy modulation is used to control the chaos in these systems. The potential mechanism could be that negative feedback in energy can suppress the phase space and oscillating behaviors, and thus, the chaotic, periodical oscillators can be controlled. It could be effective to control other chaotic, hyperchaotic and even periodical oscillating systems as well.

  2. Assessment of Model Predictive and Adaptive Glucose Control Strategies for People with Type 1 Diabetes

    DEFF Research Database (Denmark)

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

    2014-01-01

    This paper addresses overnight blood glucose stabilization in people with type 1 diabetes using a Model Predictive Controller (MPC). We use a control strategy based on an adaptive ARMAX model in which we use a Recursive Extended Least Squares (RELS) method to estimate parameters of the stochastic...... part. We compare this model structure with an autoregressive integrated moving average with exogenous input (ARIMAX) structure, and with an autoregressive moving average with exogenous input (ARMAX) model, i.e. without an integrator. Additionally, safety layers improve the controller robustness...... and reduce the risk of hypoglycemia. We test our control strategies on a virtual clinic of 100 randomly generated patients with a representative inter-subject variability. This virtual clinic is based on the Hovorka model. We consider the case where only half of the meal bolus is administered at mealtime...

  3. Assessment of Model Predictive and Adaptive Glucose Control Strategies for People with Type 1 Diabetes

    DEFF Research Database (Denmark)

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

    2014-01-01

    This paper addresses overnight blood glucose stabilization in people with type 1 diabetes using a Model Predictive Controller (MPC). We use a control strategy based on an adaptive ARMAX model in which we use a Recursive Extended Least Squares (RELS) method to estimate parameters of the stochastic...... and reduce the risk of hypoglycemia. We test our control strategies on a virtual clinic of 100 randomly generated patients with a representative inter-subject variability. This virtual clinic is based on the Hovorka model. We consider the case where only half of the meal bolus is administered at mealtime......, and the case where the insulin sensitivity varies during the night. The simulation results demonstrate that the adaptive control strategy can reduce the risks of hypoglycemia and hyperglycemia during the night....

  4. Photon storage in ¿-type optically dense atomic media. IV. Optimal control using gradient ascent

    DEFF Research Database (Denmark)

    Gorshkov, Alexey V.; Calarco, Tomasso; Lukin, Mikhail D.

    2008-01-01

    We use the numerical gradient ascent method from optimal control theory to extend efficient photon storage in -type media to previouslyinaccessible regimes and to provide simple intuitive explanations for our optimization techniques. In particular, by using gradient ascent to shape classical....... We also demonstrate that the often discussed connection between time reversal andoptimality in photon storage follows naturally from gradient ascent. Finally, we discuss the optimization of controlled reversible inhomogeneous broadening....... control pulses used to mediate photon storage, we open up the possibility of high efficiency photon storage in thenonadiabatic limit, in which analytical solutions to the equations of motion do not exist. This control shaping technique enables an order-of-magnitude increase in the bandwidth of the memory...

  5. Indirect predictive type-2 fuzzy neural network controller for a class of nonlinear input - delay systems.

    Science.gov (United States)

    Sabahi, Kamel; Ghaemi, Sehraneh; Liu, Jianxing; Badamchizadeh, Mohammad Ali

    2017-11-01

    In this paper a new indirect type-2 fuzzy neural network predictive (T2FNNP) controller has been proposed for a class of nonlinear systems with input-delay in presence of unknown disturbance and uncertainties. In this method, the predictor has been utilized to estimate the future state variables of the controlled system to compensate for the time-varying delay. The T2FNN is used to estimate some unknown nonlinear functions to construct the controller. By introducing a new adaptive compensator for the predictor and controller, the effects of the external disturbance, estimation errors of the unknown nonlinear functions, and future sate estimation errors have been eliminated. In the proposed method, using an appropriate Lyapunov function, the stability analysis as well as the adaptation laws is carried out for the T2FNN parameters in a way that all the signals in the closed-loop system remain bounded and the tracking error converges to zero asymptotically. Moreover, compared to the related existence predictive controllers, as the number of T2FNN estimators are reduced, the computation time in the online applications decreases. In the proposed method, T2FNN is used due to its ability to effectively model uncertainties, which may exist in the rules and data measured by the sensors. The proposed T2FNNP controller is applied to a nonlinear inverted pendulum and single link robot manipulator systems with input time-varying delay and compared with a type-1 fuzzy sliding predictive (T1FSP) controller. Simulation results indicate the efficiency of the proposed T2FNNP controller. Copyright © 2017 ISA. Published by Elsevier Ltd. All rights reserved.

  6. Determinants of glycemic control among persons with type 2 diabetes mellitus in Niger Delta

    Directory of Open Access Journals (Sweden)

    Chukwuani Ufuoma

    2016-01-01

    Full Text Available Background: The rising burden of type 2 diabetes mellitus (T2DM with its attendant′s complication can be successively steamed in the face of appropriate self-care management. The latter is positively imparted by the level of knowledge of the disease itself, its impact on quality of life and available basic technique of its control. Aims: The study is, therefore, aimed to assess the level of glycemic control and its determinants among type 2 subjects attending a secondary hospital in Niger Delta. Subjects and Methods: Two hundred consenting adult type 2 diabetes patients of age more than 40 years and attended diabetes outpatient clinics at the Central Hospital Warri between March and August 2014 were used for this cross-sectional study. Two different questionnaires were administered to all the participants to collect the necessary information on diabetes knowledge as well as factors that might affect their glycemic control. Blood samples were collected for fasting blood glucose (FBG and glycosylated hemoglobin (HbA1c for all the respondents. Weight and height were also measured to the nearest 0.5 kilogram and centimeter using standardized equipment. Body mass index was then calculated as the ratio of weight in kilogram and height in meters square (kg/m 2 . Statistical Analysis Used: Statistical Package for Social Science Version 16 was used to compute the data generated. Results: The mean age and diabetic duration of all participants were 54.8 ± 11.9 years and 8.5 ± 3.2 years, respectively. The overall mean knowledge score of the subjects was 6.90 ± 1.8 (69.0 ± 18.2% The mean FBG level and HbA1c of respondents were 7.89 ± 3.6 mmol/L (range 4-20 mmol/L and 8.2%, respectively, with 55% of the population having poor glycemic control and 45% good glycemic control. The diabetic knowledge scoring of those with poor glycemic control was significantly lower than those with good glycemic control. In addition, diabetics′ with poor glycemic control

  7. Design of optimal Mamdani-type fuzzy controller for nonholonomic wheeled mobile robots

    Directory of Open Access Journals (Sweden)

    Davood Nazari Maryam Abadi

    2015-01-01

    Full Text Available In this paper, in order to cope with both parametric and nonparametric uncertainties in the robot model, an optimal Mamdani-type fuzzy logic controller is introduced for trajectory tracking of wheeled mobile robots (WMRs. The dynamic model of a nonholonomic mobile robot was implemented in the Matlab/Simulink environment. The parameters of input and output membership functions, and PID controller coefficients are optimized simultaneously by random inertia weight Particle Swarm Optimization (RNW-PSO. Simulation results show the system performance is desirable.

  8. [Quality of life and degree of control in type 2 diabetics seen in primary care].

    Science.gov (United States)

    Gómez-Navarro, Rafael; Albiñana-Tarragó, Julián; Belenguer-Andrés, Natividad; Navarro-Julián, M José

    2009-04-01

    To analyse the health-related quality of life (HRQL) of type 2 diabetic patients (DM2) and to study the possible influence of this on the metabolic control of the disease and the associated diseases. Cross-sectional descriptive study of HRQL using a general questionnaire with COOP/WONCA cartoons and evaluation of compliance with the control criteria. A total of 98 patients with an average age of 72.9+/-9.9 years were studied, of which a total of 44.8% had a total score of 40 mg/dl; 86.7% triglycerides quality of life.

  9. Inverse source problem and null controllability for multidimensional parabolic operators of Grushin type

    International Nuclear Information System (INIS)

    Beauchard, K; Cannarsa, P; Yamamoto, M

    2014-01-01

    The approach to Lipschitz stability for uniformly parabolic equations introduced by Imanuvilov and Yamamoto in 1998 based on Carleman estimates, seems hard to apply to the case of Grushin-type operators of interest to this paper. Indeed, such estimates are still missing for parabolic operators degenerating in the interior of the space domain. Nevertheless, we are able to prove Lipschitz stability results for inverse source problems for such operators, with locally distributed measurements in an arbitrary space dimension. For this purpose, we follow a mixed strategy which combines the approach due to Lebeau and Robbiano, relying on Fourier decomposition and Carleman inequalities for heat equations with non-smooth coefficients (solved by the Fourier modes). As a corollary, we obtain a direct proof of the observability of multidimensional Grushin-type parabolic equations, with locally distributed observations—which is equivalent to null controllability with locally distributed controls. (paper)

  10. Neighborhood level risk factors for type 1 diabetes in youth: the SEARCH case-control study

    Directory of Open Access Journals (Sweden)

    Liese Angela D

    2012-01-01

    Full Text Available Abstract Background European ecologic studies suggest higher socioeconomic status is associated with higher incidence of type 1 diabetes. Using data from a case-control study of diabetes among racially/ethnically diverse youth in the United States (U.S., we aimed to evaluate the independent impact of neighborhood characteristics on type 1 diabetes risk. Data were available for 507 youth with type 1 diabetes and 208 healthy controls aged 10-22 years recruited in South Carolina and Colorado in 2003-2006. Home addresses were used to identify Census tracts of residence. Neighborhood-level variables were obtained from 2000 U.S. Census. Multivariate generalized linear mixed models were applied. Results Controlling for individual risk factors (age, gender, race/ethnicity, infant feeding, birth weight, maternal age, number of household residents, parental education, income, state, higher neighborhood household income (p = 0.005, proportion of population in managerial jobs (p = 0.02, with at least high school education (p = 0.005, working outside the county (p = 0.04 and vehicle ownership (p = 0.03 were each independently associated with increased odds of type 1 diabetes. Conversely, higher percent minority population (p = 0.0003, income from social security (p = 0.002, proportion of crowded households (0.0497 and poverty (p = 0.008 were associated with a decreased odds. Conclusions Our study suggests that neighborhood characteristics related to greater affluence, occupation, and education are associated with higher type 1 diabetes risk. Further research is needed to understand mechanisms underlying the influence of neighborhood context.

  11. Poorly controlled type 2 diabetes complicated by an episode of severe hypertriglyceridaemia-induced pancreatitis.

    Science.gov (United States)

    Denecker, Nathalie; Decochez, Katelijn

    2013-04-29

    A 23-year-old woman with a history of type 2 diabetes and non-compliance presented to the emergency department with abdominal epigastric pain and nausea. Laboratory examination revealed a mild ketoacidosis while an abdominal CT scan performed the following day demonstrated a severe acute pancreatitis of the body and tail (Balthazar grade E) despite normal amylase serum levels on admission. The presence of a lactescent serum was the clue to an extremely high triglyceride level (>10 000 mg/dl) causing the pancreatitis. The hypertriglyceridaemia itself was attributed mainly to the diabetic ketoacidosis. There was no family history of hypertriglyceridaemia. The triad consisting of diabetic ketoacidosis, hypertriglyceridaemia and acute pancreatitis is an unusual presentation of poorly controlled diabetes which can occur in type 1 as well as type 2 diabetic adults and children. Treatment with intravenous insulin and hydration successfully resolved the ketoacidosis and hypertriglyceridaemia and reversed the episode of acute pancreatitis.

  12. Freshwater fish trypanosomes: definition of two types, host control by antibodies and lack of antigenic variation.

    Science.gov (United States)

    Overath, P; Haag, J; Mameza, M G; Lischke, A

    1999-12-01

    Haemoflagellates of the genus Trypanosoma are prevalent in freshwater fishes and are transmitted by leeches as vectors. As demonstrated by sequence comparisons of nuclear small subunit rRNA genes, trypanosomes isolated from several fish species at different localities can be divided into at least 2 closely related types, designated Type A and Type B. A clone derived from a Type A isolate from carp (Cyprinus carpio) was used to study the anti-parasite immune response in specified pathogen-free outbred carp. Infection leads to an initial rise in parasitaemia in the blood followed by a sharp decline in all fish (acute phase). Thereafter, in some carp, parasites become undetectable both in the blood and in internal organs while, in others, low numbers can be found in the blood for up to 1 year (chronic phase). Fish that have controlled an acute infection with the clone are not only protected against an homologous challenge infection, but also against the infection with parasite lines derived from carp in the chronic phase of infection. Passive immunization experiments with IgM purified from serum of recovered carp indicate that the infection is controlled by antibodies. The anti-parasite antibody level in recovered carp remains high for many months although the parasitaemia is controlled at very low levels and the half life of IgM, t1/2 = 22.5 days, is comparatively short. The effective control of trypanosomes in laboratory infections is in contrast to the high prevalence in natural and farmed freshwater fish populations.

  13. Acculturation and glycemic control of Asian Indian adults with type 2 diabetes.

    Science.gov (United States)

    Venkatesh, Sumathi; Weatherspoon, Lorraine J; Kaplowitz, Stan A; Song, Won O

    2013-02-01

    The prevalence of type 2 diabetes is disproportionately high among Asian Indians (AI), one of the fastest growing immigrant groups in the United States (US). Poorly controlled diabetes associated with inadequate self-management increases complications and thus medical costs. Acculturation may be an important determinant of diabetes self-management and hence control. This study examined the association between the degree of acculturation and glycemic control as measured by Hemoglobin A1c in AI adults with type 2 diabetes. A mixed method (quantitative and qualitative) study was conducted among 30 AI adults with type 2 diabetes. Acculturation assessment using the Suinn-Lew Asian Self-identity Instrument was followed by socio-demographic questions, self-reported anthropometric measures, and open ended diabetes self-care questions. A two-step multiple regression analysis and content analysis of verbatim interview transcriptions were conducted. Interactions of acculturation with body mass index (interaction b = 1.11; p = 0.01), annual household income (interaction b = 7.19; p = .01), and diabetes duration (interaction b = .30; p = .02) significantly predicted higher HbA1c levels (R(2) change = .368; F change = 4.21; p = .02). From the qualitative interviews, the following were regarded as US specific facilitators for glycemic control: excellent health care system and facilities, availability of healthy food choices and self-monitoring devices, medical insurance benefits, good quality medications, and improved health awareness. Cultural orientation might be important for patient tailored interventions targeting AI with type 2 diabetes. Therefore, interventions targeted at Asian Indians with diabetes should include culture specific adaptations to nutrition education and support.

  14. Personality traits, self-care behaviours and glycaemic control in Type 2 diabetes

    DEFF Research Database (Denmark)

    Skinner, T. C.; Bruce, D. G.; Davis, T. M.E.

    2014-01-01

    Aims: To determine whether the personality traits of conscientiousness and agreeableness are associated with self-care behaviours and glycaemia in Type 2 diabetes. Methods: The Big Five Inventory personality traits Agreeableness, Conscientiousness, Extraversion, Neuroticism and Openness were...... conscientiousness and low BMI and beneficial self-care behaviours suggests an indirect positive effect on glycaemia. Conscientiousness could be augmented by the use of impulse control training as part of diabetes management....

  15. Effect of Acarbose on Control of Metabolic Parameters in Patients with Diabetes Type 1

    Directory of Open Access Journals (Sweden)

    A. Ziaee

    2012-07-01

    Full Text Available Introduction & Objective: Acarbose is an intestinal alpha-glucosidase inhibitor that delays absorption of carbohydrates. Findings of some studies show that it has been effective in better control of blood glucose in patients with diabetes type 1. The goal of this study is to investigate the effect of administration of acarbose on glycemic & lipid parameters and daily insulin requirements and tolerability in type 1 diabetic patient.Materials & Methods: This was a clinical trial randomized double blind placebo controlled study. Performed on patients with history of at least 1 year diabetes type 1 and had HbA1c≥7.5%. Patients with Cr≥2, partial GI obstruction or IBD were excluded from the study. 45 patients were randomized to be administered acarbose or placebo for 12 weeks. Initial dose of acarbose was 25 mg T.D.S for 2 weeks, and then it was increased to 50 mg T.D.S for 10 weeks. BMI, FBS, 2hpp, HbA1c, Total cholesterol, HDL, LDL, TG and Insulin dosage were investigated monthly.Results: The values of BMI, FBS, 2hpp, HbA1c, Total cholesterol, and TG & Insulin requirements decreased significantly in the case group compared to the controls (P=0.003, P=0.005, P<0.001, P=0.001, P=0.003, P<0.001, P<0.001, respectively; but no significant changes were observed in HDL &LDL levels. Conclusion: Administration of acarbose together with insulin to type 1 diabetic patient can be valuable in improving metabolic control (BMI, FBS, 2hpp, HbA1c, Total cholesterol and TG.(Sci J Hamadan Univ Med Sci 2012;19(2:5-10

  16. [Association between smoking/smoking cessation and glycemic control in male patients with type 2 diabetes].

    Science.gov (United States)

    Su, J; Qin, Y; Shen, C; Gao, Y; Pan, E C; Pan, X Q; Tao, R; Zhang, Y Q; Wu, M

    2017-11-10

    Objective: To explore the association of smoking and smoking cessation with glycemic control in male patients with type 2 diabetes. Methods: From December 2013 to January 2014, a total of 7 763 male patients with type 2 diabetes, who received national basic public health service in Changshu county of Suzhou city, Huai'an and Qinghe districts of Huai'an city, Jiangsu province, were recruited by cluster sampling. Questionnaire survey and anthropometric measurements were conducted, and fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) levels were measured. Multiple linear regression model was used to evaluate the association of smoking and smoking cessation with glycemic control. Results: The prevalence of current smoking was 45.5% in male patients with type 2 diabetes. The levels of FPG and HbA1c increased with number of cigarettes smoked per day compared with non-smokers ( P smoking duration ≥30 years and smoking index ≥40 pack-years were 0.27% (95 %CI : 0.05%-0.49%) and 0.38% (95 %CI : 0.23%-0.53%), respectively. FPG and HbA1c level decreased obviously with smoking cessation years among former smokers ( P smoking duration, smoking cessation years and levels of FPG and HbA1c. Conclusion: Cigarette smoking was negatively related with glycemic control in male type 2 diabetes patients, especially in patients with drug treatment. Smoking cessation may be beneficial for glycemic control. Smoking cessation should be encouraged for diabetes patients as early as possible.

  17. Characteristics of poorly controlled Type 2 diabetes patients in Swiss primary care

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    Frei Anja

    2012-06-01

    Full Text Available Abstract Background Although a variety of treatment guidelines for Type 2 diabetes patients are available, a majority of patients does not achieve recommended targets. We aimed to characterise Type 2 diabetes patients from Swiss primary care who miss HbA1c treatment goals and to reveal factors associated with the poorly controlled HbA1c level. Methods Cross-sectional study nested within the cluster randomised controlled Chronic Care for Diabetes study. Type 2 diabetes patients with at least one HbA1c measurement ≥7.0 % during the last year were recruited from Swiss primary care. Data assessment included diabetes specific and general clinical measures, treatment factors and patient reported outcomes. Results 326 Type 2 diabetes patients from 30 primary care practices with a mean age 67.1 ± 10.6 years participated in the study. The patients’ findings for HbA1c were 7.7 ± 1.3 %, for systolic blood pressure 139.1 ± 17.6 mmHg, for diastolic blood pressure 80.9 ± 10.5 mmHg and for low density lipoprotein 2.7 ± 1.1. 93.3 % of the patients suffered from at least one comorbidity and were treated with 4.8 ± 2.1 different drugs. No determining factor was significantly related to HbA1c in the multiple analysis, but a significant clustering effect of GPs on HbA1c could be found. Conclusions Within our sample of patients with poorly controlled Type 2 diabetes, no “bullet points” could be pointed out which can be addressed easily by some kind of intervention. Especially within this subgroup of diabetes patients who would benefit the most from appropriate interventions to improve diabetes control, a complex interaction between diabetes control, comorbidities, GPs’ treatment and patients’ health behaviour seems to exist. So far this interaction is only poorly described and understood. Trial registration Current Controlled Trials ISRCTN05947538.

  18. Glycemic control and associated factors among type 2 diabetic patients at Shanan Gibe Hospital, Southwest Ethiopia.

    Science.gov (United States)

    Yigazu, Daniel Miteku; Desse, Tigestu Alemu

    2017-11-15

    The aim of this study was to assess the rate of glycemic control and factors affecting glycemic control in type 2 diabetic patients. A total of 174 type 2 diabetic patients were interviewed and were studied. Mean age of the patients was 48.98 ± 14.96 years (range 18-80 years). More than half (51.7%) of the patients were males. About a third of patients, 53 (30.5%), were on antidiabetic medications for less than 5 years. The most common prescribed antidiabetic medications were insulin, 48 (27.6%), and metformin 15 (8.6%). One hundred seven (61.5%) patients were on combination therapy (two drug treatment) and the remaining patients were on monotherapy. The majority, 103 (59.2%), of patients had uncontrolled blood glucose. A larger proportion of female patients, 54 (52.4%), had uncontrolled blood glucose than males. Level of education (p diabetes treatment (p patients to regular follow up (Adjusted Odds Ratio (AOR) = 2.42, 95% CI 1.08-5.44, p = 0.03) and diabetes treatment for 5-10 years (AOR = 4.64, 95% CI 1.79-12.06, p = 0.002) are found to be independent predictors of glycemic control among type 2 diabetes patients.

  19. [The effect of initial periodontal therapy on metabolic control in type 2 diabetes mellitus].

    Science.gov (United States)

    Shen, Chi-Jing; Yin, Yuan-Zheng; Shu, Rong

    2008-02-01

    To investigate the effect of periodontal initial therapy on metabolic control in type 2 diabetes mellitus patients with chronic periodontitis. Thirty type 2 diabetic patients with chronic periodontitis were selected as experimental group, 30 patients with chronic periodontitis were selected as control group. Their gingival index(GI), probing depth(PD), clinical attachment level(CAL), fasting plasma glucose(FPG), glycated hemoglobin A1c(HbA1c), total cholesterol(TC) and triglyceride(TG) were evaluated using SAS 6.12 software package for multiple linear regression analysis before treatment(as base) and 1, 3 month(s) after periodontal initial therapy. In both two groups, a significant improvement of periodontal index was found after periodontal initial therapy (P0.05), and FPG, HbA1c in fairly-controlled diabetic patients were reduced significantly(P0.05). The result of periodontal initial therapy in the type 2 diabetic patients with chronic periodontitis is significant in short time. It can reduce the level of FPG and HbA1c. Supported by National Key Science and Technology Project from "Tenth Five Year Plan" (Grant No.2004BA720A26).

  20. General applicability of synthetic gene-overexpression for cell-type ratio control via reprogramming.

    Science.gov (United States)

    Ishimatsu, Kana; Hata, Takashi; Mochizuki, Atsushi; Sekine, Ryoji; Yamamura, Masayuki; Kiga, Daisuke

    2014-09-19

    Control of the cell-type ratio in multistable systems requires wide-range control of the initial states of cells. Here, using a synthetic circuit in E. coli, we describe the use of a simple gene-overexpression system combined with a bistable toggle switch, for the purposes of enabling the wide-range control of cellular states and thus generating arbitrary cell-type ratios. Theoretically, overexpression induction temporarily alters the bistable system to a monostable system, in which the location of the single steady state of cells can be manipulated over a wide range by regulating the overexpression levels. This induced cellular state becomes the initial state of the basal bistable system upon overexpression cessation, which restores the original bistable system. We experimentally demonstrated that the overexpression induced a monomodal cell distribution, and subsequent overexpression withdrawal generated a bimodal distribution. Furthermore, as designed theoretically, regulating the overexpression levels by adjusting the concentrations of small molecules generated arbitrary cell-type ratios.

  1. HPV types, HIV and invasive cervical carcinoma risk in Kampala, Uganda: a case-control study

    Directory of Open Access Journals (Sweden)

    Kleter Bernhard

    2011-06-01

    Full Text Available Abstract Background While the association of human papillomavirus (HPV with cervical cancer is well established, the influence of HIV on the risk of this disease in sub-Saharan Africa remains unclear. To assess the risk of invasive cervical carcinoma (ICC associated with HIV and HPV types, a hospital-based case-control study was performed between September 2004 and December 2006 in Kampala, Uganda. Incident cases of histologically-confirmed ICC (N=316 and control women (N=314, who were visitors or care-takers of ICC cases in the hospital, were recruited. Blood samples were obtained for HIV serology and CD4 count, as well as cervical samples for HPV testing. HPV DNA detection and genotyping was performed using the SPF10/DEIA/LiPA25 technique which detects all mucosal HPV types by DEIA and identifies 25 HPV genotypes by LiPA version 1. Samples that tested positive but could not be genotyped were designated HPVX. Odds ratios (OR and 95% confidence intervals (CI were calculated by logistic regression, adjusting for possible confounding factors. Results For both squamous cell carcinoma (SCC and adenocarcinoma of the cervix, statistically significantly increased ORs were found among women infected with HPV, in particular single HPV infections, infections with HPV16-related types and high-risk HPV types, in particular HPV16, 18 and 45. For other HPV types the ORs for both SCC and adenocarcinoma were not statistically significantly elevated. HIV infection and CD4 count were not associated with SCC or adenocarcinoma risk in our study population. Among women infected with high-risk HPV types, no association between HIV and SCC emerged. However, an inverse association with adenocarcinoma was observed, while decrease in CD4 count was not associated with ICC risk. Conclusions The ORs for SCC and adenocarcinoma were increased in women infected with HPV, in particular single HPV infections, infections with HPV16- and 18-related types, and high-risk HPV types

  2. Impact of Untreated Obstructive Sleep Apnea on Glucose Control in Type 2 Diabetes

    Science.gov (United States)

    Aronsohn, Renee S.; Whitmore, Harry; Van Cauter, Eve; Tasali, Esra

    2010-01-01

    Rationale: Obstructive sleep apnea (OSA), a treatable sleep disorder that is associated with alterations in glucose metabolism in individuals without diabetes, is a highly prevalent comorbidity of type 2 diabetes. However, it is not known whether the severity of OSA is a predictor of glycemic control in patients with diabetes. Objectives: To determine the impact of OSA on hemoglobin A1c (HbA1c), the major clinical indicator of glycemic control, in patients with type 2 diabetes. Methods: We performed polysomnography studies and measured HbA1c in 60 consecutive patients with diabetes recruited from outpatient clinics between February 2007 and August 2009. Measurements and Main Results: A total of 77% of patients with diabetes had OSA (apnea–hypopnea index [AHI] ≥5). Increasing OSA severity was associated with poorer glucose control, after controlling for age, sex, race, body mass index, number of diabetes medications, level of exercise, years of diabetes and total sleep time. Compared with patients without OSA, the adjusted mean HbA1c was increased by 1.49% (P = 0.0028) in patients with mild OSA, 1.93% (P = 0.0033) in patients with moderate OSA, and 3.69% (P < 0.0001) in patients with severe OSA (P < 0.0001 for linear trend). Measures of OSA severity, including total AHI (P = 0.004), rapid eye movement AHI (P = 0.005), and the oxygen desaturation index during total and rapid eye movement sleep (P = 0.005 and P = 0.008, respectively) were positively correlated with increasing HbA1c levels. Conclusions: In patients with type 2 diabetes, increasing severity of OSA is associated with poorer glucose control, independent of adiposity and other confounders, with effect sizes comparable to those of widely used hypoglycemic drugs. PMID:20019340

  3. Glycemic control in patients with type 2 diabetes mellitus in Spain.

    Science.gov (United States)

    Pérez, A; Mediavilla, J J; Miñambres, I; González-Segura, D

    2014-11-01

    To evaluate the degree of glycemic control in patients with type 2 diabetes in Spain and identify factors associated with glycemic control. This was a cross-sectional, multicenter, epidemiological study that used consecutive sampling and was conducted in primary care practices in Spain. A total of 5591 patients with type 2 diabetes mellitus lasting more than 1 year and who were treated with hypoglycemic agents for more than 3 months were included in the study. At a single visit, HbA1c levels were measured (A1cNow+ system) and demographic and clinical variables related to diabetes and its treatment were recorded. During the visit, CV risk factors (CVRF), the presence of target-organ damage (TOD), the presence of hypoglycemia and body weight changes within the previous year were recorded. We analyzed data from 5382 patients (mean age 66.7 [10.8] years, mean duration of the diabetes 8.8 [6.3] years). TOD was present in 43.6% of the patients and 59.1% were taking 2 or more drugs. The patients' mean HbA1c was 7.1 (1.1)%, and 48.6% had HbA1c levels 70 years were associated with improved glycemic control. Patients with poorly controlled type 2 diabetes mellitus are highly prevalent in Spain. Factors associated with poorer glycemic control include the complexity of both the disease and the hypoglycemic therapy, a history of hypoglycemia and weight gain. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  4. Predictors of glycemic control among patients with Type 2 diabetes: A longitudinal study

    Directory of Open Access Journals (Sweden)

    Philis-Tsimikas Athena

    2005-04-01

    Full Text Available Abstract Background Diabetes is the sixth leading cause of death and results in significant morbidity. The purpose of this study is to determine what demographic, health status, treatment, access/quality of care, and behavioral factors are associated with poor glycemic control in a Type 2 diabetic, low-income, minority, San Diego population. Methods Longitudinal observational data was collected on patients with Type 2 diabetes from Project Dulce, a program in San Diego County designed to care for an underserved diabetic population. The study sample included 573 patients with a racial/ethnic mix of 53% Hispanic, 7% black, 18% Asian, 20% white, and 2% other. We utilized mixed effects models to determine the factors associated with poor glycemic control using hemoglobin A1C (A1C as the outcome of interest. A multi-step model building process was used resulting in a final parsimonious model with main effects and interaction terms. Results Patients had a mean age of 55 years, 69% were female, the mean duration of diabetes was 7.1 years, 31% were treated with insulin, and 57% were obese. American Diabetes Association (ADA recommendations for blood pressure and total cholesterol were met by 71% and 68%, respectively. Results of the mixed effects model showed that patients who were uninsured, had diabetes for a longer period of time, used insulin or multiple oral agents, or had high cholesterol had higher A1C values over time indicating poorer glycemic control. The younger subjects also had poorer control. Conclusion This study provides factors that predict glycemic control in a specific low-income, multiethnic, Type 2 diabetic population. With this information, subgroups with high risk of disease morbidity were identified. Barriers that prevent these patients from meeting their goals must be explored to improve health outcomes.

  5. Comparative Study on Adding Pioglitazone or Sitagliptin to Patients with Type 2 Diabetes Mellitus Insufficiently Controlled With Metformin

    Directory of Open Access Journals (Sweden)

    Maryam Jameshorani

    2017-12-01

    CONCLUSION: Sitagliptin and Pioglitazone demonstrated similar improvements in glycemic control in type 2 diabetes mellitus patients whose diabetes had been inadequately controlled with metformin. Nevertheless, sitagliptin was more effective than pioglitazone regarding lipid and body weight change.

  6. Control of blood glucose in type 2 diabetes without weight loss by modification of diet composition

    Directory of Open Access Journals (Sweden)

    Gannon Mary C

    2006-03-01

    Full Text Available Abstract Background Over the past several years our research group has taken a systematic, comprehensive approach to determining the effects on body function (hormonal and non-hormonal of varying the amounts and types of proteins, carbohydrates and fats in the diet. We have been particularly interested in the dietary management of type 2 diabetes. Our objective has been to develop a diet for people with type 2 diabetes that does not require weight loss, oral agents, or insulin, but that still controls the blood glucose concentration. Our overall goal is to enable the person with type 2 diabetes to control their blood glucose by adjustment in the composition rather than the amount of food in their diet. Methods This paper is a brief summary and review of our recent diet-related research, and the rationale used in the development of diets that potentially are useful in the treatment of diabetes. Results We determined that, of the carbohydrates present in the diet, absorbed glucose is largely responsible for the food-induced increase in blood glucose concentration. We also determined that dietary protein increases insulin secretion and lowers blood glucose. Fat does not significantly affect blood glucose, but can affect insulin secretion and modify the absorption of carbohydrates. Based on these data, we tested the efficacy of diets with various protein:carbohydrate:fat ratios for 5 weeks on blood glucose control in people with untreated type 2 diabetes. The results were compared to those obtained in the same subjects after 5 weeks on a control diet with a protein:carbohydrate:fat ratio of 15:55:30. A 30:40:30 ratio diet resulted in a moderate but significant decrease in 24-hour integrated glucose area and % total glycohemoglobin (%tGHb. A 30:20:50 ratio diet resulted in a 38% decrease in 24-hour glucose area, a reduction in fasting glucose to near normal and a decrease in %tGHb from 9.8% to 7.6%. The response to a 30:30:40 ratio diet was similar

  7. Natural killer cell-intrinsic type I IFN signaling controls Klebsiella pneumoniae growth during lung infection

    Science.gov (United States)

    Borroni, Martina; Kavirayani, Anoop; Przybyszewska, Kornelia N.; Ingram, Rebecca J.; Lienenklaus, Stefan

    2017-01-01

    Klebsiella pneumoniae is a significant cause of nosocomial pneumonia and an alarming pathogen owing to the recent isolation of multidrug resistant strains. Understanding of immune responses orchestrating K. pneumoniae clearance by the host is of utmost importance. Here we show that type I interferon (IFN) signaling protects against lung infection with K. pneumoniae by launching bacterial growth-controlling interactions between alveolar macrophages and natural killer (NK) cells. Type I IFNs are important but disparate and incompletely understood regulators of defense against bacterial infections. Type I IFN receptor 1 (Ifnar1)-deficient mice infected with K. pneumoniae failed to activate NK cell-derived IFN-γ production. IFN-γ was required for bactericidal action and the production of the NK cell response-amplifying IL-12 and CXCL10 by alveolar macrophages. Bacterial clearance and NK cell IFN-γ were rescued in Ifnar1-deficient hosts by Ifnar1-proficient NK cells. Consistently, type I IFN signaling in myeloid cells including alveolar macrophages, monocytes and neutrophils was dispensable for host defense and IFN-γ activation. The failure of Ifnar1-deficient hosts to initiate a defense-promoting crosstalk between alveolar macrophages and NK cell was circumvented by administration of exogenous IFN-γ which restored endogenous IFN-γ production and restricted bacterial growth. These data identify NK cell-intrinsic type I IFN signaling as essential driver of K. pneumoniae clearance, and reveal specific targets for future therapeutic exploitations. PMID:29112952

  8. Yoga for Adults with Type 2 Diabetes: A Systematic Review of Controlled Trials

    Directory of Open Access Journals (Sweden)

    Kim E. Innes

    2016-01-01

    Full Text Available A growing body of evidence suggests yogic practices may benefit adults with type 2 diabetes (DM2. In this systematic review, we evaluate available evidence from prospective controlled trials regarding the effects of yoga-based programs on specific health outcomes pertinent to DM2 management. To identify qualifying studies, we searched nine databases and scanned bibliographies of relevant review papers and all identified articles. Controlled trials that did not target adults with diabetes, included only adults with type 1 diabetes, were under two-week duration, or did not include quantitative outcome data were excluded. Study quality was evaluated using the PEDro scale. Thirty-three papers reporting findings from 25 controlled trials (13 nonrandomized, 12 randomized met our inclusion criteria (N = 2170 participants. Collectively, findings suggest that yogic practices may promote significant improvements in several indices of importance in DM2 management, including glycemic control, lipid levels, and body composition. More limited data suggest that yoga may also lower oxidative stress and blood pressure; enhance pulmonary and autonomic function, mood, sleep, and quality of life; and reduce medication use in adults with DM2. However, given the methodological limitations of existing studies, additional high-quality investigations are required to confirm and further elucidate the potential benefits of yoga programs in populations with DM2.

  9. [Trends in the level of control of patients with type 2 diabetes from 2010 to 2015].

    Science.gov (United States)

    Herrero Gil, Ana María; Pinillos Robles, Javier; Sabio Repiso, Patricia; Martín Maldonado, José Luis; Garzón González, Gerardo; Gil de Miguel, Ángel

    2017-08-21

    Aim: To examine the trend in the level of control of glycated haemoglobin (HbA1c), blood pressure (BP), and LDL-cholesterol (LDL) in patients with type 2 diabetes mellitus between 2010 and 2015. Setting: 3 cut-offs in the years 2010, 2013, and 2015. Southeast area of Madrid. Descriptive and cross-sectional epidemiological study. Patients diagnosed and registered with type 2 diabetes. N=41,096 (2010), n=49,658 (2013), n=6,674 (2015) MAIN MEASUREMENTS: Measurement or not in the last year of HbA1c, BP, and LDL. Control of HbA1c (cardiovascular disease controlled in 2010, 2013, and 2015 were: HbA1c: 59.6%, 59.1%, 79.6% (Pcontrol of HbA1c, BP and LDL was observed in patients with diabetes. The frequency of the measurements of these parameters improved more than the control of them. It seems that efforts to improve care for the patient with diabetes pay off, but they still have to be maintained. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  10. Association between Responsible Pet Ownership and Glycemic Control in Youths with Type 1 Diabetes.

    Science.gov (United States)

    Maranda, Louise; Gupta, Olga T

    2016-01-01

    Type 1 diabetes mellitus (T1DM) a chronic characterized by an absolute insulin deficiency requires conscientious patient self-management to maintain glucose control within a normal range. Family cohesion and adaptability, positive coping strategies, social support and adequate self-regulatory behavior are found to favorably influence glycemic control. Our hypothesis was that the responsible care of a companion animal is associated with these positive attributes and correlated with the successful management of a chronic illness such as type 1 diabetes. We recruited 223 youths between 9 and 19 years of age from the Pediatric Diabetes clinic at the University of Massachusetts Medical School, reviewed the status of their glycemic control (using three consecutive A1c values) and asked them questions about the presence of a pet at home, and their level of involvement with its care. Multivariate analyses show that children who care actively for one or more pets at home are 2.5 times more likely to have control over their glycemic levels than children who do not care for a pet, adjusting for duration of disease, socio-economic status, age and self-management [1.1 to 5.8], pWald = 0.032. A separate model involving the care of a petdog only yielded comparable results (ORa = 2.6 [1.1 to 5.9], pWald = 0.023).

  11. Impact of intensive nutritional education with carbohydrate counting on diabetes control in type 2 diabetic patients

    Directory of Open Access Journals (Sweden)

    Christopher Zipp

    2010-12-01

    Full Text Available Christopher Zipp, Jessica Terrone Roehr, Lucia Beck Weiss, Frank FilipettoDepartment of Family Medicine, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey, Stratford, NJ, USAAbstract: This pilot study assessed the impact of an intensive carbohydrate counting educational intervention on diabetes control in type 2 diabetic patients. An experimental, prospective study design was used to assess the effect of nutritional education on diabetes control. The impact and efficacy of the education were measured over a 1-year period through changes in diabetes clinical markers, including hemoglobin A1c, lipid profiles, glucose levels, patients’ energy levels, and sense of well-being. Six patients were initially enrolled in the pilot study, with only three patients completing the intervention phase and the 3-month follow-up. Two patients were followed-up at the 1-year mark for their diabetes, although neither continued participation in the study beyond the 3-month mark. Marginal improvements in clinical markers at 3 months were found. However, due to the small sample size, changes in the clinical profiles may have occurred because of variables unrelated to the nutritional intervention. Further research is indicated for the control of these variables.Keywords: type 2 diabetes, nutritional education, carbohydrate counting, diabetes control

  12. Association between Responsible Pet Ownership and Glycemic Control in Youths with Type 1 Diabetes.

    Directory of Open Access Journals (Sweden)

    Louise Maranda

    Full Text Available Type 1 diabetes mellitus (T1DM a chronic characterized by an absolute insulin deficiency requires conscientious patient self-management to maintain glucose control within a normal range. Family cohesion and adaptability, positive coping strategies, social support and adequate self-regulatory behavior are found to favorably influence glycemic control. Our hypothesis was that the responsible care of a companion animal is associated with these positive attributes and correlated with the successful management of a chronic illness such as type 1 diabetes. We recruited 223 youths between 9 and 19 years of age from the Pediatric Diabetes clinic at the University of Massachusetts Medical School, reviewed the status of their glycemic control (using three consecutive A1c values and asked them questions about the presence of a pet at home, and their level of involvement with its care. Multivariate analyses show that children who care actively for one or more pets at home are 2.5 times more likely to have control over their glycemic levels than children who do not care for a pet, adjusting for duration of disease, socio-economic status, age and self-management [1.1 to 5.8], pWald = 0.032. A separate model involving the care of a petdog only yielded comparable results (ORa = 2.6 [1.1 to 5.9], pWald = 0.023.

  13. Effect of emotional intelligence in glycemic control in patients with type II diabetes

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    Monireh Mehdizadeh

    2017-11-01

    Full Text Available Diabetes, in addition to adverse physical effects, is associated with many psychological problems. The correlation between physical health and emotional intelligence are acceptable. The aim of this study was to determine the effect of emotional intelligence training in glycemic control in patients with type II diabetes. The present study was a quasi-experimental research, which was conducted in Mashhad city, Iran. The participants included 20 patients referring to the diabetic centers. They were selected through convenience sampling and randomly divided into two groups of experiment (n=10 and control (n=10. To measure blood glucose, the level of HbA1c in patients was measured before and after training. The experimental group attended in a period of emotional intelligence training. The training sessions were held as group discussion during 8 weeks, one session of 120-min per week. The findings suggest that emotional intelligence training significantly reduced the level of blood glucose (HbA1c in the test group compared to the control group. Based on the results, emotional intelligence training, as a psychological intervention, by affecting understanding, interpretation, regulation and efficient use of excitement, is effective along with medication therapy in controlling blood glucose in type II diabetic patients.

  14. Glucagon-like peptide 1 improved glycemic control in type 1 diabetes

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    McDonald Thomas J

    2003-04-01

    Full Text Available Abstract Background Glucagon-like peptide-1 (GLP-1 and its agonists are under assessment in treatment of type 2 diabetes, by virtue of their antidiabetic actions, which include stimulation of insulin secretion, inhibition of glucagon release, and delay of gastric emptying. We examined the potential of GLP-1 to improve glycemic control in type 1 diabetes with no endogenous insulin secretion. Methods Dose-finding studies were carried out to establish mid range doses for delay of gastric emptying indicated by postponement of pancreatic polypeptide responses after meals. The selected dose of 0.63 micrograms/kg GLP-1 was administered before breakfast and lunch in 8-hour studies in hospital to establish the efficacy and safety of GLP-1. In outside-hospital studies, GLP-1 or vehicle was self-administered double-blind before meals with usual insulin for five consecutive days by five males and three females with well-controlled C-peptide-negative type 1 diabetes. Capillary blood glucose values were self-monitored before meals, at 30 and 60 min after breakfast and supper, and at bedtime. Breakfast tests with GLP-1 were conducted on the day before and on the day after 5-day studies. Paired t-tests and ANOVA were used for statistical analysis. Results In 8-hour studies time-averaged incremental (delta areas under the curves(AUC for plasma glucose through 8 hours were decreased by GLP-1 compared to vehicle (3.2 ± 0.9, mean ± se, vs 5.4 ± 0.8 mmol/l, p Conclusion We have demonstrated that subcutaneous GLP-1 can improve glucose control in type 1 diabetes without adverse effects when self-administered before meals with usual insulin during established intensive insulin treatment programs.

  15. Effect of Optimization of Glycaemic Control on Mannan-Binding Lectin in Type 1 Diabetes

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    Gry Høst Dørflinger

    2017-01-01

    Full Text Available Objective. Mannan-binding lectin (MBL concentration in plasma is increased in subjects with type 1 diabetes and associated with increased mortality and risk of diabetic nephropathy. Recent findings show that pancreas transplantation reduces MBL concentration. Whether the increased MBL concentration is reversed by improved glycaemic control remains unknown. We investigated the effects of improved glycaemic control on MBL concentration in patients with type 1 diabetes. Methods. We measured MBL, fructosamine, and HbA1cat baseline and after 6 weeks in 52 type 1 diabetic patients following the change from conventional insulin therapy to insulin pump therapy. Results. After initiation of insulin pump therapy, the total daily insulin dose was significantly reduced (from 51 ± 18 IE/day to 39 ± 13 IE/day, P<0.0001. There was a significant decrease in HbA1c from 8.6% to 7.7% (from 70 mmol/mol to 61 mmol/mol, P<0.0001 and in fructosamine levels (from 356 μmol/L to 311 μmol/L, P<0.0001. MBL levels decreased by 10% from 2165 μg/L (IQR 919–3389 μg/L at baseline to 1928 μ/L (IQR 811–2758 μg/L at follow-up (P=0.005, but MBL change was not significantly correlated with changes in insulin dose, HbA1c, or fructosamine. Conclusions. MBL concentration decreased following the initiation of insulin pump therapy in patients with type 1 diabetes and did not correlate with changes in glycaemic control.

  16. Pharmaceutical care program for type 2 diabetes patients in Brazil: a randomised controlled trial.

    Science.gov (United States)

    Mourão, Aline Oliveira Magalhães; Ferreira, Wandiclécia Rodrigues; Martins, Maria Auxiliadora Parreiras; Reis, Adriano Max Moreira; Carrillo, Maria Ruth Gaede; Guimarães, Andrea Grabe; Ev, Lisiane Silveira

    2013-02-01

    Brazilians with type 2 diabetes require action to improve haemoglobin A1C levels considering the fact that approximately 73 % of them have poor glycaemic control. Evidence has shown the potential benefits of pharmaceutical care programs in type 2 diabetes patients. To evaluate the effect of a pharmaceutical care program on blood glucose, blood pressure and lipid profile in hyperglycaemic patients undergoing drug treatment for type 2 diabetes. Six primary care units of the Brazilian public health system, Ouro Preto, Brazil. An open, randomised, controlled clinical trial was conducted for 6 months. Subjects aged 18 years or older who were using oral antidiabetic medications and presenting haemoglobin A1C levels ≥7 % were randomly assigned to receive only usual health care or usual health care plus pharmaceutical intervention. Main outcome measure Haemoglobin A1C. A total of 129 subjects were enrolled, and 100 patients completed the study. Compared to the control group (n = 50), the intervention group (n = 50) showed a significant reduction of haemoglobin A1C (-0.6 vs 0.7 %, p = 0.001), fasting plasma glucose, total cholesterol, LDL cholesterol, triglycerides and systolic blood pressure and a significant increase in HDL cholesterol and the use of lipid-modifying agents and platelet aggregation inhibitors. This study suggests that a pharmaceutical care program may provide important contributions to reduce haemoglobin A1C in type 2 diabetes patients. Moreover, the promotion of the rational use of drugs may be better achieved in a context of pharmaceutical care programs in Brazil.

  17. Weight loss technology for people with treated type 2 diabetes: a randomized controlled trial.

    Science.gov (United States)

    Oshakbayev, Kuat; Dukenbayeva, Bibazhar; Togizbayeva, Gulnar; Durmanova, Aigul; Gazaliyeva, Meruyert; Sabir, Abdul; Issa, Aliya; Idrisov, Alisher

    2017-01-01

    The prevalence of type 2 diabetes is increasing in worldwide despite the development of new treatment methods. Aim of the study was to evaluate a weight loss method on body composition, glycemic, lipid and hormone profiles, blood pressure and reactive oxygen species in people with treated type 2 diabetes. A 24-week open, prospective, randomized, controlled clinical trial including 272 adult patients with treated type 2 diabetes was performed. The patients were divided in two groups: Main group consisted of 208 patients who followed a method including a calorie restriction diet and optimal physical activity; Control included 64 patients who received conventional drug treatment with weight loss. Main Outcome Measures were weight loss, fasting glucose and 2-hour oral glucose tolerance test (OGTT), HbA1c. Secondary endpoints were blood pressure, lipid and insulin blood levels. At 24 weeks, patients in Main weight lost between 8-18 kg (10-21%); their body mass index significantly decreased (-4.2 kg/m2) as well as their waist circumference (-13 cm) compared to Control. In Main weight loss was achieved fatty mass reduction. In Main fasting glucose and OGTT, HbA1c, blood pressure, reactive oxygen species decreased significantly, whereas hemoglobin levels and heel bone mineral density increased. In Main blood insulin levels decreased by 72.0%, cortisol levels decreased by 40.7%, while testosterone levels in men increased by 2.4 times from baseline. The application of the weight loss method led to a decrease in drug doses leading to their complete withdrawal. The results of this study show the beneficial role of a weight loss method in improving glycemic, lipid and hormone profiles, electrolyte and biochemical indices, blood pressure, reactive oxygen species and bone mineral density in patients with treated type 2 diabetes. ClinicalTrials.gov Identifier: NCT02503865. Retrospectively registered November 2015.

  18. The contribution of art therapy in poorly controlled youth with type 1 diabetes mellitus.

    Science.gov (United States)

    Harel, Shira; Yanai, Livia; Brooks, Ronit; Bar, Yakira; Bistritzer, Tzvy; Ivgi, Shosh; Rachmiel, Marianna

    2013-01-01

    To evaluate the effect of intensive art therapy in youth with poorly controlled type 1 diabetes mellitus (T1DM). A retrospective report of the characteristics and outcomes of all patients who were offered to receive individual art therapy sessions because of behavioral difficulties. The study population included 29 participants. The main behavioral difficulties were needle phobia and lack of compliance with nutritional recommendations or with insulin administration. The intervention group included 16 patients, with a mean age of 9.3±2.5 years, average intervention length of 0.77±0.41 years, and long-term data of 2.27±1.13 years. The control group included 13 patients, with a mean age of 9.3±3.4 years. Improvement was observed in 56% of the case group and in 23% of the control group. Art therapy was associated with a decrease in hemoglobin A1c in the intervention group compared with a similar control group (-0.79%, ±0.24%; r=0.17, p=0.025). The addition of intensive art therapy for poorly controlled youth with T1DM may improve their glycemic control.

  19. Web-based depression treatment for type 1 and type 2 diabetic patients a randomized, controlled trial

    NARCIS (Netherlands)

    van Bastelaar, K.M.P.; Pouwer, F.; Cuijpers, P.; Riper, H.; Snoek, F.J.

    2011-01-01

    OBJECTIVE - Comorbid depression is common in patients with type 1 and type 2 diabetes, adversely affecting quality of life, diabetes outcomes, and mortality. Depression can be effectively treated with cognitive behavior therapy (CBT). The Internet is a new and attractive method for delivering CBT

  20. Sensor-augmented pump therapy lowers HbA(1c) in suboptimally controlled Type 1 diabetes; a randomized controlled trial

    DEFF Research Database (Denmark)

    Hermanides, J; Nørgaard, K; Bruttomesso, D

    2011-01-01

    To investigate the efficacy of sensor-augmented pump therapy vs. multiple daily injection therapy in patients with suboptimally controlled Type 1 diabetes.......To investigate the efficacy of sensor-augmented pump therapy vs. multiple daily injection therapy in patients with suboptimally controlled Type 1 diabetes....

  1. Control system of power supply for resistance welding machine

    Directory of Open Access Journals (Sweden)

    Світлана Костянтинівна Поднебенна

    2017-06-01

    Full Text Available This article describes the existing methods of heat energy stabilizing, which are realized in thyristor power supplies for resistance welding machines. The advantages and features of thyristor power supplies have been described. A control system of power supply for resistance welding machine with stabilization of heat energy in a welding spot has been developed. Measurements are performed in primary winding of a welding transformer. Weld spot heating energy is calculated as the difference between the energy, consumed from the mains, and the energy losses in the primary and secondary circuits of the welding transformer as well as the energy losses in the transformer core. Algorithms of digital signal processing of the developed control system are described in the article. All measurements and calculations are preformed automatically in real-time. Input signals to the control system are: transformer primary voltage and current, temperature of the welding circuit. The designed control system ensures control of the welding heat energy and is not influenced by the supply voltage and impedance changes caused by insertion of the ferromagnetic mass in the welding circuit, the temperature change during the welding process. The developed control system for resistance welding machine makes it possible to improve the quality of welded joints, increase the efficiency of the resistance welding machine

  2. Overnight Closed-Loop Control Improves Glycemic Control in a Multicenter Study of Adults With Type 1 Diabetes.

    Science.gov (United States)

    Brown, Sue A; Breton, Marc D; Anderson, Stacey M; Kollar, Laura; Keith-Hynes, Patrick; Levy, Carol J; Lam, David W; Levister, Camilla; Baysal, Nihat; Kudva, Yogish C; Basu, Ananda; Dadlani, Vikash; Hinshaw, Ling; McCrady-Spitzer, Shelly; Bruttomesso, Daniela; Visentin, Roberto; Galasso, Silvia; Del Favero, Simone; Leal, Yenny; Boscari, Federico; Avogaro, Angelo; Cobelli, Claudio; Kovatchev, Boris P

    2017-10-01

    Closed-loop control (CLC) for the management of type 1 diabetes (T1D) is a novel method for optimizing glucose control, and strategies for individualized implementation are being developed. To analyze glycemic control in an overnight CLC system designed to "reset" the patient to near-normal glycemic targets every morning. Randomized, crossover, multicenter clinical trial. Forty-four subjects with T1D requiring insulin pump therapy. Sensor-augmented pump therapy (SAP) at home vs 5 nights of CLC (active from 23:00 to 07:00) in a supervised outpatient setting (research house or hotel), with a substudy of 5 nights of CLC subsequently at home. The percentage of time spent in the target range (70 to 180 mg/dL measured using a continuous glucose monitor). Forty subjects (age, 45.5 ± 9.5 years; hemoglobin A1c, 7.4% ± 0.8%) completed the study. The time in the target range (70 to 180 mg/dL) significantly improved in CLC vs SAP over 24 hours (78.3% vs 71.4%; P = 0.003) and overnight (85.7% vs 67.6%; P trends with an increased time in target (70 to 180 mg/dL) overnight (75.2% vs 62.2%; P = 0.07) and decreased time spent in the hypoglycemic range (trend. Copyright © 2017 Endocrine Society

  3. Lack of relationship between glycemic control and bone mineral density in type 2 diabetes mellitus

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    D.M.S.L. Cutrim

    2007-02-01

    Full Text Available We assessed the effect of chronic hyperglycemia on bone mineral density (BMD and bone remodeling in patients with type 2 diabetes mellitus. We investigated 42 patients with type 2 diabetes under stable control for at least 1 year, 22 of them with good metabolic control (GMC: mean age = 48.8 ± 1.5 years, 11 females and 20 with poor metabolic control (PMC: mean age = 50.2 ± 1.2 years, 8 females, and 24 normal control individuals (CG: mean age = 46.5 ± 1.1 years, 14 females. We determined BMD in the femoral neck and at the L2-L4 level (DEXA and serum levels of glucose, total glycated hemoglobin (HbA1, total and ionic calcium, phosphorus, alkaline phosphatase, follicle-stimulating hormone, intact parathyroid hormone (iPTH, 25-hydroxyvitamin D (25-OH-D, insulin-like growth factor I (IGFI, osteocalcin, procollagen type I C propeptide, as well as urinary levels of deoxypyridinoline and creatinine. HbA1 levels were significantly higher in PMC patients (12.5 ± 0.6 vs 7.45 ± 0.2% for GMC and 6.3 ± 0.9% for CG; P < 0.05. There was no difference in 25-OH-D, iPTH or IGFI levels between the three groups. BMD values at L2-L4 (CG = 1.068 ± 0.02 vs GMC = 1.170 ± 0.03 vs PMC = 1.084 ± 0.02 g/cm² and in the femoral neck (CG = 0.898 ± 0.03 vs GMC = 0.929 ± 0.03 vs PMC = 0.914 ± 0.03 g/cm² were similar for all groups. PMC presented significantly lower osteocalcin levels than the other two groups, whereas no significant difference in urinary deoxypyridine was observed between groups. The present results demonstrate that hyperglycemia is not associated with increased bone resorption in type 2 diabetes mellitus and that BMD is not altered in type 2 diabetes mellitus.

  4. Do Differences in Sleep Architecture Exist between Persons with Type 2 Diabetes and Nondiabetic Controls?

    Science.gov (United States)

    Pallayova, Maria; Donic, Viliam; Gresova, Sona; Peregrim, Igor; Tomori, Zoltan

    2010-01-01

    Background It has been shown previously that the suppression of slow-wave sleep (SWS) markedly reduced insulin sensitivity and led to an impairment of glucose tolerance. We hypothesized that a decreased amount of SWS is a feature peculiar to subjects with type 2 diabetes. Method A retrospective case-control study analyzed polysomnographic recordings and covariate data of 22 type 2 diabetic and 22 nondiabetic subjects [n = 44; 8 women, 36 men, aged 57.5 ± 5.5 years, body mass index (BMI) 33.8 ± 5.9 kg/m2, apnea–hypopnea index (AHI) 29.6 ± 22.2 episodes/hr] matched individually for sex, race, age, BMI, and severity of sleep-related breathing disorders (SRBD). We assessed differences in sleep architecture between the study group and the control group. Primary end points included the percentage of total sleep time spent in each sleep stage. Results Despite similar age and severity of SRBD, subjects with type 2 diabetes demonstrated a significantly decreased amount of SWS (3.9 ± 5.95% vs 8.4 ± 4.57%; p = 0.012), increased percentage time in rapid eye movement sleep (24.1 ± 12.14% vs 13.8 ± 6.96%; p = 0.005), and higher arousal index (44.3 ± 19.53/hr vs 35.7 ± 12.67/hr; p = 0.037) compared to nondiabetic controls. After adjustment for sex, BMI, AHI, and smoking, age and presence of type 2 diabetes were independent predictors of the decreased SWS percentage (p = 0.001). Variables in this model accounted for 34% of the variance in the SWS percentage in our cohort. Conclusions Results demonstrated distinct differences in sleep architecture in our cohort with decreased amounts of SWS in type 2 diabetes. These findings suggest that polysomnographic recognition of altered sleep architecture may be partially implicated in the early detection of persons with type 2 diabetes. PMID:20307395

  5. Autonomous exercise game use improves metabolic control and quality of life in type 2 diabetes patients - a randomized controlled trial.

    Science.gov (United States)

    Kempf, Kerstin; Martin, Stephan

    2013-12-10

    Lifestyle intervention in type 2 diabetes mellitus (T2DM) is effective but needs a special local setting and is costly. Therefore, in a randomized-controlled trial we tested the hypothesis that the autonomous use of the interactive exercise game Wii Fit Plus over a period of 12 weeks improves metabolic control, with HbA1c reduction as the primary outcome, and weight loss, reduction of cardiometabolic risk factors, physical activity and quality of life (secondary outcomes) in T2DM patients. Participants (n = 220) were randomized into an intervention and a control group. The intervention group was provided with a Wii console, a balance board and the exercise game Wii Fit Plus for 12 weeks. The control group remained under routine care and received the items 12 weeks later. At baseline and after 12 weeks (and for the control group additionally after 12 weeks of intervention) the participants' health parameters, medication, physical activity and validated questionnaires for quality of life (PAID, SF12, WHO-5, CES-D) were requested and compared in a complete case analysis using the Mann-Whitney test and the Wilcoxon signed rank test. 80% of participants completed the 12-week study. Patients in the intervention group significantly improved HbA1c (from 7.1 ± 1.3% to 6.8 ± 0.9%; -0.3 ± 1.1%; p = 0.0002) in comparison to the control group (from 6.8 ± 0.9% to 6.7 ± 0.7%; -0.1 ± 0.5%) and also significantly reduced fasting blood glucose (from 135.8 ± 38.9 mg/dl to 126.6 ± 36.6 mg/dl; p = 0.04), weight (from 97.6 ± 19.2 kg to 96.3 ± 18.7 kg; p game intervention. In this trial a low-threshold intervention with the interactive exercise game Wii Fit Plus was able to motivate T2DM patients to improve physical activity, glucometabolic control and quality of life. ClinicalTrials.gov NCT01735643.

  6. Glycolytic control of vacuolar-type ATPase activity: A mechanism to regulate influenza viral infection

    International Nuclear Information System (INIS)

    Kohio, Hinissan P.; Adamson, Amy L.

    2013-01-01

    As new influenza virus strains emerge, finding new mechanisms to control infection is imperative. In this study, we found that we could control influenza infection of mammalian cells by altering the level of glucose given to cells. Higher glucose concentrations induced a dose-specific increase in influenza infection. Linking influenza virus infection with glycolysis, we found that viral replication was significantly reduced after cells were treated with glycolytic inhibitors. Addition of extracellular ATP after glycolytic inhibition restored influenza infection. We also determined that higher levels of glucose promoted the assembly of the vacuolar-type ATPase within cells, and increased vacuolar-type ATPase proton-transport activity. The increase of viral infection via high glucose levels could be reversed by inhibition of the proton pump, linking glucose metabolism, vacuolar-type ATPase activity, and influenza viral infection. Taken together, we propose that altering glucose metabolism may be a potential new approach to inhibit influenza viral infection. - Highlights: • Increased glucose levels increase Influenza A viral infection of MDCK cells. • Inhibition of the glycolytic enzyme hexokinase inhibited Influenza A viral infection. • Inhibition of hexokinase induced disassembly the V-ATPase. • Disassembly of the V-ATPase and Influenza A infection was bypassed with ATP. • The state of V-ATPase assembly correlated with Influenza A infection of cells

  7. Intrinsic, identified, and controlled types of motivation for school subjects in young elementary school children.

    Science.gov (United States)

    Guay, Frédéric; Chanal, Julien; Ratelle, Catherine F; Marsh, Herbert W; Larose, Simon; Boivin, Michel

    2010-12-01

    There are two approaches to the differential examination of school motivation. The first is to examine motivation towards specific school subjects (between school subject differentiation). The second is to examine school motivation as a multidimensional concept that varies in terms of not only intensity but also quality (within school subject differentiation). These two differential approaches have led to important discoveries and provided a better understanding of student motivational dynamics. However, little research has combined these two approaches. This study examines young elementary students' motivations across school subjects (writing, reading, and maths) from the stance of self-determination theory. First, we tested whether children self-report different levels of intrinsic, identified, and controlled motivation towards specific school subjects. Second, we verified whether children self-report differentiated types of motivation across school subjects. Participants were 425 French-Canadian children (225 girls, 200 boys) from three elementary schools. Children were in Grades 1 (N=121), 2 (N=126), and 3 (N=178). Results show that, for a given school subject, young elementary students self-report different levels of intrinsic, identified, and controlled motivation. Results also indicate that children self-report different levels of motivation types across school subjects. Our findings also show that most differentiation effects increase across grades. Some gender effects were also observed. These results highlight the importance of distinguishing among types of school motivation towards specific school subjects in the early elementary years.

  8. The effect of different types of music on patients' preoperative anxiety: A randomized controlled trial.

    Science.gov (United States)

    Uğraş, Gülay Altun; Yıldırım, Güven; Yüksel, Serpil; Öztürkçü, Yusuf; Kuzdere, Mustafa; Öztekin, Seher Deniz

    2018-05-01

    The purpose of this study was to determine effect of three different types of music on patients' preoperative anxiety. This randomized controlled trial included 180 patients who were randomly divided into four groups. While the control group didn't listen to music, the experimental groups respectively listened to natural sounds, Classical Turkish or Western Music for 30 min. The State Anxiety Inventory (STAI-S), systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and cortisol levels were checked. The post-music STAI-S, SBP, DBP, HR and cortisol levels of the patients in music groups were significantly lower than pre-music time. All types of music decreased STAI-S, SBP, and cortisol levels; additionally natural sounds reduced DBP; Classical Turkish Music also decreased DBP, and HR. All types of music had an effect on reducing patients' preoperative anxiety, and listening to Classical Turkish Music was particularly the most effective one. Copyright © 2018 Elsevier Ltd. All rights reserved.

  9. Disclosing a disability: Do strategy type and onset controllability make a difference?

    Science.gov (United States)

    Lyons, Brent J; Volpone, Sabrina D; Wessel, Jennifer L; Alonso, Natalya M

    2017-09-01

    In hiring contexts, individuals with concealable disabilities make decisions about how they should disclose their disability to overcome observers' biases. Previous research has investigated the effectiveness of binary disclosure decisions-that is, to disclose or conceal a disability-but we know little about how, why, or under what conditions different types of disclosure strategies impact observers' hiring intentions. In this article, we examine disability onset controllability (i.e., whether the applicant is seen as responsible for their disability onset) as a boundary condition for how disclosure strategy type influences the affective reactions (i.e., pity, admiration) that underlie observers' hiring intentions. Across 2 experiments, we found that when applicants are seen as responsible for their disability, strategies that de-emphasize the disability (rather than embrace it) lower observers' hiring intentions by elevating their pity reactions. Thus, the effectiveness of different types of disability disclosure strategies differs as a function of onset controllability. We discuss implications for theory and practice for individuals with disabilities and organizations. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  10. Glycemic control and antidiabetic drugs in type 2 diabetes mellitus patients with renal complications

    Directory of Open Access Journals (Sweden)

    Huri HZ

    2015-08-01

    Full Text Available Hasniza Zaman Huri,1,2 Lay Peng Lim,1 Soo Kun Lim3 1Department of Pharmacy, Faculty of Medicine, University of Malaya, 2Clinical Investigation Centre, University Malaya Medical Centre, 3Renal Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Background: Good glycemic control can delay the progression of kidney diseases in type 2 diabetes mellitus (T2DM patients with renal complications. To date, the association between antidiabetic agents and glycemic control in this specific patient population is not well established.Purpose: This study aimed to identify antidiabetic regimens as well as other factors that associated with glycemic control in T2DM patients with different stages of chronic kidney disease (CKD.Patients and methods: This retrospective, cross-sectional study involved 242 T2DM inpatients and outpatients with renal complications from January 2009 to March 2014 and was conducted in a tertiary teaching hospital in Malaysia. Glycated hemoglobin (A1C was used as main parameter to assess patients’ glycemic status. Patients were classified to have good (A1C <7% or poor glycemic control (A1C ≥7% based on the recommendations of the American Diabetes Association.Results: Majority of the patients presented with CKD stage 4 (43.4%. Approximately 55.4% of patients were categorized to have poor glycemic control. Insulin (57.9% was the most commonly prescribed antidiabetic medication, followed by sulfonylureas (43%. Of all antidiabetic regimens, sulfonylureas monotherapy (P<0.001, insulin therapy (P=0.005, and combination of biguanides with insulin (P=0.038 were found to be significantly associated with glycemic control. Other factors including duration of T2DM (P=0.004, comorbidities such as anemia (P=0.024 and retinopathy (P=0.033, concurrent medications such as erythropoietin therapy (P=0.047, a-blockers (P=0.033, and antigouts (P=0.003 were also correlated with A1C.Conclusion: Identification of

  11. A psychosocial risk index for poor glycemic control in children and adolescents with type 1 diabetes.

    Science.gov (United States)

    Schwartz, David D; Axelrad, Marni E; Anderson, Barbara J

    2014-05-01

    The aim of this study was to develop and validate a psychosocial screening tool to predict risk for poor glycemic control in children with type 1 diabetes. Participants seen for psychological screening were 196 children aged 3-18 yr at diabetes diagnosis. A psychosocial risk index was developed to predict poor glycemic control [mean hemoglobin A1c (HbA1c) ≥ 9.5%; 80 mmol/mol] 1-4 yr post diagnosis. Cutoff scores were derived for multiple levels of risk from receiver operating characteristic (ROC) curves and likelihood ratios (LRs). Discrimination and calibration were examined in the sample, and validated in 1000 bootstrap samples. Ability to predict diabetes-related emergency-room (ER) visits and diabetic ketoacidosis (DKA) was also tested. The risk index accounted for 16.2% of variance in mean HbA1c, discriminated between children with and without poor glycemic control [area under the receiver operating characteristic curve (AUC) = 0.814, 0.713-0.915; p risk for poor glycemic control of approximately 10% (LRs = 1.7, 3.2, 5.8, and 9.3). Sensitivity and specificity were 0.68 (0.43-0.86) and 0.79 (0.72-0.84) for detecting patients at moderate risk, and 0.53 (0.29-0.75) and 0.91 (0.85-0.95) for detecting high-risk patients. The index performed equally well in validation samples. This paper presents the first psychosocial risk index for poor glycemic control in children newly diagnosed with type 1 diabetes. It is brief, easily administered, and provides a single score that translates directly into an estimate of risk that can help guide routine diabetes care. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. How does physical activity and fitness influence glycaemic control in young people with Type 1 diabetes?

    Science.gov (United States)

    Cuenca-García, M; Jago, R; Shield, J P H; Burren, C P

    2012-10-01

    To assess physical activity and fitness levels of young people with Type 1 diabetes compared with siblings without diabetes, and to investigate the association between physical activity, physical fitness and glycaemic control (HbA(1c)) in those young people with diabetes. The study consisted of 97 young people aged 8 to 16 years (62% male) from a Paediatric Diabetes Service in South West England. Sixty participants (67% male) had Type 1 diabetes and 37 participants (54% male) were siblings without diabetes (control group). We measured weight, height and waist circumference, calculated BMI and waist-height ratio and recorded pubertal status, blood pressure and current insulin regimen information. We assessed physical activity by accelerometry, from which we calculated light and moderate-to-vigorous intensity activity. We measured physical fitness by multistage sub-maximal bicycle ergometer test. We obtained HbA(1c) by venipuncture. There were no differences between the young people with diabetes and siblings without diabetes in body composition, blood pressure, physical activity and fitness. Moderate-to-vigorous physical activity was associated with better glycaemic control, accounting for 30-37% (R(2) = 0.295-0.374) of the variance for HbA(1c). Physical fitness was not associated with HbA(1c). Moderate-to-vigorous physical activity was associated with better glycaemic control while fitness was not. Findings suggest that developing strategies to increased moderate-to-vigorous physical activity may prove an effective method of improving glycaemic control in young people with diabetes. © 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK.

  13. Thyroid peroxidase antibodies in pregnant women with type 1 diabetes: impact on thyroid function, metabolic control and pregnancy outcome

    DEFF Research Database (Denmark)

    Vestgaard, Marianne; Nielsen, Lene Ringholm; Rasmussen, Åse Krogh

    2008-01-01

    In pregnant women with type 1 diabetes, we evaluated whether the presence of thyroid peroxidase autoantibodies (anti-TPO) was associated with changes in thyroid function, metabolic control and pregnancy outcome.......In pregnant women with type 1 diabetes, we evaluated whether the presence of thyroid peroxidase autoantibodies (anti-TPO) was associated with changes in thyroid function, metabolic control and pregnancy outcome....

  14. Relationship between depression and glycemic control among patients with type 2 diabetes in Medan

    Science.gov (United States)

    Amelia, R.; Yunanda, Y.

    2018-03-01

    Depression is a mental problem whichifnot handled properly will cause uncontrolled diabetes that affects the quality of life and increase the risk of complications. This study aimed to determine the relationship between depressionwith glycemic control among patients with type 2 Diabetes in Amplas Primary Health Care (PHC) Medan. The study design was a cross-sectional analytic approach. The study population was patients with Type 2 diabetes that is in the region Amplas PHC with a sample of 100 people with consecutive sampling method. We collected data by interviewing and blood analysis. Adapted CES-D questionnaire assessed the depression status. AFull Automatic Spectrophotometer Colorimeter method measured the Blood Sugar Level (BSL),and a Modified HPLC with Doronad affinity measured the HbA1c in avenous blood sample. We used Chi-square test and SPP to analyze and process the data. The results showed 57 (57%) subjects had depression, based on BSL as many as 69 subjects (69%) were not well-controlled diabetes, HbA1c levels showed that 79 subjects (79%) were uncontrolled diabetes. Chi-Square test found a significant relationship between the incidence of depression with glycemic control in diabetic patients in the Amplas PHC (p <0.05).

  15. Novel Control Strategy for VSI and CSI Active Filters and Comparing These Two Types of Filters

    Directory of Open Access Journals (Sweden)

    Gholam Reza Arab

    2014-10-01

    Full Text Available Recently to eliminate the harmonics and improve the power factor of the power networks, much attention has been attracted to active filters. The advantages of these filters are lower volume and their better compensating characteristics than the passive filters. In conventional sliding mode controllers, the source current waveform is fluctuated in near to zero values. In this paper, using a new sliding technique, lower Total Harmonic Distortion (THD in source current is obtained and the current waveform is improved. As well as, two novel control strategies for two types of active filters, VSI and CSI is proposed and then these two types of filters are compared to reduce THD value of source current.The proposed controlled strategies are simulated by MATLAB/Simulink. The Simulation results confirm that the proposed strategies reduce the THD of source current more than other strategies, and active filter based on CSI has a better performance than active filter based on VSI with a dead time area (for avoiding short circuit of the source in high powers.

  16. Effects of Automation Types on Air Traffic Controller Situation Awareness and Performance

    Science.gov (United States)

    Sethumadhavan, A.

    2009-01-01

    The Joint Planning and Development Office has proposed the introduction of automated systems to help air traffic controllers handle the increasing volume of air traffic in the next two decades (JPDO, 2007). Because fully automated systems leave operators out of the decision-making loop (e.g., Billings, 1991), it is important to determine the right level and type of automation that will keep air traffic controllers in the loop. This study examined the differences in the situation awareness (SA) and collision detection performance of individuals when they worked with information acquisition, information analysis, decision and action selection and action implementation automation to control air traffic (Parasuraman, Sheridan, & Wickens, 2000). When the automation was unreliable, the time taken to detect an upcoming collision was significantly longer for all the automation types compared with the information acquisition automation. This poor performance following automation failure was mediated by SA, with lower SA yielding poor performance. Thus, the costs associated with automation failure are greater when automation is applied to higher order stages of information processing. Results have practical implications for automation design and development of SA training programs.

  17. Clinical coaching in primary care: Capable of improving control in patients with type 2 diabetes mellitus?

    Science.gov (United States)

    González-Guajardo, Eduardo Enrique; Salinas-Martínez, Ana María; Botello-García, Antonio; Mathiew-Quiros, Álvaro

    2016-06-01

    Few clinical coaching studies are both endorsed by real cases and focused on reducing suboptimal diabetes control. We evaluated the effectiveness of coaching on improving type 2 diabetes goals after 3 years of implementation in primary care. A cross-sectional study with follow up was conducted during 2008-2011. Coaching consisted of guiding family doctors to improve their clinical abilities, and it was conducted by a medical doctor trained in skill building, experiential learning, and goal setting. Effectiveness was assessed by means of fasting plasma glucose and glycosylated hemoglobin outcomes. The main analysis consisted of 1×3 and 2×3 repeated measures ANOVAs. A significant coaching×time interaction was observed, indicating that the difference in glucose between primary care units with and without coaching increased over time (Wilks' lambda multivariate test, PCoaching increased 1.4 times (95%CI 1.3, 1.5) the possibility of reaching the fasting glucose goal after controlling for baseline values. There was also a significant improvement in glycosylated hemoglobin (Bonferroni-corrected p-value for pairwise comparisons, Pcoaching was found to be worth the effort to improve type 2 diabetes control in primary care. Copyright © 2015 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

  18. Habitual Sleep Deprivation is Associated with Type 2 Diabetes: A Case-Control Study

    Directory of Open Access Journals (Sweden)

    Mohammed A. Al-Abri

    2016-11-01

    Full Text Available Objectives: It is suggested that a minimum of eight hours of sleep per night is needed for metabolism to work normally. The aim of the study was to determine the association of habitual sleep deprivation and type 2 diabetes mellitus (T2DM. Methods: We conducted a case-control study comparing patients with T2DM with age and sex matched healthy controls. Standard sleep questionnaires (the Berlin and Epworth Sleepiness Scale and a weekly diary were used by patients to self-report habitual sleep. Results: A total of 172 diabetics and 188 healthy controls were enrolled in the study. There was a significant difference between T2DM and healthy controls in nocturnal sleep duration (p = 0.033. There was a significant association between nocturnal sleep duration of fewer than six hours and T2DM (χ2 = 14.0; p = 0.0001. There was no significant difference in daytime sleepiness and daytime naps between the T2DM and control groups (p = 0.452; p =0.581, respectively. Conclusions: A nocturnal sleep duration < 6 hours is associated with T2DM.

  19. A Design Method of Model Reference Type Sliding Mode Controller for Two-mass Servo System

    Science.gov (United States)

    Yura, Satoshi; Kamano, Takuya; Urushihara, Shiro; Yasuno, Takashi; Suzuki, Takayuki; Harada, Hironobu

    In this paper, we describe a model reference type sliding mode controller for a two-mass speed control system. The two-mass system consists of a dc motor, a load inertia, and an elastic shaft which connects between them. To design the conventional sliding mode controller for the two-mass system, the nominal parameters of the system are required. Although the nominal parameters of the motor side such as the dc power amplifier gain K, the motor inertia J1 and the torque constant Kt are easy to know, the load side parameters such as the load inertia J2 and the stiffness of the shaft Ke are unknown in advance and can not be used in the design. Therefore, the design method without using the load information is expected. In the paper, new design scheme of the sliding mode controller, in which a reference model and an adaptive mechanism are introduced, is proposed. Some experimental responses of the system under the proposed sliding mode control are measured. These result the compatibility of simplification of the design procedure and robustness for the friction, the modeling error and the disturbance.

  20. Chromium supplements for glycemic control in type 2 diabetes: limited evidence of effectiveness

    Science.gov (United States)

    Dwyer, Johanna T.; Bailey, Regan L.

    2016-01-01

    Some adults with type 2 diabetes mellitus (T2DM) believe that chromium-containing supplements will help control their disease, but the evidence is mixed. This narrative review examines the efficacy of chromium supplements for improving glycemic control as measured by decreases in fasting plasma glucose (FPG) or hemoglobin A1c (HbA1c). Using systematic search criteria, 20 randomized controlled trials of chromium supplementation in T2DM patients were identified. Clinically meaningful treatment goals were defined as an FPG of ≤7.2 mmol/dL, a decline in HbA1c to ≤7%, or a decrease of ≥0.5% in HbA1c. In only a few randomized controlled trials did FPG (5 of 20), HbA1c (3 of 14), or both (1 of 14) reach the treatment goals with chromium supplementation. HbA1c declined by ≥0.5% in 5 of 14 studies. On the basis of the low strength of existing evidence, chromium supplements have limited effectiveness, and there is little rationale to recommend their use for glycemic control in patients with existing T2DM. Future meta-analyses should include only high-quality studies with similar forms of chromium and comparable inclusion/exclusion criteria to provide scientifically sound recommendations for clinicians. PMID:27261273

  1. Influence of resistance exercise training on glucose control in women with type 2 diabetes.

    Science.gov (United States)

    Fenicchia, L M; Kanaley, J A; Azevedo, J L; Miller, C S; Weinstock, R S; Carhart, R L; Ploutz-Snyder, L L

    2004-03-01

    The objective of the study was to evaluate the effects of acute and chronic resistance training on glucose and insulin responses to a glucose load in women with type 2 diabetes. Subjects consisted of type 2 diabetic women (n = 7) and age-matched controls (n = 8) with normal glucose tolerance. All subjects participated in 3 oral glucose tolerance tests: pretraining, 12 to 24 hours after the first exercise session (acute) and 60 to 72 hours after the final training session (chronic). Exercise training consisted of a whole body resistance exercise program using weight-lifting machines 3 days per week for 6 weeks. Resistance training was effective in increasing strength of all muscle groups in all subjects. Integrated glucose concentration expressed as area under the curve (AUC) was 3,355.0 +/- 324.6 mmol/L. min pretraining, improved significantly (P benefits, individuals must follow a regular schedule that includes daily exercise.

  2. Control of a maintenance system when failure and repair times have phase type distributions

    Science.gov (United States)

    Decassiamenesesrodrigues, Rita

    1990-09-01

    In the model of machine repair discussed there are M + R identical machines, M operating, and R spares. All machines are independent of one another. When an operating machine fails, it is sent to a single server repair station and immediately replaced by a spare machine, if one is available. The server has two available service types to choose from. There are waiting costs, repair costs, lost production costs, and switch-over costs. The following decision problem is treated: to obtain a stationary policy which determines the service type as a function of the state of the system in order to minimize the long-run average cost when failure and repair times have second-order Coxian distribution. This control problem is represented by a semi-Markov decision process. The policy-iteration algorithm and the value-iteration algorithm are used to obtain the optimal policy. Numerical results are given for these two optimization methods.

  3. Prevalence of chronic complications, metabolic control and nutritional intake in type 1 diabetes

    DEFF Research Database (Denmark)

    Toeller, M; Buyken, A E; Heitkamp, G

    1999-01-01

    for gender, age and diabetes duration. All examinations were performed using standardised, validated methods. HBA1c, LDL-cholesterol and fasting triglycerides were higher in the eastern European centres than in the southern or north-western European centres. Acute (severe ketoacidosis, severe hypoglycaemia......This study compares the prevalence of chronic complications, the quality of metabolic control and the nutritional intake in people with type 1 diabetes in different European regions. The EURODIAB Complications Study included a sample of 3250 European patients with type 1 diabetes stratified......) and chronic diabetes complications (retinopathy, nephropathy, neuropathy, cardiovascular disease) were all considerably more frequent in the eastern European centres. HbA1c was lower in the German centres than in the total EURODIAB cohort or in the north-western European centres, but severe hypoglycaemia...

  4. Inulin controls inflammation and metabolic endotoxemia in women with type 2 diabetes mellitus: a randomized-controlled clinical trial.

    Science.gov (United States)

    Dehghan, Parvin; Gargari, Bahram Pourghassem; Jafar-Abadi, Mohammad Asghari; Aliasgharzadeh, Akbar

    2014-02-01

    There is limited evidence on the effects of prebiotics on inflammation. Therefore, the aim of this study was to evaluate the effects of inulin supplementation on inflammatory indices and metabolic endotoxemia in patients with type 2 diabetes mellitus. The participants included diabetic females (n = 49). They were divided into an intervention group (n = 24) as well as a control group (n = 25) and received 10 g/d inulin or maltodextrin for 8 weeks, respectively. Fasting blood sugar (FBS), HbA1c, insulin, high-sensitive C-reactive protein (hs-CRP), tumor necrosis factor-alpha (TNF-α), interleukin-10 (IL-10), and plasma lipopolysaccharide (LPS) were measured pre and post intervention. Inulin-supplemented patients exhibited a significant decrease in FBS (8.5%), HbA1c (10.4%), fasting insulin (34.3%), homeostasis model assessment of insulin resistance (HOMA-IR) (39.5%), hs-CRP (35.6%), TNF-α (23.1%), and LPS (27.9%) compared with the maltodextrin group (p metabolic endotoxemia in women with type 2 diabetes.

  5. Periodontal health of children with type 1 diabetes mellitus in Kuwait: a case-control study.

    Science.gov (United States)

    Al-Khabbaz, Areej K; Al-Shammari, Khalaf F; Hasan, Abdulaziz; Abdul-Rasoul, Majedah

    2013-01-01

    The aim of this study was to evaluate periodontal health in children diagnosed with type 1 diabetes mellitus. Periodontal health was clinically examined and compared in 95 children diagnosed with type 1 diabetes and 61 healthy control subjects (4-14 years old). Plaque index, gingival index, clinical attachment loss and bleeding on probing were assessed on the 6 Ramfjord index teeth. Diabetes history was recorded based on information provided by the physician from the medical record of each diabetic child. Diabetes history included date of diagnosis, diabetes duration, age at diagnosis, latest reading for glycosylated hemoglobin and any existing diabetes complications. Data were analyzed using the Statistical Package for Social Science software, version 18. 'Periodontitis' was defined as at least one site with clinical attachment loss >2 mm on at least 2 teeth. Sixty-two of the diabetic children (65%) had poor compliance with dental care, and 42 of them (44%) had never visited the dentist before. The children with type 1 diabetes mellitus had a significantly higher plaque index and gingival index and more bleeding on probing than control subjects (p diabetic group, periodontitis was significantly associated with longer duration of diabetes (odds ratio 2.230, confidence interval 1.308-3.801; p = 0.003) and older age at diagnosis of diabetes (odds ratio 1.838, confidence interval 1.091-3.096; p = 0.022). Periodontal disease in young patients with type 1 diabetes was more evident than in those without diabetes. These data showed that diabetes duration may play a significant role in the progression of periodontal disease in diabetic children. Copyright © 2012 S. Karger AG, Basel.

  6. Control of type 2 diabetes in King Abdulaziz Housing City (Iskan population, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Thamer A Alsulaiman

    2016-01-01

    Full Text Available Objective: To assess the level of control and prevalence of type 2 diabetes in King Abdulaziz Housing City (Iskan population of Saudi Arabia. Materials and Methods: Retrospective cross-sectional study conducted in a primary-care setting. All Type 2 diabetics referred to our diabetes center between January 2011 and January 2015 were identified, and their computerized records reviewed. Glycated hemoglobin levels (HbA1c, low-density lipoprotein (LDL, blood pressure (BP, and the albumin-creatinine ratio (ACR were noted and the patients categorized accordingly. Demographic data (age and gender were also documented. Inactive patients (not seen for more than 2 years were excluded. Results: The overall prevalence of type 2 diabetes for all age groups in ISKAN population was 3.25%. About 56% of the diabetics were female and 70% were aged between 18 and 59 years. The rate of uncontrolled diabetes was 59.3%. Males were more likely to have uncontrolled diabetes (odds ratio: 1.44, CI: 1.17-1.76, P = 0.0004. Forty percent of the diabetics had an LDL above target (≥2.6 mmol/l while 25.9% had uncontrolled hypertension (BP ≥ 140/90 mmHg. Of those who had an ACR test done within the last year (59.3%, the rate of micro- and macro-albuminuria was 8.8% and 2.5%, respectively. Conclusions: The overall prevalence of type 2 diabetes in our community seems lower than the previously reported national figures. An alarming number of diabetics in our population have an uncontrolled disease. More stringent diabetes annual review and recall program is needed to control diabetes and reduce complications.

  7. Regulation of glucose control in people with type 2 diabetes: a review and consensus.

    Science.gov (United States)

    Woo, Jeong-Taek; Park, Kyung Soo; Byun, Dong-Won; Ko, Kyung Soo; Chung, Yoon-Sok; Kim, Doo Man; Park, Tae Sun; Cha, Bong Soo; Lee, In Kyu; Park, Joong Yeol; Son, Hyun Shik; Lee, Moon-Kyu; Kim, Kwang Won; Son, Ho Young

    2010-02-01

    A conference was convened by the Korean Diabetes Association and the Korean Endocrine Society on September 7, 2009 to discuss and organize the results of research on intensive glucose control for the prevention of cardiovascular disease in patients with type 2 diabetes. Professor Kyung Soo Park led the conference, and Professors Kwang Won Kim and Ho Young Son acted as chairmen. Professors Doo Man Kim, Tae Sun Park, and Bong Soo Cha reported on intensive glucose control and diabetic complications, including the UK Prospective Diabetes Study (UKPDS), Diabetes Control and Complication Trial (DCCT) research results, the recently published Action to Control Cardiovascular Risk in Diabetes (ACCORD), Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified Release Controlled Evaluation (ADVANCE), and Veterans Affairs Diabetes Trial (VADT) research, as well as meta-analyses. Professor Jeong-Taek Woo reported on the manuscript written by the committee for the Korean Diabetes Association which dealt with the treatment of diabetes mellitus. Professors Kyung Soo Ko, Joong Yeol Park, Hyun Shik Son, Moon-Kyu Lee, Dong-Won Byun, and Yoon-Sok Chung participated in the discussion and collected information for the manuscript from all of the participants. The aim of the debate was to determine how to establish target goals for intensive glucose control and how to individualize those goals. The participants concluded that there was no need to modify the recommendation of maintaining an HbA1c under 6.5%, the current blood glucose treatment goal that is recommended by the Korean Diabetes Association. In addition, individual target goals for glucose control were recommended depending on the situation of each patient. We report on the consensus statement from the meeting.

  8. Health Literacy, Diabetes Self-Care, and Glycemic Control in Adults with Type 2 Diabetes

    Science.gov (United States)

    Osborn, Chandra Y.; Bains, Sujeev S.

    2010-01-01

    Abstract Background Although limited health literacy is a barrier to disease management and has been associated with poor glycemic control, the mechanisms underlying the relationships between health literacy and diabetes outcomes are unknown. We examined the relationships between health literacy, determinants of diabetes self-care, and glycemic control in adults with type 2 diabetes. Methods Patients with diabetes were recruited from an outpatient primary care clinic. We collected information on demographics, health literacy, diabetes knowledge, diabetes fatalism, social support, and diabetes self-care, and hemoglobin A1c values were extracted from the medical record. Structural equation models tested the predicted pathways linking health literacy to diabetes self-care and glycemic control. Results No direct relationship was observed between health literacy and diabetes self-care or glycemic control. Health literacy had a direct effect on social support (r = −0.20, P fatalism (r = −0.22, P < 0.05), and more social support (r = 0.27, P < 0.01) were independent, direct predictors of diabetes self-care and through self-care were related to glycemic control (r = −0.20, P < 0.05). Conclusions Our findings suggest health literacy has an indirect effect on diabetes self-care and glycemic control through its association with social support. This suggests that for patients with limited health literacy, enhancing social support would facilitate diabetes self-care and improved glycemic control. PMID:20879964

  9. Ischaemic heart disease and glycaemic control in type-2 diabetes mellitus by questionnaire method

    International Nuclear Information System (INIS)

    Yathish, T.R.; Annamalai, N.; Shankar, V.

    2010-01-01

    Background: Various tests like Echocardiogram, Nuclear scan, Electron-beam computed tomography, Coronary angiography, and magnetic resonance angiography are available for diagnosis of ischemic heart disease (IHD). But most of these are expensive, invasive and cannot be afforded in developing countries. An attempt was made to study sensitivity, specificity, and predictive value of non-invasive technique like questionnaire method and compared with traditional clinical evaluation. This study compared diagnosis of angina made with the Rose uestionnaire to diagnosis by physician in type-2 diabetes mellitus and the effect of glycaemic control. Methods: A cross-sectional study was done from March 2005 to March 2006. Cases were collected from outpatients and inpatients visiting RL Jalappa hospital and SNR Hospital attached to Sri Devraj Urs Medical College Kolar, Karnataka, India. Glycosylated haemoglobin levels were estimated. Data on Rose questionnaire angina and physician diagnosed angina were collected and compared between groups of well controlled diabetics, poorly controlled diabetics and controls. The 12 lead Electrocardiogram was used to confirm the diagnosis. Results: The Rose questionnaire had 63.63% sensitivity, 97.5% specificity, 73% positive predictive value, and 96% negative predictive value. This study also showed the occurrence of IHD was higher in the poorly controlled diabetics (16.3%) as compared to well controlled diabetic patients (6%) and controls (5%) which were significant. Conclusions: The questionnaire diagnosis showed good sensitivity and high specificity as compared with diagnosis by physicians. The questionnaire method can be frequently used and incorporated in cardiovascular risk assessment and epidemiologic screening programs. (author)

  10. Presumptive binge eating disorder in type 2 diabetes mellitus patients and its effect in metabolic control

    Directory of Open Access Journals (Sweden)

    Sandra Soares Melo

    2009-09-01

    Full Text Available Objective: This study sought to determine the presence of diagnosis suggestive of binge eating disorder in individuals with type 2 diabetes mellitus, and to evaluate the influence of such disorder on the metabolic control. Methods: sixty-three patients with type 2 diabetes mellitus and registered  at the Diabetes and Hypertension Program of a Health Unit in the town of Balneário Camboriú, Santa Catarina, Brazil, were evaluated. The diagnosis of binge eating disorder was made by analysis of the Questionnaire on Eating and Weight Patterms – Revised. For the evaluation of metabolic control, 10 ml of blood was collected, and the serum glucose, glycated hemoglobin, tryglicerides, cholestrol and fractions were determined. Weight and height were determined for evaluation of national nutritional state, according to the body mass index. Rresults: Among the evaluated individuals, 29% presented a diagnosis suggestive of binge eating disorder, with higher prevalence among females. The individuals with diagnosis suggestive of binge eating disorder presented a higher average body mass index value than the group without diagnosis. The serum concentrations of glycated hemoglobin (p = 0.02 and triglicerides (p = 0.03 were statistically higher in the group with diagnosis suggestive of binge eating disorder. Cconclusions: Based on the results of this study, it is possible to conclude that the presence of binge eating disorder in individuals with type 2 diabetes mellitus favors an increase in body weight and has a negative influence on metabolic control, contributing to the early emergence of complications related to the disease.

  11. Racial disparities in cardiovascular risk factor control in an underinsured population with Type 2 diabetes.

    Science.gov (United States)

    Wang, Y; Katzmarzyk, P T; Horswell, R; Zhao, W; Li, W; Johnson, J; Ryan, D H; Hu, G

    2014-10-01

    To investigate the race-specific trend in attainment of the American Diabetes Association cardiovascular risk factor control goals (HbA1c patients with Type 2 diabetes. The study sample included 14 946 African-American and 12 758 white patients who were newly diagnosed with Type 2 diabetes between 2001 and 2009 in the Louisiana State University Hospital system. The race-specific percentages of patients' attainment of American Diabetes Association goals were calculated using the baseline and follow-up measurements of HbA1c , blood pressure, and LDL cholesterol levels. Logistic regression was used to test the difference between African-American and white patients. The percentage of patients who met all three American Diabetes Association goals increased from 8.2% in 2001 to 10.2% in 2009 (increased by 24.4%) in this cohort. Compared with African-American patients, white patients had better attainment of the following American Diabetes Association goals: HbA1c (61.4 vs. 55.1%), blood pressure (25.8 vs. 20.4%), LDL cholesterol (40.1 vs. 37.7%) and all three goals (7.3 vs. 5.1%). African-American and white patients generally had a better cardiovascular disease risk factor profile during follow-up when we assessed attainment of the American Diabetes Association goals by means of HbA1c , blood pressure and LDL cholesterol. During 2001-2009, the present low-income cohort of people with Type 2 diabetes generally experienced improved control of cardiovascular disease risk factors. White patients had better attainment of the American Diabetes Association cardiovascular risk factor control goals than their African-American counterparts. © 2014 The Authors. Diabetic Medicine © 2014 Diabetes UK.

  12. Creatinine plasma at uncontrolled type 2 diabetes mellitus and controlled type 2 diabetes mellitus patients at primary health care in Binjai city, Indonesia

    Science.gov (United States)

    Rusdiana; Savira, M.; Syahputra, M.; Santoso, A.

    2018-03-01

    The aim of the study knowing the comparison creatinine plasma levels at uncontrolled type 2 diabetes mellitus and controlled type 2 diabetes mellitus patients at Primary Health Care in Binjai city of North Sumatera in Indonesia. This cross-sectional study was conductedon 40 type 2 Diabetes Mellitus patients who attended Primary Health Care in Binjai. Patients with age > 40 years old, (both sexes) were included in the study. We recorded different demographic parameter as age, Body Mass Index, Blood Pressure, and personal history status. And we examined the biochemicalparameters including Hba1c, Fasting Blood Sugar Levels (FBL) and creatinine serum. We separated into two groups base on HbA1c test, controlled type 2 diabetes mellitus and uncontrolled type 2 diabetes mellitus. We measured FBL by using the portable measuring instrument, and Thamrin clinical laboratory measured Hba1c, andwe measured creatinine plasmaby spectrophotometry in Biochemistry laboratory. With statistical analysis using T-test found that there was asignificant differencein creatinine plasma levels between uncontrolled type 2 diabetes mellitus with controlled type 2 diabetes mellitus (p<0.005).

  13. Nutritional status, glycemic control and its associated risk factors among a sample of type 2 diabetic individuals, a pilot study

    OpenAIRE

    Somayyeh Firouzi; Mohd Yusof Barakatun-Nisak; Kamaruddin Nor Azmi

    2015-01-01

    Background: The prevalence of type 2 diabetes is increasing in Malaysia, with most patients poorly controlled. Hence, this study aimed to determine nutritional and metabolic status as well as blood pressure of Malaysian patients with type 2 diabetes mellitus and identify associated risk factors for poor glycemic control. Materials and Methods: A total of 104 type 2 diabetic patients were recruited and completed a questionnaire covering socio-demographic status, 3-day diet records, and physica...

  14. Impact of Education on Disease Knowledge and Glycaemic Control Among Type 2 Diabetic Patients in Family Practice

    OpenAIRE

    Samira Herenda; Husref Tahirović; Džemal Poljaković

    2007-01-01

    In patients with diabetes type 2, good knowledge about disease often doesn’t follow appropriate behavior in their life. Therefore, we wanted to find out basic level of disease knowledge and glycemic control among type 2 diabetic patients, and after that impact of passive and intensive education on knowledge and glycemic control. Starting with 130 participants, 91 patients with type 2 diabetes, from four family medicine services in Tuzla Canton, completed six months education about their disea...

  15. An optimal general type-2 fuzzy controller for Urban Traffic Network

    DEFF Research Database (Denmark)

    Khooban, Mohammad Hassan; Vafamand, Navid; Liaghat, Alireza

    2017-01-01

    Urban traffic network model is illustrated by state-charts and object-diagram. However, they have limitations to show the behavioral perspective of the Traffic Information flow. Consequently, a state space model is used to calculate the half-value waiting time of vehicles. In this study......, a combination of the general type-2 fuzzy logic sets and the Modified Backtracking Search Algorithm (MBSA) techniques are used in order to control the traffic signal scheduling and phase succession so as to guarantee a smooth flow of traffic with the least wait times and average queue length. The parameters...

  16. Intensive lifestyle intervention is particularly advantageous in poorly controlled type 2 diabetes.

    Science.gov (United States)

    Sbroma Tomaro, E; Pippi, R; Reginato, E; Aiello, C; Buratta, L; Mazzeschi, C; Perrone, C; Ranucci, C; Tirimagni, A; Russo, A; Fatone, C; Fanelli, C; De Feo, P

    2017-08-01

    It is unknown whether lifestyle change is effective in people with type 2 diabetes with inadequate glucose control. The aim of this study was to asses, in a group of people with type 2 diabetes, the impact of baseline values of glycosylated haemoglobin (HbA1c) on the effects of an intensive lifestyle intervention on metabolic, clinical and strength parameters. 222 people with type 2 diabetes with mean ± standard deviation baseline HBA1c of 7.50% ± 1.27 (range 5.1-12.7%), were enrolled in a 3-month structured multidisciplinary lifestyle intervention. Anthropometric, biochemical, clinical and fitness measurements were collected at baseline, at the end of the lifestyle intervention program and at two-year follow-up visit. Significant improvements in glycometabolic control (HbA1c: p ≤ 0.0001); anthropometric parameters (BMI p ≤ 0.0001; waist circumference: p ≤ 0.0001); and systemic blood pressure (p ≤ 0.0001) were observed both at the end of the three month intensive lifestyle program and at the two-year follow up visit. In addition, defined daily doses of hypoglycaemic treatment significantly decreased (p = 0.001). Fitness measures exhibited significant increments in the whole sample at the end of the intensive intervention program (p ≤ 0.0001). When patients were divided into tertiles considering the baseline value of HbA1c, the most marked improvements in HbA1c, blood glucose and triglycerides were observed in the group with inadequate glucose control (Hba1c ≥ 7.71%), both at the three-month and two-year follow-ups. These results demonstrate that an intensive lifestyle intervention should be recommended for people with type 2 diabetes, particularly those with the most inadequate glycaemic control. CURIAMO trial was registered in the Australian New Zealand Clinical Trials Registry, (ACTRN12611000255987). Copyright © 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of

  17. Effect of Optimization of Glycaemic Control on Mannan-Binding Lectin in Type 1 Diabetes

    DEFF Research Database (Denmark)

    Dørflinger, Gry Høst; Holt, Charlotte Brink; Thiel, Steffen

    2017-01-01

    the change from conventional insulin therapy to insulin pump therapy. Results: After initiation of insulin pump therapy, the total daily insulin dose was significantly reduced (from 51 ± 18 IE/day to 39 ± 13 IE/day, P ... dose, HbA1c, or fructosamine. Conclusions: MBL concentration decreased following the initiation of insulin pump therapy in patients with type 1 diabetes and did not correlate with changes in glycaemic control......./mol to 61 mmol/mol, P insulin...

  18. Analysis of Human Error Types and Performance Shaping Factors in the Next Generation Main Control Room

    International Nuclear Information System (INIS)

    Sin, Y. C.; Jung, Y. S.; Kim, K. H.; Kim, J. H.

    2008-04-01

    Main control room of nuclear power plants has been computerized and digitalized in new and modernized plants, as information and digital technologies make great progresses and become mature. Survey on human factors engineering issues in advanced MCRs: Model-based approach, Literature survey-based approach. Analysis of human error types and performance shaping factors is analysis of three human errors. The results of project can be used for task analysis, evaluation of human error probabilities, and analysis of performance shaping factors in the HRA analysis

  19. LHD type proton-boron reactor and the control of its peripheral potential structure

    Energy Technology Data Exchange (ETDEWEB)

    Matsumoto, Yutaka; Nagaura, Tatsuhiko; Itoh, Yasuyoshi; Oikawa, Shun-ichi [Graduate School of Engineering, Hokkaido Univ., Sapporo, Hokkaido (Japan); Watanabe, Tsuguhiro [National Inst. for Fusion Science, Toki, Gifu (Japan)

    2001-04-01

    An advanced Large Helical Device (LHD) type proton-boron reactor, in which the minority protons are heated by ICRF, is proposed. The ratio of the fusion power to the RF input power is evaluated. Numerical computation of particle orbits shows that the ICRF of LHD can accelerate protons in the p{sup -11} B fusion relevant energy. Numerical results also show that the LHD magnetic configuration can confine the high energy {sup 4}He well. An active peripheral potential control method and an active {sup 4}He ash exhaust scheme are discussed. (author)

  20. "Learning" Can Improve the Blood Glucose Control Performance for Type 1 Diabetes Mellitus.

    Science.gov (United States)

    Wang, Youqing; Zhang, Jinping; Zeng, Fanmao; Wang, Na; Chen, Xiaoping; Zhang, Bo; Zhao, Dong; Yang, Wenying; Cobelli, Claudio

    2017-01-01

    A learning-type artificial pancreas has been proposed to exploit the repetitive nature in the blood glucose dynamics. We clinically evaluated the efficacy of the learning-type artificial pancreas. We conducted a pilot clinical study in 10 participants of mean age 36.1 years (standard deviation [SD] 12.7; range 16-58) with type 1 diabetes. Each trial was conducted for eight consecutive mornings. The first two mornings were open-loop to obtain the individualized parameters. Then, the following six mornings were closed-loop, during which a learning-type model predictive control algorithm was employed to calculate the insulin infusion rate. To evaluate the algorithm's robustness, each participant took exercise or consumed alcohol on the fourth or sixth closed-loop day and the order was determined randomly. The primary outcome was the percentage of time spent in the target glucose range of 3.9-8.0 mmol/L between 0900 and 1200 h. The percentage of time with glucose spent in target range was significantly improved from 51.6% on day 1 to 71.6% on day 3 (mean difference between groups 17.9%, confidence interval [95% CI] 3.6-32.1; P = 0.020). There were no hypoglycemic episodes developed on day 3 compared with two episodes on day 1. There was no difference in the percentage of time with glucose spent in target range between exercise day versus day 5 and alcohol day versus day 5. The learning-type artificial pancreas system achieved good glycemic regulation and provided increased effectiveness over time. It showed a satisfactory performance even when the blood glucose was challenged by exercise or alcohol.

  1. [Temporomandibular disorders and Ehlers-Danlos syndrome, hypermobility type: A case-control study].

    Science.gov (United States)

    Diep, D; Fau, V; Wdowik, S; Bienvenu, B; Bénateau, H; Veyssière, A

    2016-09-01

    The Ehlers-Danlos syndrome, hypermobility type (EDS-HT) is a rare genetic disease. Diagnosis is based on a combination of clinical criteria described in the classification of Villefranche. Diagnosis is difficult to make because of the lack of specific clinical signs and the absence of genetic testing. The EDS-TH manifests itself manly by musculoskeletal pain and joint hypermobility. Temporomandibular disorders (TMD) are also reported. Our aim was to objectify the presence and to qualify the type of TMD associated with the EDS-HT in order to propose an additional diagnostic argument. A prospective, monocenter case-control study, comparing a cohort of patients suffering from EDS-HT to a paired control group of healthy volunteers has been conducted. Clinical examination was standardized, including a general questioning, an oral examination and a temporomandibular joint examination following the TMD/RDC (temporomandibular disorders/research diagnostic criteria). Fourteen EDS-HT patients and 58 control patients were examined. The prevalence of TMDs (n=13; 92.9% vs. n=4; 6.9%; P=10(-11)) was significantly higher in the EDS-HT group. TMDs occurring in the EDS-HT group were complex, combining several mechanisms in contrast to the control group, where only one mechanism was found in all the patients (n=13; 92.9% vs. n=0; 0.0%). TMDs are strongly associated with RDS-HT. TMDs could therefore be used in the diagnosis of this disease. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  2. Seasonal variations in glycemic control of type 2 diabetes in Korean women.

    Science.gov (United States)

    Ryu, Ohk-Hyun; Lee, Sungwha; Yoo, Hyung Joon; Choi, Moon-Gi

    2014-06-01

    Seasonal variations in lifestyle, such as food intake and physical activity, have been reported. Glycemic control in type 2 diabetes mellitus (T2DM) may be affected by such changes. We investigated seasonal variations in glycemic control, food intake, and physical activity in type 2 diabetic patients. This prospective observational study included 37 Korean female patients who had food intake (kcal/day), HbA1c, and anthropometry every 3 months (August, November, February, May, and August in the Northern Hemisphere) over 1 year. When anti-diabetic drugs were changed, we analyzed the data just before the changes. The mean HbA1c levels (%) of August and November in 2008, and February, May, and August in 2009 were 7.0 ± 0.1, 6.9 ± 0.1, 7.2 ± 0.2, 7.4 ± 0.2, and 7.2 ± 0.2, respectively (P = 0.018). The change of HbA1c was nearly 0.5 % for the 1-year period. From August to May of the following year, there were also seasonal variations in food intake (1,872 ± 143, 1,739 ± 97, 1,673 ± 86, 1,561 ± 132, respectively; P = 0.013), and total physical activity [7.7 (3.7-14.6), 6.3 (2.8-10.4), 5.1 (2.7-12.6), and 11.2 (4.7-20.5), respectively; P = 0.048]. However, the seasonal variations of HbA1c and total physical activity became non-significant when farmers were excluded. These data suggested that glycemic control, total physical activity, and food intake varied seasonally in Korean T2DM patients. These seasonal variations should be considered in education for glycemic control.

  3. A full scope nuclear power plant simulator for multiple reactor types with virtual control panels

    International Nuclear Information System (INIS)

    Yonezawa, Hisanori; Ueda, Hiroki; Kato, Takahisa

    2017-01-01

    This paper summarizes a full scope nuclear power plant simulator for multiple reactor types with virtual control panels which Toshiba developed and delivered. After the Fukushima DAIICHI nuclear power plants accident, it is required that all the people who are engaged in the design, manufacturing, operation, maintenance, management and regulation for the nuclear power plant should learn the wide and deep knowledge about the nuclear power plant design including the severe accident. For this purpose, the training with a full scope simulator is one of the most suitable ways. However the existing full scope simulators which are consist of the control panels replica of the referenced plants are costly and they are hard to remodel to fit to the real plant of the latest condition. That's why Toshiba developed and delivered the new concept simulator system which covers multiple referenced plants even though they have different design like BWR and PWR. The control panels of the simulator are made by combining 69 large Liquid Crystal Display (LCD) panels with touch screen instead of a control panel replica of referenced plant. The screen size of the each panel is 42 inches and 3 displays are arranged in tandem for one unit and 23 units are connected together. Each panel displays switches, indicators, recorders and lamps with the Computer Graphics (CG) and trainees operate them with touch operations. The simulator includes a BWR and a PWR simulator model, which enable trainees to learn the wide and deep knowledge about the nuclear power plant of BWR and PWR reactor types. (author)

  4. A Diabetes-specific Oral Nutritional Supplement Improves Glycaemic Control in Type 2 Diabetes Patients.

    Science.gov (United States)

    Mayr, P; Kuhn, K S; Klein, P; Stover, J F; Pestana, E A

    2016-07-01

    Reducing the intake of low molecular weight carbohydrates with artificial nutrition may lower glycaemic response in patients with diabetes. We evaluated effects of a diabetes-specific carbohydrate modified oral nutritional supplement (ONS) during 12 weeks administration in 40 elderly type 2 normal weight patients with diabetes with previous involuntary weight loss. Prospective, randomised, double-blind, controlled trial. Patients ingested 2×200 ml/day diabetes-specific or isocaloric standard ONS (control) in addition to their regular diet. Parameters of glucose and lipid metabolism, functional and nutritional status were assessed at baseline, weeks 6 and 12. Postprandial glucose incremental area under the curve (iAUC0-240 min) was comparable between treatment groups on day 1 (467.9±268.4 vs. 505.1±206.1 mmol/l*min, n.s. - arithmetic means±standard deviation) and was significantly lower with the diabetes-specific ONS vs. controls in weeks 6 and 12 (355.2±115.8 vs. 634.9±205.9 and 364.9±153.1 vs. 743.4±202.7; both Pnutritional and performance status. Body weight and body mass index (BMI) increased significantly over time in both groups. Administration of a diabetes-specific ONS for 12 weeks reduced postprandial glycaemia after ingestion of the study treatment and improved long-term glycaemic control in elderly patients with type 2 diabetes and involuntary weight loss, thereby reducing their risk for diabetes-associated long-term complications. © Georg Thieme Verlag KG Stuttgart · New York.

  5. UNIFIED CONTROL STRUCTURE OF MULTI-TYPE INTERIOR PERMANENT MAGNET MOTOR

    Directory of Open Access Journals (Sweden)

    M. NORHISAM

    2015-03-01

    Full Text Available This paper presents the control strategy structure to extract the speed torque characteristic for the newly designed three phase Multi Type Interior Permanent Magnet Motor. The proposed structure with the driving circuits exhibit the performance of torque characteristics of the stepper motor and brushless motor with independent coil winding per phase especially used as an in-wheel motor in agricultural applications. Brushless Direct Current motors exhibit characteristics of generating high torque at high speed while the Permanent Magnet Stepper motors has characteristic of generating high torque at low speed. The typical characteristics of the above two are integrated in the proposed structure with a complex control structure that handle the switching complexity and speed control in real time. Thus, a specially designed driving system is essential to drive and control this special motor. The evaluation of the motor mechanical characteristics when applying load torque is also presented. The result determines the practical torque range applicable for each motor configuration and as combined machine.

  6. Maternal retinoids control type 3 innate lymphoid cells and set the offspring immunity

    Science.gov (United States)

    van de Pavert, Serge A.; Ferreira, Manuela; Domingues, Rita G.; Ribeiro, Hélder; Molenaar, Rosalie; Moreira-Santos, Lara; Almeida, Francisca F.; Ibiza, Sales; Barbosa, Inês; Goverse, Gera; Labão-Almeida, Carlos; Godinho-Silva, Cristina; Konijn, Tanja; Schooneman, Dennis; O'Toole, Tom; Mizee, Mark R.; Habani, Yasmin; Haak, Esther; Santori, Fabio R.; Littman, Dan R.; Schulte-Merker, Stefan; Dzierzak, Elaine; Simas, J. Pedro; Mebius, Reina E.; Veiga-Fernandes, Henrique

    2014-04-01

    The impact of nutritional status during fetal life on the overall health of adults has been recognized; however, dietary effects on the developing immune system are largely unknown. Development of secondary lymphoid organs occurs during embryogenesis and is considered to be developmentally programmed. Secondary lymphoid organ formation depends on a subset of type 3 innate lymphoid cells (ILC3) named lymphoid tissue inducer (LTi) cells. Here we show that mouse fetal ILC3s are controlled by cell-autonomous retinoic acid (RA) signalling in utero, which pre-sets the immune fitness in adulthood. We found that embryonic lymphoid organs contain ILC progenitors that differentiate locally into mature LTi cells. Local LTi cell differentiation was controlled by maternal retinoid intake and fetal RA signalling acting in a haematopoietic cell-autonomous manner. RA controlled LTi cell maturation upstream of the transcription factor RORγt. Accordingly, enforced expression of Rorgt restored maturation of LTi cells with impaired RA signalling, whereas RA receptors directly regulated the Rorgt locus. Finally, we established that maternal levels of dietary retinoids control the size of secondary lymphoid organs and the efficiency of immune responses in the adult offspring. Our results reveal a molecular link between maternal nutrients and the formation of immune structures required for resistance to infection in the offspring.

  7. Depression, disturbed eating behavior, and metabolic control in teenage girls with type 1 diabetes.

    Science.gov (United States)

    Colton, Patricia A; Olmsted, Marion P; Daneman, Denis; Rodin, Gary M

    2013-08-01

    Depression and disturbed eating behavior (DEB) are more common in girls with type 1 diabetes (T1D) than in the general population, and may negatively affect metabolic control. To examine the relationship among depression, DEB, and metabolic control in teenage girls with T1D. Metabolic control, body mass index and interview-ascertained symptoms of depression, and DEB were assessed twice in 98 girls with T1D, 9-14 y at baseline and 5 yr later at 14-18 yr. At year 5, 12.2% of girls reported current depressive symptoms, 49.0% reported current DEB, and 13.3% had a full or subthreshold eating disorder (ED). Eating Disorder Examination score was higher in girls with depression (1.4 ± 1.3 vs. 0.5 ± 0.7; p = 0.03), and 75.0% of girls with depression also endorsed DEB vs. 45.3% of girls without depression (p = 0.05). Girls with an ED were at high risk for depressive symptoms; 69.2% reported depressive symptoms vs. 22.0% of girls with no DEB (p = 0.004). Metabolic control was not significantly associated with either depression or DEB in this cohort. A regression model using baseline and year 5 depression and DEB to predict year 5 hemoglobin A1c was not significant overall. Depression and DEB were common and frequently concurrent in this cohort. It was encouraging that poor metabolic control was not yet strongly associated with either depression or DEB. Early detection and treatment may help to prevent the development of entrenched difficulties in this triad of mood, eating behavior, and metabolic control in a vulnerable population. © 2013 John Wiley & Sons A/S.

  8. Control to goal of cardiometabolic risk factors among Nigerians living with type 2 diabetes mellitus.

    Science.gov (United States)

    Okafor, C I; Ofoegbu, E N

    2012-01-01

    Cardiovascular risk factors contribute to morbidity and mortality among diabetic patients. National and international guidelines on management of diabetes therefore emphasize control to goals of blood glucose, blood pressure, dyslipidemia, and obesity so as to minimize the development of complications and enhance the patients' quality of life. To evaluate the status of control to goals of cardiometabolic risk factors among the diabetic patients attending the Diabetes clinic of University of Nigeria Teaching Hospital, Enugu. A survey of 233 type 2 diabetic patients recruited from the Diabetes clinic of our hospital was carried out. Standard procedures as described in the WHO STEP instrument were used to determine the waist circumference, weight, height, and systolic and diastolic blood pressure. Fasting blood glucose and lipid profiles were also assessed. Therapeutic goals used to define risk or poor control were values adopted by expert groups such as American diabetes association (ADA), National cholesterol education program (NCEP), American association of clinical endocrinologist (AACE) and International diabetes federation (IDF). There were 98 males and 135 females with mean (SD) duration of diabetes mellitus (DM) of 6.7 (6.3) years. Suboptimal glycemic, blood pressure control and dyslipidemia were observed in 65.7%, 51.9%, 97.1% of the subjects respectively while 60.1% of the subjects were found to be overweight/obese. Comparing the mean indices of risk factors with the recommended therapeutic goals, status of control was optimal for HDL-cholesterol, waist circumference and triglycerides. All the other risk factors were suboptimal. Control to goals of cardiovascular risk factors is poor among the patients. There is the need to identify and tackle the possible contributing factors so as to reduce the morbidity and mortality in these patients.

  9. Role of Vitamin D on glycemic control and oxidative stress in type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Mostafa Saif-Elnasr

    2017-01-01

    Full Text Available Background: Vitamin D deficiency may play a key role in the development of impaired glucose tolerance, type 2 diabetes mellitus (T2DM, and metabolic syndrome. Several studies have shown that Vitamin D has an antioxidant property. We aimed to investigate 25-hydroxy Vitamin D (25[OH]D levels in patients with T2DM and in nondiabetic healthy controls and to ascertain the impact of 25(OHD levels on glycemic control and oxidative stress in T2DM patients. Materials and Methods: Thirty male patients with T2DM and twenty age- and socioeconomic status-matched male healthy controls were included in the study. Fasting and postprandial blood sugar and glycated hemoglobin (HbA1c were measured. Enzyme activity of superoxide dismutase (SOD and glutathione peroxidase (GPx was determined by spectrophotometric assay, and serum levels of 25(OHD were measured using radioimmunoassay. Results: Serum Vitamin D levels were significantly lower in patients with T2DM than healthy controls (P = 0.015. There was a significantly lower GPx activity in patients with T2DM than controls (P = 0.048, but the difference in SOD activity did not reach statistical significance. There was a significant negative correlation between serum Vitamin D levels and HbA1c (P = 0.016, but no statistical correlation was shown between serum Vitamin D levels and GPx and SOD. Conclusion: We conclude that low level of Vitamin D might play a significant role in T2DM pathogenesis. Hence, Vitamin D supplementation may improve glycemic control and oxidative stress in T2DM.

  10. T-type calcium channel: a privileged gate for calcium entry and control of adrenal steroidogenesis

    Directory of Open Access Journals (Sweden)

    Michel Florian Rossier

    2016-05-01

    Full Text Available Intracellular calcium plays a crucial role in modulating a variety of functions such as muscle contraction, hormone secretion, gene expression or cell growth. Calcium signaling has been however shown to be more complex than initially thought. Indeed, it is confined within cell microdomains and different calcium channels are associated with different functions, as shown by various channelopathies.Sporadic mutations on voltage-operated L-type calcium channels in adrenal glomerulosa cells have been shown recently to be the second most prevalent genetic abnormalities present in human aldosterone-producing adenoma. The observed modification of the threshold of activation of the mutated channels not only provides an explanation for this gain of function but reminds us on the importance of maintaining adequate electrophysiological characteristics to make channels able to exert specific cellular functions. Indeed, the contribution to steroid production of the various calcium channels expressed in adrenocortical cells is not equal and the reason has been investigated for a long time. Given the very negative resting potential of these cells, and the small membrane depolarization induced by their physiological agonists, low threshold T-type calcium channels are particularly well suited for responding under these conditions and conveying calcium into the cell, at the right place for controlling steroidogenesis. In contrast, high threshold L-type channels are normally activated by much stronger cell depolarizations. The fact that dihydropyridine calcium antagonists, specific for L-type channels, are poorly efficient for reducing aldosterone secretion either in vivo or in vitro, strongly supports the view that these two types of channels differently affect steroid biosynthesis.Whether a similar analysis is transposable to fasciculata cells and cortisol secretion is one of the questions addressed in the present review. No similar mutations on L-type or T-type

  11. Model and Study on Cascade Control System Based on IGBT Chopping Control

    Science.gov (United States)

    Niu, Yuxin; Chen, Liangqiao; Wang, Shuwen

    2018-01-01

    Thyristor cascade control system has a wide range of applications in the industrial field, but the traditional cascade control system has some shortcomings, such as a low power factor, serious harmonic pollution. In this paper, not only analyzing its system structure and working principle, but also discussing the two main factors affecting the power factor. Chopping-control cascade control system, adopted a new power switching device IGBT, which could overcome traditional cascade control system’s two main drawbacks efficiently. The basic principle of this cascade control system is discussed in this paper and the model of speed control system is built by using MATLAB/Simulink software. Finally, the simulation results of the system shows that the system works efficiently. This system is worthy to be spread widely in engineering application.

  12. Magnetic sensorless control of plasma position and shape in a tokamak

    International Nuclear Information System (INIS)

    Nakamura, K.; Luo, J.R.; Wang, H.Z.

    2005-01-01

    Magnetic sensorless sensing and control experiments of the plasma horizontal position have been carried out in the superconducting tokamak HT-7. The sensing is made focusing on the ripple frequency component of the power supply with thyristor and directly from them without time integration. There is no drift problem of integrator of magnetic sensors. Two kinds of control experiments were carried out, to keep the position constant and swing the position in a triangular waveform. And magnetic sensorless sensing of plasma shape is discussed. (author)

  13. Socioeconomic Status and Glycemic Control in Type 2 Diabetes; Race by Gender Differences.

    Science.gov (United States)

    Assari, Shervin; Moghani Lankarani, Maryam; Piette, John D; Aikens, James E

    2017-11-01

    Background : This study aimed to investigate differences in the association between socioeconomic status (SES) and glycemic control in type 2 diabetes mellitus (DM) across race by gender groups. Methods : Using a convenient sampling strategy, participants were 112 patients with type 2 DM who were prescribed insulin (ns = 38 Black women, 34 Black men, 14 White women, and 26 White men, respectively). Linear regression was used to test the associations between sociodemographic variables (race, gender, SES, governmental insurance) and Hemoglobin A1c (HbA1c) in the pooled sample and within subgroups defined by race and gender. Results : In the pooled sample, neither SES nor governmental insurance were associated with HbA1c. However, the race by gender interaction approached statistical significance (B = 0.34, 95% CI = -0.24-3.00, p =0.094), suggesting higher HbA1c in Black women, compared to other race by gender groups. In stratified models, SES (B = -0.33, 95% CI = -0.10-0.00, p = 0.050), and governmental insurance (B = 0.35, 95% CI = 0.05-2.42, p = 0.042) were associated with HbA1c for Black men, but not for any of the other race by gender subgroups. Conclusion : Socioeconomic factors may relate to health outcomes differently across race by gender subgroups. In particular, SES may be uniquely important for glycemic control of Black men. Due to lack of generalizability of the findings, additional research is needed.

  14. Litter type control on soil C and N stabilization dynamics in a temperate forest.

    Science.gov (United States)

    Hatton, Pierre-Joseph; Castanha, Cristina; Torn, Margaret S; Bird, Jeffrey A

    2015-03-01

    While plant litters are the main source of soil organic matter (SOM) in forests, the controllers and pathways to stable SOM formation remain unclear. Here, we address how litter type ((13) C/(15) N-labeled needles vs. fine roots) and placement-depth (O vs. A horizon) affect in situ C and N dynamics in a temperate forest soil after 5 years. Litter type rather than placement-depth controlled soil C and N retention after 5 years in situ, with belowground fine root inputs greatly enhancing soil C (x1.4) and N (x1.2) retention compared with aboveground needles. While the proportions of added needle and fine root-derived C and N recovered into stable SOM fractions were similar, they followed different transformation pathways into stable SOM fractions: fine root transfer was slower than for needles, but proportionally more of the remaining needle-derived C and N was transferred into stable SOM fractions. The stoichiometry of litter-derived C vs. N within individual SOM fractions revealed the presence at least two pools of different turnover times (per SOM fraction) and emphasized the role of N-rich compounds for long-term persistence. Finally, a regression approach suggested that models may underestimate soil C retention from litter with fast decomposition rates. © 2014 John Wiley & Sons Ltd.

  15. Raising and controlling study of dissolved oxygen concentration in closed-type aeration tank.

    Science.gov (United States)

    Chen, C K; Lo, S L

    2005-07-01

    This study investigated the promotion and control of dissolved oxygen (DO) concentration of the closed-type aeration tank via practical experiments in the wastewater treatment system of a 5-star hotel in Taipei. As with limited and treasured space in Taiwan, before the completion of the sewer system construction in cities, to utilize the mat foundation under large buildings as the space of sewage treatment plant still has been one of the alternatives of those sewage treatments. However, aeration tanks constructed in the mat foundation of buildings have smaller effective water depth, which will cause a lower total transfer amount of DO. Controlling the total exhaust gas flow rate can increase the pressure on such closed-type aeration tanks. The DO concentration thus may increase according to Henry's Law. Furthermore, it may enable operators to adjust the DO concentration of the aeration tank more precisely and thus sustain optimal operating conditions in these treatment facilities. Practical experiments indicated that the DO concentration of aeration tank maintains an average of 3.8 mg l(-1), obtaining the optimum operating conditions. The efficiency of the biological treatment facilities in the mat foundation could be markedly improved.

  16. Type-2 diabetes mellitus, metabolic control, serum inflammatory factors, lifestyle, and periodontal status

    Directory of Open Access Journals (Sweden)

    Leela R. Movva

    2014-03-01

    Full Text Available Type-2 diabetes mellitus and periodontal disease are complex human diseases. Pathogenesis of both ailments is multifactorial, involving chronic disease courses with varied clinical presentations. It is well established in the scientific literature that both diseases are interrelated; in particular, individuals suffering from diabetes are at a higher risk of developing periodontitis. The present review analyzed, using a hypothetical model, the complex factors that may influence the two diseases indirectly, including lifestyle, obesity, diabetes control, oral health behavior, and serum inflammatory factors, and even quality of life. In this review, special attention was given to exploring plausible theoretical or practical explanations of the interrelations and the contemporary evidence base underpinning these. Since the impact of individual general or oral health quality of life factors are substantial, it is very important for health care professionals to appreciate the influence of these factors as controlling these help assist in management of both type-2 diabetes and periodontal diseases thus reducing the social burden of these two complex disease in various populations.

  17. Type of wine and risk of lung cancer: a case-control study in Spain.

    Science.gov (United States)

    Ruano-Ravina, A; Figueiras, A; Barros-Dios, J M

    2004-11-01

    Few epidemiological studies have examined the effect of wine on the risk of lung cancer. A study was therefore undertaken to estimate the effect of wine consumption, both overall and by type of wine, on the risk of developing lung cancer. A hospital based case-control study was conducted on 319 subjects (132 cases, 187 controls) in 1999-2000. All subjects were interviewed about their lifestyles with particular reference to alcohol consumption and tobacco use. The results were analysed using non-parametric logistic regression. The main outcome measure was the risk of lung cancer associated with consumption of wine and its individual types. A very slight but significant association was observed between the risk of lung cancer and white wine consumption (odds ratio (OR) 1.20 for each daily glass). Red wine consumption, on the other hand, had an OR of 0.43 (95% CI 0.19 to 0.96), with each daily glass of red wine having an inverse association with the development of lung cancer (OR 0.87 (95% CI 0.77 to 0.99)). There was no apparent association between lung cancer and consumption of beer or spirits. These results suggest that the consumption of red wine is negatively associated with the development of lung cancer. Further studies are needed to test this finding in cancer induced laboratory animals.

  18. Improved postprandial glycaemic control with insulin Aspart in type 2 diabetic patients treated with insulin

    DEFF Research Database (Denmark)

    Rosenfalck, A M; Thorsby, P; Kjems, L

    2000-01-01

    The effect on postprandial blood glucose control of an immediately pre-meal injection of the rapid acting insulin analogue Aspart (IAsp) was compared with that of human insulin Actrapid injected immediately or 30 minutes before a test meal in insulin-treated type 2 diabetic patients with residual....../kg) immediately (Act0) or 30 minutes before (Act-30) a test meal. We studied 25 insulin-requiring type 2 diabetic patients, including 14 males and 11 females, with a mean age of 59.7 years (range, 43-71), body mass index 28.3 kg/m2 (range, 21.9-35.0), HbA1c 8.5% (range, 6.8-10.0), glucagon-stimulated C-peptide 1.......0 nmol/l (range, 0.3-2.5) and diabetes duration 12.5 years (range, 3.0-26.0). Twenty-two patients completed the study. A significantly improved postprandial glucose control was demonstrated with IAsp as compared to Act0, based on a significantly smaller postprandial blood glucose excursion (IAsp, 899...

  19. Female sexual dysfunction in type 2 diabetes: a case control study.

    Science.gov (United States)

    Sharifiaghdas, Farzaneh; Azadvari, Mohaddeseh; Shakhssalim, Nasser; Roohi-Gilani, Kobra; Rezaei-Hemami, Mohsen

    2012-01-01

    This study was designed to assess sexual dysfunction in women suffering from type 2 diabetes mellitus. Forty-five type 2 diabetic, non-menopausal married women, aged 20-55 years, who were referred to Shahid Labbafinejad Clinics from March 2008 to June 2009 were included in this study. They were compared to 91 non-diabetic volunteers. Sexual function was evaluated by the sexual function questionnaire. Genitourinary examination was performed in all subjects. Blood sample tests were requested for fasting blood sugar, hemoglobin A(1c), 2-hour postprandial glucose and lipid profile measurements. Ophthalmologic and neurologic examinations (checking deep tendon reflexes) were done for cases. The mean age of cases and controls was 42.17± 5.91 and 34.96 ± 8.30 years, respectively (p female sexual dysfunction in 6 domains including desire, arousal sensation, arousal lubrication, orgasm, pain and enjoyment was 71.1, 84.4, 55.6, 71.1, 8.9 and 66.7% in the diabetes mellitus women and 56.6, 67.0, 59.3, 57.1, 25.3 and 53.8% in the non-diabetic volunteers, respectively. Differences were statistically significant in the 3 domains of desire, arousal sensation and pain (p 2.5% showed diabetic retinopathy. Sexual dysfunction in cases as well as in controls was high; however, further studies with a higher number of patients are needed to confirm the results. Copyright © 2012 S. Karger AG, Basel.

  20. Ionizing radiation control of Tribolium castaneum in wheat flour type 000

    International Nuclear Information System (INIS)

    Ritacco, M.

    1988-01-01

    The insects, mainly those of the coleoptera order, produce serious changes on the grains and flours, producing in some regions up to 50 % loss. Taking in account the information available up to date, this experiment consists of putting under the effect of the ionizing radiation specimens of Tribolium castaneum feeded with bread flour type 000, with the purpose of controling their biological cycle. They received gamma radiation doses between 250 and 2000 Gy, using 60 Co source. The daily observation made over a population of 590 insects, indicates the efficiency of the procedure, non toxic, which provokes the sterility at 250 Gy and inmediate dead starting at 1750 Gy. On the other hand, it was verified that the DL 50 on the insects irradiated at the lower of eight different doses applied, reaches 15,3 days, against the 162,6 days of the reference Tribolium. Then it is concluded that it is technologically feasible the application of ionizing radiation to the bread wheat flour type 000 for controling this main plage. (Author) [es

  1. Quorum sensing control of Type VI secretion factors restricts the proliferation of quorum-sensing mutants.

    Science.gov (United States)

    Majerczyk, Charlotte; Schneider, Emily; Greenberg, E Peter

    2016-05-16

    Burkholderia thailandensis uses acyl-homoserine lactone-mediated quorum sensing systems to regulate hundreds of genes. Here we show that cell-cell contact-dependent type VI secretion (T6S) toxin-immunity systems are among those activated by quorum sensing in B. thailandensis. We also demonstrate that T6S is required to constrain proliferation of quorum sensing mutants in colony cocultures of a BtaR1 quorum-sensing signal receptor mutant and its parent. However, the BtaR1 mutant is not constrained by and outcompetes its parent in broth coculture, presumably because no cell contact occurs and there is a metabolic cost associated with quorum sensing gene activation. The increased fitness of the wild type over the BtaR1 mutant during agar surface growth is dependent on an intact T6SS-1 apparatus. Thus, quorum sensing activates B. thailandensis T6SS-1 growth inhibition and this control serves to police and constrain quorum-sensing mutants. This work defines a novel role for T6SSs in intraspecies mutant control.

  2. The Effect of Educational Interventions on Glycemic Control in Patients with Type 2 Diabetes Mellitus

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    Mohammad Javad Zibaeenezhad

    2015-03-01

    Full Text Available Background: Diabetes mellitus is a chronic disease with many serious complications. Objectives: The present study aimed to assess the effect of educational interventions on glycemic control represented by changes in glycated hemoglobin (HbA1c levels in the patients with type 2 diabetes. Patients and Methods: This study was performed on 100 adults with type 2 diabetes using computerized randomization based on registration numbers from June to November 2012. An educational course of diabetes together with exercise training and nutritional education was designed for the study population in order to increase the patients’ knowledge and attitude toward diabetes and to increase their participation in self-monitoring of blood glucose. Results: All the 100 diabetic patients completed the educational course. The mean age of the participants was 57.76 ± 10.03 years (range: 40 - 75 years. HbA1c changes three months after completion of the educational interventions were compared to baseline values using paired sample t-test. According to the results, the mean level of HbA1C was significantly lower at the 3-month follow-up compared to the baseline (8.09 ± 0.31 versus 8.51 ± 0.26, P < 0.001. Conclusions: The educational interventions effectively improved the diabetic patients’ glycemic control and are, thus, highly recommended for diabetic patients.

  3. Dynamic analysis and control PID path of a model type gantry crane

    Science.gov (United States)

    Ospina-Henao, P. A.; López-Suspes, Framsol

    2017-06-01

    This paper presents an alternate form for the dynamic modelling of a mechanical system that simulates in real life a gantry crane type, using Euler’s classical mechanics and Lagrange formalism, which allows find the equations of motion that our model describe. Moreover, it has a basic model design system using the SolidWorks software, based on the material and dimensions of the model provides some physical variables necessary for modelling. In order to verify the theoretical results obtained, a contrast was made between solutions obtained by simulation in SimMechanics-Matlab and Euler-Lagrange equations system, has been solved through Matlab libraries for solving equation’s systems of the type and order obtained. The force is determined, but not as exerted by the spring, as this will be the control variable. The objective is to bring the mass of the pendulum from one point to another with a specified distance without the oscillation from it, so that, the answer is overdamped. This article includes an analysis of PID control in which the equations of motion of Euler-Lagrange are rewritten in the state space, once there, they were implemented in Simulink to get the natural response of the system to a step input in F and then draw the desired trajectories.

  4. Impact of type 1 diabetes and glycemic control on fetal aneuploidy biochemical markers

    DEFF Research Database (Denmark)

    Madsen, Helen Nordahl; Ekelund, Charlotte K; Tørring, Niels

    2012-01-01

    Objective. To determine the influence of type 1 diabetes mellitus (T1DM) on the first trimester serum markers of fetal aneuploidy; pregnancy-associated plasma protein-A (PAPP-A) and free beta subunit of human chorionic gonadotropin (free β-hCG) and to evaluate the influence of glycemic control on......M values were lower than in non-T1DM pregnancies. This suggests that correction should be considered in first trimester biochemical screening for fetal aneuploidy in T1DM women.......Objective. To determine the influence of type 1 diabetes mellitus (T1DM) on the first trimester serum markers of fetal aneuploidy; pregnancy-associated plasma protein-A (PAPP-A) and free beta subunit of human chorionic gonadotropin (free β-hCG) and to evaluate the influence of glycemic control...... on these parameters in the pregnant diabetic women. Design. Retrospective study. Setting. Data were extracted from electronic obstetric and laboratory databases at two Danish University Hospitals. Population. Based on 36 415 pregnancies without T1DM (non-T1DM) and 331 pregnancies with T1DM; β-hCG and PAPP-A were...

  5. Getting one's thoughts straight: a dialogical analysis of women's accounts of poorly controlled type 2 diabetes.

    Science.gov (United States)

    Gomersall, Timothy; Madill, Anna; Summers, Lucinda K M

    2012-01-01

    Type 2 diabetes is a metabolic disorder characterised by chronically elevated blood glucose and a high risk of cardiovascular and other complications. Self-management is central to diabetes care and includes taking regular exercise, low-fat/sugar diet and blood glucose monitoring. However, little is understood about how people with diabetes make sense of self-management. Our aim, therefore, is to explore the process of 'getting one's thoughts straight' in relation to illness self-management for women with poorly controlled type 2 diabetes. Eight women were recruited from two hospitals in the North of England. Each was interviewed using a biographic-narrative method. Narratives were analysed using a dialogical approach. We use Bakhtin's concepts of voice, official and unofficial truth, and internally persuasive discourse to explore how participants considered, struggled with, and, sometimes, acted upon self-management. We demonstrate how the truth by which participants lived shifted as they encountered new perspectives and experiences. The accounts revealed tension between official, authoritative voices, typically concerned with optimal illness control and unofficial voices that speak at a lived, embodied level. In conclusion, we suggest moving beyond the notion of self-management towards a conceptualisation of life with chronic illness that includes personal goals, values and embodied experience in context.

  6. Glycemic Control by Exercise and Urtica Dioica Supplements in Men With Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Dabagh

    2016-01-01

    Full Text Available Background Type 2 diabetes is a metabolic disease in which hyperglycemia is a major symptom, and is associated with numerous vascular and non-vascular complications. People with diabetes use medicinal treatment to exert glycemic control, as well as exercise training and herbal remedies, such as urtica dioica (UD. Objectives This study aimed to compare the effects of 8 weeks of aerobic training and UD supplementation alone, and in combination, on glycemic control in men with type 2 diabetes mellitus (T2DM. Patients and Methods This semi-experimental study was conducted in 2014, in the city of Dezful, Iran. A total of 40 males (aged 30 - 50 years with T2DM were selected and randomly divided into one of four groups in equal numbers (n = 10: 1 - aerobic training (Ae, 2 - UD supplements (UD, 3 - a combination of aerobic training and UD supplements (Ae + UD, and 4 - a control group. Blood samples were taken 24 hours before and 48 hours after the intervention period, following 10 - 12 hours of fasting. A t-test and analysis of variance was used to analyze the changes in the measured parameters, and P ≤ 0.05 was considered statistically significant. Results A significant decrease in fasting blood sugar (FBS was observed in the Ae group (-9.50 ± 6.96 mg/dl; P = 0.002, the UD group (-7.60 ± 6.04 mg/dL; P = 0.001, and the Ae + UD group (-18.30 ± 6.63 mg/dL; P < 0.001 after 8 weeks. There was a significant difference in FBS between the three intervention groups and the control group. In addition, a significant difference in FBS (P < 0.05 was shown between the UD and Ae + UD groups. Conclusions The findings confirmed the positive influence of UD supplements and aerobic training on glycemic control in males with T2DM. When aerobic training was combined with a UD supplement, a greater degree of glycemic control was observed.

  7. Prevalence of microalbuminuria with relation to glycemic control in type-2 diabetic patients in Karachi

    International Nuclear Information System (INIS)

    Sheikh, S.A.; Baig, J.A.; Iqbal, T.; Kazmi, T.; Baig, M.; Husain, S.S.

    2009-01-01

    Diabetes is one of the most common endocrine disorders characterized by hyperglycaemia. Diabetic nephropathy is a consequence of long standing diabetes. The prevalence of microalbuminuria predicts progression to diabetic nephropathy. The present study was conducted to determine the prevalence of microalbuminuria in relation to duration of diabetes, BMI, Serum Creatinine and HbA1c in an ethnic group of Type 2 diabetes mellitus residing in Karachi. Methods: This cross-sectional descriptive study was carried out in a community diabetic centre, located at Garden East Karachi from July to December 2007. One hundred known Type 2 diabetic patients with age 30 - 70 years were included in the study. Informed consent and a structured questionnaire of each patient were recorded. Fasting venous blood and morning urine sample was collected for analysis of creatinine, HbA1c and microalbuminuria respectively. Statistical analysis was done using SPSS version 13.0. Pearson correlation was applied to observe association of microalbuminuria with different parameters. All p-values 7%) or heredity factors. Screening for microalbuminuria and HbA1c test should be done in both newly and already diagnosed Type 2 diabetic patients as an early marker of renal dysfunction and glycemic control. (author)

  8. Polyunsaturated fatty acids and type 2 diabetes: Impact on the glycemic control mechanism.

    Science.gov (United States)

    Coelho, Olívia Gonçalves Leão; da Silva, Bárbara Pereira; Rocha, Daniela Mayumi Usuda Prado; Lopes, Lílian Lelis; Alfenas, Rita de Cássia Gonçalves

    2017-11-22

    There is a growing mortality related to co-morbidities associated with diabetes mellitus. Intake of polyunsaturated fatty acids (PUFA) has been associated with low cardiometabolic risk and reduction of inflammatory process. The objective of this paper is to review the impact of PUFA intake on glycemic control in diabetic patients as well as to elucidate the possible mechanisms involved. Medline/PubMed electronic database was searched to identify studies published within last five years regarding the effect of PUFA intake on glucose metabolism in type 2 diabetics. The search terms used were "polyunsaturated fatty acid(s)," "PUFA," and "diabetes." We included only interventional studies that assessed the effects of PUFA intake on glucose metabolism - fasting glucose, serum insulin, HbA1c, and HOMA-IR assessment- in type 2 diabetics. Initially, 48 articles were identified, of which one was not available and 41 did not match the inclusion criteria. Within the selected studies, three articles showed an improvement in fasting blood glucose, two showed an increase in fasting glycemia, and there was no effect of intervention in one article only. Based on the analyzed clinical interventional studies, supplementation of 0.42-5.2-g PUFA/day for at least eight weeks may become an alternative treatment for type 2 diabetes mellitus, particularly in Asian subjects.

  9. Aqueous humor levels of vascular endothelial growth factor before and after intravitreal bevacizumab in type 3 versus type 1 and 2 neovascularization. A prospective, case-control study.

    Science.gov (United States)

    dell'Omo, Roberto; Cassetta, Marilluccia; dell'Omo, Ermanno; di Salvatore, Angela; Hughes, John M; Aceto, Fabiana; Porcellini, Antonio; Costagliola, Ciro

    2012-01-01

    To determine the aqueous levels of vascular endothelial growth factor (VEGF) in patients with type 3 neovascularization (NV) secondary to age-related macular degeneration (AMD) and to compare the levels of those with type 1 and 2 NV secondary to AMD before and after administration of intravitreal bevacizumab (IVB). Prospective, case-control study. Aqueous samples were collected from 29 eyes of 29 patients with untreated wet AMD at baseline (day of the first IVB), month 1 (day of the second IVB), and month 2 (day of the third IVB). Among them, 10 eyes presented with type 1, 9 with type 2, and 10 with type 3 NV. A group of 14 aqueous samples from 14 patients who underwent cataract surgery without other ocular or systemic disease comprised the controls. Main outcome measures were concentration of VEGF at baseline and after IVB in the 3 NV groups; secondary outcome measures included best-corrected visual acuity (BCVA) and central macular thickness (CMT) changes after IVB. Levels of VEGF were determined by commercially available enzyme-linked immunosorbent assay kits. VEGF concentrations in aqueous humor at baseline were higher in patients with type 3 NV when compared to controls (P = .0001) and type 1 and 2 NV patients (P = .002 and P = .0001 respectively). At month 1, levels of VEGF were significantly reduced compared to baseline (P < .05) and significantly lower compared to the controls (P < .005) in each NV group. These low levels were maintained at the 2-month interval. BCVA significantly improved in type 1 and 2 NV groups (P < .05). CMT significantly reduced in each NV group compared to baseline (P < .05). In eyes with untreated wet AMD, aqueous levels of VEGF are significantly higher in type 3 NV than in type 1 or 2 NV. Regardless of the type of NV, aqueous VEGF levels significantly reduce 1 month after IVB as compared to both the baseline measurements and the values recorded in age-matched controls. These decreases are maintained at 2 months after administering

  10. The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes.

    Science.gov (United States)

    Ásbjörnsdóttir, Björg; Akueson, Cecelia E; Ronneby, Helle; Rytter, Ane; Andersen, Jens R; Damm, Peter; Mathiesen, Elisabeth R

    2017-05-01

    To study the influence of the quantity and the quality of carbohydrate consumption on glycemic control in early pregnancy among women with type 1 diabetes. A retrospective study of 107 women with type 1 diabetes who completed 1-3days of diet recording before first antenatal visit, as a part of routine care. The total daily carbohydrate consumption from the major sources (e.g. bread, potatoes, rice, pasta, dairy products, fruits, candy) was calculated. A dietician estimated the overall glycemic index score (scale 0-7). At least two days of diet recording were available in 75% of the 107 women at mean 64 (SD±14) gestational days. The quantity of carbohydrate consumption from major sources was 180 (±51)g/day. HbA1c was positively associated with the quantity of carbohydrate consumption (β=0.41; 95% CI 0.13-0.70, P=0.005), corresponding to an increase of 0.4% in HbA1c per 100g carbohydrates consumed daily, when adjusted for insulin dose/bodyweight and use of insulin pump treatment. The median (IQR) glycemic index score was 2 (0-3). An adjusted association between HbA1c and glycemic index score was not demonstrated. The women using carbohydrate counting daily (45%) had lower HbA1c compared to the remaining women (6.4 (±0.5) vs. 6.8 (±0.9)% (47±6 vs. 51±10mmol/mol), P=0.01). HbA1c in early pregnancy was positively associated with the quantity of carbohydrate consumption regardless of insulin treatment. Carbohydrate counting is probably important for glycemic control in pregnant women with type 1 diabetes. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. Impact of sleep behavior on glycemic control in type 1 diabetes: the role of social jetlag.

    Science.gov (United States)

    Larcher, Sandra; Gauchez, Anne-Sophie; Lablanche, Sandrine; Pépin, Jean-Louis; Benhamou, Pierre-Yves; Borel, Anne-Laure

    2016-11-01

    Sleep behavior is changing toward shorter sleep duration and a later chronotype. It results in a sleep debt that is acquitted on work-free days, inducing a small but recurrent sleep misalignment each week, referred to as "social jetlag". These sleep habits could affect health through misalignment with circadian rhythms. The primary objective is to address the impact of sleep behavior on glycemic control, assessed by HbA1c, in patients with type 1 diabetes, independently of other lifestyle or sleep-related factors. The secondary objective is to address whether circadian phase affects glycemic control. In total, 80 adult patients with type 1 diabetes (46% female) were included in a clinical cohort study. Sleep behavior was addressed objectively by a 7-day actimetry, lifestyle by questionnaires, sleep breathing disorders by nocturnal oximetry and circadian phase by dim light melatonin onset (DLMO). Univariate analyses showed that chronotype (r = 0.23, P = 0.042) and social jetlag (r = 0.30, P = 0.008) were significantly associated with HbA1c. In multivariable analysis, social jetlag was the only sleep habit independently associated with HbA1c (β = 0.012 (0.006; 0.017), P < 0.001). HbA1c was lower in patients with a social jetlag below versus above the median (7.7% (7.1-8.7) and 8.7% (7.6-9.8), P = 0.011). DLMO was not associated with HbA1c. However, the later the DLMO, the worse the sleep efficiency (r = -0.41, P < 0.001) and fragmentation index (r = 0.35, P = 0.005). Social jetlag, a small but recurrent circadian misalignment, is associated with worse glycemic control in type 1 diabetes, whereas circadian phase is not. Further intervention studies should address the potential improvement of glycemic control by correcting social jetlag. © 2016 European Society of Endocrinology.

  12. Daily energy expenditure, cardiorespiratory fitness and glycaemic control in people with type 1 diabetes.

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    John Joseph Valletta

    Full Text Available Encouraging daily physical activity improves cardiorespiratory fitness and many cardiovascular risk factors. However, increasing physical activity often creates a challenge for people with type 1 diabetes, because of difficulties maintaining euglycemia in the face of altered food intake and adjustments to insulin doses. Our aim was to examine the triangular relationship between glucose control measured by continuous glucose monitoring system (CGMS, objective measures of total daily energy expenditure (TEE recorded by a multi-sensory monitoring device, and cardiorespiratory fitness (CRF, in free-living subjects with type 1 diabetes.Twenty-three individuals (12 women with type 1 diabetes who were free from micro- and macrovascular complications were recruited. TEE and glucose control were monitored simultaneously for up to 12 days, using a multi-sensory device and CGMS respectively. CRF was recorded as V02 max from a maximal treadmill test with the Bruce protocol.Subjects (mean±SD were aged 37±11 years, with BMI = 26.5±5.1 kg.m⁻², HbA1c = 7.7±1.3% (61±14 mmol/mol and V02 max (ml.min⁻¹.kg⁻¹  = 39.9±8.4 (range 22.4-58.6. TEE (36.3±5.5 kcal.kg⁻¹.day⁻¹ was strongly associated with CRF(39.9±8.4 ml.min⁻¹.kg⁻¹ independently of sex (r = 0.63, p<0.01. However, neither TEE (r = -0.20, p = 0.36 nor CRF (r = -0.20, p = 0.39; adjusted for sex, were significantly associated with mean glycaemia measured by CGMS.Higher levels of energy expenditure (due to a more active lifestyle are associated with increased cardiorespiratory fitness, but not necessarily better glycaemic control. Since increased levels of energy expenditure and good glycaemic control are both needed to protect against diabetes-related complications our data suggest they need to be achieved independently.

  13. A novel interval type-2 fractional order fuzzy PID controller: Design, performance evaluation, and its optimal time domain tuning.

    Science.gov (United States)

    Kumar, Anupam; Kumar, Vijay

    2017-05-01

    In this paper, a novel concept of an interval type-2 fractional order fuzzy PID (IT2FO-FPID) controller, which requires fractional order integrator and fractional order differentiator, is proposed. The incorporation of Takagi-Sugeno-Kang (TSK) type interval type-2 fuzzy logic controller (IT2FLC) with fractional controller of PID-type is investigated for time response measure due to both unit step response and unit load disturbance. The resulting IT2FO-FPID controller is examined on different delayed linear and nonlinear benchmark plants followed by robustness analysis. In order to design this controller, fractional order integrator-differentiator operators are considered as design variables including input-output scaling factors. A new hybridized algorithm named as artificial bee colony-genetic algorithm (ABC-GA) is used to optimize the parameters of the controller while minimizing weighted sum of integral of time absolute error (ITAE) and integral of square of control output (ISCO). To assess the comparative performance of the IT2FO-FPID, authors compared it against existing controllers, i.e., interval type-2 fuzzy PID (IT2-FPID), type-1 fractional order fuzzy PID (T1FO-FPID), type-1 fuzzy PID (T1-FPID), and conventional PID controllers. Furthermore, to show the effectiveness of the proposed controller, the perturbed processes along with the larger dead time are tested. Moreover, the proposed controllers are also implemented on multi input multi output (MIMO), coupled, and highly complex nonlinear two-link robot manipulator system in presence of un-modeled dynamics. Finally, the simulation results explicitly indicate that the performance of the proposed IT2FO-FPID controller is superior to its conventional counterparts in most of the cases. Copyright © 2017 ISA. Published by Elsevier Ltd. All rights reserved.

  14. ROLE OF COUNSELING ON MEDICAL ADHERENCE AND GLYCEMIC CONTROL IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

    Directory of Open Access Journals (Sweden)

    Anoop Kumar

    2015-11-01

    Full Text Available BACKGROUND: Diabetes Mellitus (DM refers to a group of common metabolic disorders that share the phenotype of hyperglycemia. It is the leading cause of of end stage renal disease, non-traumatic limb amputation and adult blindness. The studies have shown that complications of DM can be prevented by the proper control of blood glucose, which is dependent on the patient’s adherence to medication, life style modification, frequent monitoring of blood glucose etc. and can be influenced by proper education and counseling of the patient. The patients with DM should receive education about exercise, care of DM during illness and medications to lower plasma glucose1 . This study aims to assess the impact of patients counseling on the medication adherence in type 2DM. METHOD: This is a prospective randomized study that includes 100 patients with type 2 DM in the out-patient department of internal medicine in a tertiary care teaching hospital, north Kerala. After getting informed consent, they were kept in two groups by simple randomization technique and were assessed and followed at 4 weeks interval. Data related to the medication adherence was collected using Morisky Medication Adherence Scale questionnaire (MMAS-8. RESULTS: Out of 100 patients 33% were male and 67% female. Both baseline and 1st follow up showed a low adherence value (<6 both in control and intervention group. In the second follow up most of the patients in intervention group showed a moderate adherence (6-8, whereas control group did not show any improvement. CONCLUSION: It can be concluded that there is a stastically significant improvement in the adherence level after patient counseling and education. Knowledge about the disease and treatment has improved the patient’s adherence to medication.

  15. Comparison of Vildagliptin and Pioglitazone in Korean Patients with Type 2 Diabetes Inadequately Controlled with Metformin

    Directory of Open Access Journals (Sweden)

    Jong Ho Kim

    2016-04-01

    Full Text Available BackgroundWe compared the efficacies of vildagliptin (50 mg twice daily relative to pioglitazone (15 mg once daily as an add-on treatment to metformin for reducing glycosylated hemoglobin (HbA1c levels in Korean patients with type 2 diabetes.MethodsThe present study was a multicenter, randomized, active-controlled investigation comparing the effects of vildagliptin and pioglitazone in Korean patients receiving a stable dose of metformin but exhibiting inadequate glycemic control. Each patient underwent a 16-week treatment period with either vildagliptin or pioglitazone as an add-on treatment to metformin.ResultsThe mean changes in HbA1c levels from baseline were –0.94% in the vildagliptin group and –0.6% in the pioglitazone group and the difference between the treatments was below the non-inferiority margin of 0.3%. The mean changes in postprandial plasma glucose (PPG levels were –60.2 mg/dL in the vildagliptin group and –38.2 mg/dL in the pioglitazone group and these values significantly differed (P=0.040. There were significant decreases in the levels of total, low density lipoprotein, high density lipoprotein (HDL, and non-HDL cholesterol in the vildagliptin group but increases in the pioglitazone group. The mean change in body weight was –0.07 kg in the vildagliptin group and 0.69 kg in the pioglitazone group, which were also significantly different (P=0.002.ConclusionAs an add-on to metformin, the efficacy of vildagliptin for the improvement of glycemic control is not inferior to that of pioglitazone in Korean patients with type 2 diabetes. In addition, add-on treatment with vildagliptin had beneficial effects on PPG levels, lipid profiles, and body weight compared to pioglitazone.

  16. Protective effect of tartary buckwheat on renal function in type 2 diabetics: a randomized controlled trial

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    Qiu J

    2016-11-01

    Full Text Available Ju Qiu,1 Zaigui Li,2 Yuchang Qin,1 Yanfen Yue,3 Yanping Liu4 1Institute of Food and Nutrition Development, Ministry of Agriculture, 2College of Food Science and Nutritional Engineering, China Agricultural University, 3Department of Nutrition, Pinggu Hospital of Traditional Chinese Medicine, Pinggu, 4Department of Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China Abstract: Tartary buckwheat (TB has been reported to be associated with a decreased risk of type 2 diabetes mellitus (T2DM, and T2DM has had a major impact on the development of diabetic kidney disease (DKD. Thus, the hypothesis that a daily intake of TB will improve DKD risk factors, including urinary albumin to creatinine ratio (UACR, urea nitrogen (UN, serum creatinine, and uric acid was tested. In a parallel, randomized, open-label controlled trial, 104 T2DM patients were randomly assigned to a diet control group (systematic diet plans and intensive nutritional education or a TB intervention group (daily replacement of a portion of staple foods with TB foods. Blood samples and dietary information were collected at baseline and the end of the 4-week study. The primary outcomes were that TB significantly decreased the relative changes in UACR (2.43–2.35, logarithmic transformed mg/g creatinine and UN (5.12–4.91 mmol/L in the TB intervention group vs the diet control group at 4 weeks (P<0.05, without obvious effect on blood glucose during the 4-week study. In addition, subgroup analyses based on different DKD stages also showed a significant reduction in UACR and UN for the T2DM patients with normoalbuminuria and microalbuminuria (P<0.05. These results support the hypothesis that TB as a replacement of staple food probably alleviates renal dysfunction in T2DM patients. Keywords: tartary buckwheat, dietary intervention, type 2 diabetes mellitus, renal function

  17. The effect of an inhaled corticosteroid on glucose control in type 2 diabetes.

    LENUS (Irish Health Repository)

    Faul, John L

    2009-06-01

    OBJECTIVE: To determine the effect of inhaled corticosteroid (ICS) therapy on glucose control in adults with type 2 diabetes mellitus and coexisting asthma or chronic obstructive pulmonary disease (COPD). DESIGN: A prospective randomized, double-blind, double-dummy placebo-controlled, crossover investigation of inhaled steroids and oral leukotriene blockers. SETTING: A United States Department of Veterans Affairs Health Care System outpatient setting. PARTICIPANTS: Adults with type 2 diabetes and asthma or COPD. METHODS: Subjects (n=12) were randomized to receive either inhaled fluticasone propionate (440 microg twice daily) and oral placebo, or inhaled placebo and oral montelukast (10 mg\\/day). After 6 weeks, subjects were switched to the opposite therapy for 6 weeks. The primary outcome measure was the change in the percentage of glycosylated hemoglobin (%HbA1c) at 6 weeks relative to the baseline value. RESULTS: Ten patients completed the study. The difference between the mean within-subject changes in %HbA1c associated with 6-week periods of fluticasone and the mean changes associated with montelukast therapy was small but statistically significant (mean difference=0.25; P<0.025). Neither fluticasone nor oral montelukast therapy for 6 weeks led to a significantly different mean % HbA1c compared with the relevant baseline (mean differences=0.11 and -0.14, respectively). CONCLUSION: The absence of a clinically significant within-subject difference in the changes in %HbA1c associated with fluticasone versus oral montelukast therapy, or between either therapy or baseline does not warrant recommending changes in therapy for asthma or diabetes in patients with these co-morbid conditions. However, we suggest that clinicians carefully monitor blood glucose control when diabetic patients initiate ICS, especially with higher dosages.

  18. Addressing policy needs for prevention and control of type 2 diabetes in India.

    Science.gov (United States)

    Atre, Sachin

    2015-09-01

    India carries nearly one-fifth of the global burden of diabetes cases, the majority of which are of type 2 diabetes. Recognising the need for controlling diabetes, the Government of India has initiated a national level programme for prevention and control of diabetes along with other non-communicable diseases in 2008. Despite being piloted and implemented, there is hardly any published literature about the national level situation of diabetes and its control efforts. The present article is written with the aim to fill this gap to some extent and to provide a situational analysis of the diabetes problem in India in a holistic way, addressing policy needs for the national programme. It focuses on three main areas, namely, awareness of diabetes, costs of drugs for its treatment and healthcare-system related issues. It argues that poor coverage and weak implementation of the national level programme are major forces that push patients to seek help in the weakly regulated private sector. Approaching the private sector is likely to increase the cost of care, which in turn can lead to an increased financial burden for patients and their families due to factors such as patients' lack of awareness about diabetes, poor drug price regulation and prescriptions including combinations and/or patented products of medicines used for treating diabetes by the private sector. This article addresses several needs such as strengthening the national programme and increasing its reach to unreached districts, exerting drug price regulation and implementing community-based participatory programmes for prevention and management of type 2 diabetes. It also underscores a need for piloting and implementing a robust national level electronic reporting system for diabetes programmes. © Royal Society for Public Health 2015.

  19. Arterial baroreflex control of sympathetic nerve activity and heart rate in patients with type 2 diabetes.

    Science.gov (United States)

    Holwerda, Seth W; Vianna, Lauro C; Restaino, Robert M; Chaudhary, Kunal; Young, Colin N; Fadel, Paul J

    2016-11-01

    Despite greater blood pressure reactivity to acute cardiovascular stressors and a higher prevalence of hypertension in type 2 diabetes (T2D) patients, limited information is available regarding arterial baroreflex (ABR) control in T2D. We hypothesized that ABR control of muscle sympathetic nerve activity (MSNA) and heart rate (HR) are attenuated in T2D patients. Seventeen T2D patients (50 ± 2 yr; 31 ± 1 kg/m 2 ), 9 weight-matched controls (WM-CON, 46 ± 2 yr; 32 ± 2 kg/m 2 ) and 10 lean controls (Lean-CON, 49 ± 3 yr; 23 ± 1 kg/m 2 ), underwent bolus infusions of sodium nitroprusside (100 μg) followed 60 s later by phenylephrine (150 μg) and weighted linear regression performed. No group differences in overall sympathetic baroreflex gain were observed (T2D: -2.5 ± 0.3 vs. WM-CON: -2.6 ± 0.2 vs. Lean-CON: -2.7 ± 0.4 arbitrary units·beat·mmHg -1 , P > 0.05) or in sympathetic baroreflex gain when derived separately during blood pressure (BP) falls (nitroprusside) and BP rises (phenylephrine). In contrast, overall cardiac baroreflex gain was reduced in T2D patients compared with Lean-CON (T2D: 8.2 ± 1.5 vs. Lean-CON: 15.6 ± 2.9 ms·mmHg -1 , P baroreflex gain was reduced in T2D patients and weight-matched controls compared with lean controls (P 0.05). Sympathetic and cardiac ABR gains were comparable between normotensive and hypertensive T2D patients (P > 0.05). These findings suggest preserved ABR control of MSNA in T2D patients compared with both obese and lean age-matched counterparts, with a selective impairment in ABR HR control in T2D that may be related to obesity. Copyright © 2016 the American Physiological Society.

  20. Is particle pollution in outdoor air associated with metabolic control in type 2 diabetes?

    Directory of Open Access Journals (Sweden)

    Teresa Tamayo

    Full Text Available BACKGROUND: There is growing evidence that air pollutants are associated with the risk of type 2 diabetes. Subclinical inflammation may be a mechanism linking air pollution with diabetes. Information is lacking whether air pollution also contributes to worse metabolic control in newly diagnosed type 2 diabetes. We examined the hypothesis that residential particulate matter (PM10 is associated with HbA1c concentration in newly diagnosed type 2 diabetes. METHODS: Nationwide regional levels of particulate matter with a diameter of ≤ 10 µm (PM10 were obtained in 2009 from background monitoring stations in Germany (Federal Environmental Agency and assigned to place of residency of 9,102 newly diagnosed diabetes patients registered in the DPV database throughout Germany (age 65.5 ± 13.5 yrs; males: 52.1%. Mean HbA1c (% levels stratified for air pollution quartiles (PM10 in µg/m(3 were estimated using linear regression models adjusting for age, sex, BMI, diabetes duration, geographic region, year of ascertainment, and social indicators. FINDINGS: In both men and women, adjusted HbA1c was significantly lower in the lowest quartile of PM10 exposure in comparison to quartiles Q2-Q4. Largest differences in adjusted HbA1c (95% CI were seen comparing lowest quartiles of exposure with highest quartiles (men %: -0.42 (-0.62; -0.23/mmol/mol: -28.11 (-30.30; -26.04, women, %: -0.28 (-0.47; -0.09/mmol/mol: -0.28 (-0.47; -0.09. INTERPRETATION: Air pollution may be associated with higher HbA1c levels in newly diagnosed type 2 diabetes patients. Further studies are warranted to examine this association.

  1. A controller based on Optimal Type-2 Fuzzy Logic: systematic design, optimization and real-time implementation.

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    Fayek, H M; Elamvazuthi, I; Perumal, N; Venkatesh, B

    2014-09-01

    A computationally-efficient systematic procedure to design an Optimal Type-2 Fuzzy Logic Controller (OT2FLC) is proposed. The main scheme is to optimize the gains of the controller using Particle Swarm Optimization (PSO), then optimize only two parameters per type-2 membership function using Genetic Algorithm (GA). The proposed OT2FLC was implemented in real-time to control the position of a DC servomotor, which is part of a robotic arm. The performance judgments were carried out based on the Integral Absolute Error (IAE), as well as the computational cost. Various type-2 defuzzification methods were investigated in real-time. A comparative analysis with an Optimal Type-1 Fuzzy Logic Controller (OT1FLC) and a PI controller, demonstrated OT2FLC׳s superiority; which is evident in handling uncertainty and imprecision induced in the system by means of noise and disturbances. Copyright © 2014 ISA. Published by Elsevier Ltd. All rights reserved.

  2. Sexual dysfunction in women with type 1 diabetes: a controlled study.

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    Enzlin, Paul; Mathieu, Chantal; Van den Bruel, Annick; Bosteels, Jan; Vanderschueren, Dirk; Demyttenaere, Koen

    2002-04-01

    This study aimed to 1) examine the prevalence of sexual problems in women with type 1 diabetes, 2) compare this prevalence rate with that of an age-matched control group, 3) study the influence of diabetes-related somatic factors on female sexuality, and 4) study the influence of psychological variables on the sexual functioning of both groups. A total of 120 women with diabetes visiting the outpatient diabetes clinic completed questionnaires evaluating psychological adjustment to diabetes, marital satisfaction, depression, and sexual functioning. Medical records were used to obtain data on HbA(1c), use of medication, BMI, and early-onset microvascular complications. An age-matched control group of 180 healthy women attending an outpatient gynecological clinic for preventive routine gynecological assessment also completed the non-diabetes-related questionnaires. More women with diabetes than control subjects reported sexual dysfunction (27 vs. 15%; P = 0.04), but a significant difference was found only for decreased lubrication. No association was found between sexual dysfunction and age, BMI, duration of diabetes, HbA(1c), use of medication, menopausal status, or complications. Women with more complications, however, reported significantly more sexual dysfunctions, and the presence of complications altered treatment satisfaction. Both diabetic and control women with sexual dysfunction mentioned lower overall quality of the marital relation and more depressive symptoms than their respective counterparts without sexual problems. Depression was a significant predictor for sexual dysfunction in both women with diabetes and control subjects. Sexual problems are frequent in women with diabetes. They affect the overall quality of life and deserve more attention in clinical practice and research.

  3. Active fault tolerant control based on interval type-2 fuzzy sliding mode controller and non linear adaptive observer for 3-DOF laboratory helicopter.

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    Zeghlache, Samir; Benslimane, Tarak; Bouguerra, Abderrahmen

    2017-11-01

    In this paper, a robust controller for a three degree of freedom (3 DOF) helicopter control is proposed in presence of actuator and sensor faults. For this purpose, Interval type-2 fuzzy logic control approach (IT2FLC) and sliding mode control (SMC) technique are used to design a controller, named active fault tolerant interval type-2 Fuzzy Sliding mode controller (AFTIT2FSMC) based on non-linear adaptive observer to estimate and detect the system faults for each subsystem of the 3-DOF helicopter. The proposed control scheme allows avoiding difficult modeling, attenuating the chattering effect of the SMC, reducing the rules number of the fuzzy controller. Exponential stability of the closed loop is guaranteed by using the Lyapunov method. The simulation results show that the AFTIT2FSMC can greatly alleviate the chattering effect, providing good tracking performance, even in presence of actuator and sensor faults. Copyright © 2017 ISA. Published by Elsevier Ltd. All rights reserved.

  4. Pharmaceutical care of adolescents with diabetes mellitus type 1: the DIADEMA study, a randomized controlled trial.

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    Obarcanin, Emina; Krüger, Manfred; Müller, Petra; Nemitz, Verena; Schwender, Holger; Hasanbegovic, Snijezana; Kalajdzisalihovic, Sena; Läer, Stephanie

    2015-10-01

    Physiological and psychological changes during puberty and a low adherence to complex treatment regimens often result in poor glycemic control in adolescents with type 1 diabetes mellitus (T1DM). The benefit of pharmaceutical care in adults with diabetes mellitus type 2 has been explored; however, evidence in adolescents with T1DM is scarce. To evaluate the impact of pharmaceutical care in adolescents with T1DM provided by pharmacists, in collaboration with physicians and diabetes educators on important clinical outcomes (e.g., HbA1c and severe hypoglycemia) At the outpatient Helios Paediatric Clinic and at the 12 regular community pharmacies of the study patients with 14 pharmacists in the Krefeld area, Germany, and at the University Pediatric Clinic with one clinical pharmacist on-site in Sarajevo, Bosnia-Herzegovina. A randomized, controlled, prospective, multicenter study in 68 adolescents with T1DM. The intervention group received monthly structured pharmaceutical care visits delivered by pharmacists plus supplementary visits and phone calls on an as needed basis, for 6 months. The control group received usual diabetic care. Data were collected at baseline and after 3 and 6 months. The between-group difference in the change from baseline in glycosylated hemoglobin (HbA1c) and the number of severe hypoglycemic events in both groups. The improvement from baseline in HbA1c was significantly greater in the intervention group than in the control group after 6 months (change from baseline -0.54 vs. +0.32%, p = 0.0075), even after adjustment for country-specific variables (p = 0.0078). However, the effect was more pronounced after only 3 months (-1.09 vs. +0.23%, p = 0.00002). There was no significant between-group difference in the number of severe hypoglycemia events. (p = 0.1276). This study suggests that multidisciplinary PhC may add value in the management of T1DM in adolescents with inadequate glycemic control. However, the optimal methods on how to achieve

  5. Higher diversity in fungal species discriminates children with type 1 diabetes mellitus from healthy control

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    Kowalewska B

    2016-04-01

    Full Text Available Beata Kowalewska,1 Katarzyna Zorena,2 Małgorzata Szmigiero-Kawko,3 Piotr Wąż,4 Małgorzata Myśliwiec3 1Department of Tropical Medicine and Epidemiology, Institute of Maritime and Tropical Medicine, 2Department of Immunology and Environmental Microbiology, 3Clinic of Paediatrics, Diabetology and Endocrinology, 4Department of Nuclear Medicine, Medical University of Gdańsk, Gdańsk, Poland Objective: To conduct qualitative and quantitative assessment of yeast-like fungi in the feces of children and adolescents with type 1 diabetes mellitus (T1DM with respect to their metabolic control and duration of the disease.Materials and methods: The studied materials included samples of fresh feces collected from 53 children and adolescents with T1DM. Control group included 30 age- and sex-matched healthy individuals. Medical history was taken and physical examination was conducted in the two study arms. Prevalence of the yeast-like fungi in the feces was determined as well as their amounts, species diversity, drug susceptibility, and enzymatic activity.Results: The yeast-like fungi were found in the samples of feces from 75.4% of T1DM patients and 70% controls. In the group of T1DM patients, no correlation was found between age (Rs=0.253, P=0.068, duration of diabetes (Rs=−0.038, P=0.787, or body mass index (Rs=0.150, P=0.432 and the amount of the yeast-like fungi isolated in the feces. Moreover, no correlation was seen between the amount of the yeast-like fungi and glycated hemoglobin (Rs=0.0324, P=0.823, systolic blood pressure (Rs=0.102, P=0.483, or diastolic blood pressure (Rs=0.271, P=0.345.Conclusion: Our research has shown that children and adolescents with T1DM show higher species diversity of the yeast-like fungi, with Candida albicans being significantly less prevalent versus control subjects. Moreover, fungal species in patients with T1DM turn out to be more resistant to antifungal treatment. Keywords: children, diabetes mellitus type 1

  6. Self-Rated Health and Glycemic Control in Type 2 Diabetes: Race by Gender Differences.

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    Assari, Shervin; Lankarani, Maryam Moghani; Piette, John D; Aikens, James E

    2017-08-04

    Although some studies have shown a link between self-rated health (SRH) and glycemic control in type 2 diabetes (DM), other studies have failed to support this association. The purpose of this study was to determine whether these equivocal findings can be explained by specific interactions between gender, race, and SRH, as suggested by the intersectionality literature. This cross-sectional study included 287 patients with DM (85 Black men, 78 Black women, 64 White men, and 60 White women). After adjusting for demographic and medical factors, we regressed HbA1c on SRH with and without interactions between gender, race, and SRH. We conducted additional subgroup analyses to further characterize gender by race group differences. Although there was no main effect of SRH upon HbA1c (b = .16, 95% CI: .08-.39), we found a significant interaction between gender and SRH on HbA1c (b = -.50, 95% CI: -.97 to -.03). In race by gender-stratified models, SRH (b = .53, 95% CI: .00-1.07) was associated with HbA1c in Black men. SRH was not associated with HbA1c in White men, White women, or Black women. Combined race and gender differences may exist in the link between SRH and glycemic control in DM. Specifically, Black men with DM may be more attuned to the relationship between their overall health and their glycemic control.

  7. Structures and efficiency areas of object control systems with various types of recycling

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    Myshlyaev, L. P.; Tsyryapkina, A. V.; Burkov, V. N.; Ivushkin, K. A.

    2017-09-01

    The work is devoted to the study of automatic control systems (ACS) of objects with various types of recycling. The characteristic feature of such objects is the presence of a delay element in the coordinates. It is known that only with the help of recycling the use of raw materials and energy resources can be maximized. However, little attention has been paid to the control of such objects in the well-known publications, which gives the study a particular importance. The paper describes a classification of objects with recycling proposed by the authors with the identification of four classes of objects: recycling “by concentration”, “by mass”, “by parameters”, combined recycling. ACS are synthesized for the first three classes of objects. The task of comparative analysis of the systems effectiveness with a model control law and the proposed synthesized systems is set, as well as the task of determination of areas of systems effective operation depending on the variable value of the ratio of the delay time in the recycling chain and in the direct circuit, the conclusions are drawn.

  8. Glycemic control and adipokines after periodontal therapy in patients with Type 2 diabetes and chronic periodontitis

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    Shunqin Wang

    2017-11-01

    Full Text Available Abstract: The mechanism by which chronic periodontitis (CP affects type 2 diabetes (T2DM remains unclear. Therefore, the aim of this study is to evaluate the effects of periodontal therapy (PT on the glycemic control and adipokines of patients with T2DM and CP with the purpose of elucidating the possible mechanisms by which CP influences T2DM. Forty-four patients with T2DM and CP were randomly divided into two groups according to whether they underwent PT. Periodontal status, blood glucose, and the levels of serum tumor necrosis factor α (TNF-α, interleukin-6 (IL-6, adiponectin (APN, and fibroblast growth factor-21 (FGF-21 were measured at baseline and after 3 months. The results revealed that the probing depth (PD and attachment loss (AL were significantly improved, the serum levels of TNF-α and IL-6 were significantly decreased, and APN and FGF-21 exhibited substantial increases in the intervention group after 3 months (p < 0.05, whereas no significant changes were observed in the control group. The glycated hemoglobin (HbA1c levels in both groups decreased significantly after 3 months compared with baseline (p < 0.05, but the intervention group exhibited a significantly greater change (p < 0.05. In conclusion, PT may relieve periodontal inflammation, which causes a reduction of insulin-antagonizing adipokines and an increase in insulin-sensitizing adipokines, thereby eliciting an improvement in glycemic control.

  9. Risk factors for the occurrence of undifferentiated carcinoma of nasopharyngeal type: A case-control study

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    Nešić Vladimir

    2010-01-01

    Full Text Available Introduction. The incidence rate of nasopharyngeal carcinoma in Serbia is less than one per 100,000 citizens, which classifies it as a region with low incidence for this disease. Objective. The aim of this study was to test some hypotheses of the risk factors for undifferentiated carcinoma of nasopharyngeal type (UCNT in the low incidence population. Methods. A case-control study was used for the research. The study included 45 cases with histopathological diagnosis of UCNT and 90 controls. Cases and the controls were individually matched by sex, age (±3 years, and place of residence (city-village. Data were gathered about sociodemographic characteristics, occupational exposure to harmful agents, habits, diet, personal history, and family history. In the analysis of the data, conditional univariate and multivariate logistic regression analyses were applied. Results. According to the results of multivariate logistic regression analysis UCNT was significantly positively associated with 'passive smoking' of tobacco in the family during childhood, frequent consumption of industrially manufactured food additives for enhancing flavour and frequent consumption of white bread. UCNT was significantly negatively associated with frequent consumption of margarine, olive oil and cornbread. Conclusion. In our low incidence population, an independent risk factor for the occurrence of UCNT was 'passive smoking' of tobacco in the family during childhood, use of industrially manufactured food with additives for enhancing flavour and consumption of white bread. Multicentric study enrolling a greater number of cases would be desirable.

  10. Psychiatric disorders in adolescents with type 1 diabetes: a case-control study.

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    Almeida, Mireille C; Claudino, Denise A; Grigolon, Ruth B; Fleitlich-Bilyk, Bacy; Claudino, Angélica M

    2018-02-01

    To study the prevalence of psychiatric disorders in adolescents with and without type 1 diabetes, the factors associated with its presence, and to test the reliability of a screening tool for use in clinical settings. Eighty-one adolescents were enrolled in this case-control study, including 36 diabetic participants and 45 controls. Clinical and sociodemographic data were collected and psychiatric symptoms and diagnoses were obtained from adolescents and their parents using a screening tool (Strengths & Difficulties Questionnaire) and a semi-structured interview (Development and Well-Being Assessment). Psychiatric disorders were identified in 22.2% of the sample (30.56% among diabetic adolescents vs. 15.56% of controls: OR = 2.39, 95%CI 0.82-6.99; p = 0.11). Overweight (body mass index percentile ≥ 85) was the only factor associated with psychiatric disorder (OR = 3.07; 95%CI 1.03-9.14; p = 0.04). Compared to the semi-structured interview, the screening instrument showed 80% sensitivity, 96% specificity, 88.9% positive predictive value and 92.3% negative predictive value for the presence of psychiatric diagnoses in adolescents. Psychiatric morbidity was high in this sample of adolescents, especially among those with diabetes. Routine use of the Strengths and Difficulties Questionnaire can help with early detection of psychiatric disorders in this at-risk group.

  11. Diet, Inflammation, and Glycemic Control in Type 2 Diabetes: An Integrative Review of the Literature

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    Sarah Y. Nowlin

    2012-01-01

    Full Text Available Type 2 diabetes (T2D is a growing national health problem affecting 35% of adults ≥20 years of age in the United States. Recently, diabetes has been categorized as an inflammatory disease, sharing many of the adverse outcomes as those reported from cardiovascular disease. Medical nutrition therapy is recommended for the treatment of diabetes; however, these recommendations have not been updated to target the inflammatory component, which can be affected by diet and lifestyle. To assess the current state of evidence for which dietary programs contain the most anti-inflammatory and glycemic control properties for patients with T2D, we conducted an integrative review of the literature. A comprehensive search of the PubMed, CINAHL, Scopus, and Web of Science databases from January 2000 to May 2012 yielded 786 articles. The final 16 studies met the selection criteria including randomized control trials, quasiexperimental, or cross-sectional studies that compared varying diets and measured inflammatory markers. The Mediterranean and DASH diets along with several low-fat diets were associated with lower inflammatory markers. The Mediterranean diet demonstrated the most clinically significant reduction in glycosylated hemoglobin (HbA1c. Information on best dietary guidelines for inflammation and glycemic control in individuals with T2D is lacking. Continued research is warranted.

  12. Direct control of type IIA topoisomerase activity by a chromosomally encoded regulatory protein.

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    Vos, Seychelle M; Lyubimov, Artem Y; Hershey, David M; Schoeffler, Allyn J; Sengupta, Sugopa; Nagaraja, Valakunja; Berger, James M

    2014-07-01

    Precise control of supercoiling homeostasis is critical to DNA-dependent processes such as gene expression, replication, and damage response. Topoisomerases are central regulators of DNA supercoiling commonly thought to act independently in the recognition and modulation of chromosome superstructure; however, recent evidence has indicated that cells tightly regulate topoisomerase activity to support chromosome dynamics, transcriptional response, and replicative events. How topoisomerase control is executed and linked to the internal status of a cell is poorly understood. To investigate these connections, we determined the structure of Escherichia coli gyrase, a type IIA topoisomerase bound to YacG, a recently identified chromosomally encoded inhibitor protein. Phylogenetic analyses indicate that YacG is frequently associated with coenzyme A (CoA) production enzymes, linking the protein to metabolism and stress. The structure, along with supporting solution studies, shows that YacG represses gyrase by sterically occluding the principal DNA-binding site of the enzyme. Unexpectedly, YacG acts by both engaging two spatially segregated regions associated with small-molecule inhibitor interactions (fluoroquinolone antibiotics and the newly reported antagonist GSK299423) and remodeling the gyrase holoenzyme into an inactive, ATP-trapped configuration. This study establishes a new mechanism for the protein-based control of topoisomerases, an approach that may be used to alter supercoiling levels for responding to changes in cellular state. © 2014 Vos et al.; Published by Cold Spring Harbor Laboratory Press.

  13. Metabolic control and bone health in adolescents with type 1 diabetes

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    Mohan Subburaman

    2011-10-01

    Full Text Available Abstract Background Adults with type 1 diabetes (T1D have decreased bone mineral density (BMD and increased fracture risk, yet the etiologies remain elusive. Early detection of derangements in bone biomarkers during adolescence could lead to timely recognition. In adolescents with T1D, we evaluated the relationships between metabolic control, BMD, and bone anabolic and turnover markers. Methods Cross-sectional study of 57 adolescent subjects with T1D who had HbA1c consistently ≥ 9% (Poor Control, PC n = 27 or Results There were no differences between HbA1c groups in BMD, components of the IGF system, or 25-hydroxyvitamin D status. The prevalence of 25-hydroxyvitamin D abnormalities was similar to that seen in the general adolescent population. Few patients met the recommended dietary allowance (RDA for vitamin D or calcium. Conclusions These data provide no evidence of association between degree of metabolic control and BMD in adolescents with T1D. Adolescents with T1D have a high prevalence of serum 25-hydroxyvitamin D abnormalities. Longitudinal studies are needed to evaluate the predictive value of vitamin D abnormalities on fracture risk.

  14. Population pharmacokinetic modeling of glibenclamide in poorly controlled South African type 2 diabetic subjects

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    Rambiritch V

    2016-07-01

    Full Text Available Virendra Rambiritch,1 Poobalan Naidoo,2 Breminand Maharaj,1 Goonaseelan Pillai3 1University of KwaZulu-Natal, Durban, 2Department of Internal Medicine, RK Khan Regional Hospital, Chatsworth, South Africa; 3Novartis Pharma AG, Basel, Switzerland Aim: The aim of this study was to describe the pharmacokinetics (PK of glibenclamide in poorly controlled South African type 2 diabetic subjects using noncompartmental and model-based methods. Methods: A total of 24 subjects with type 2 diabetes were administered increasing doses (0 mg/d, 2.5 mg/d, 5 mg/d, 10 mg/d, and 20 mg/d of glibenclamide daily at 2-week intervals. Plasma glibenclamide, glucose, and insulin determinations were performed. Blood sampling times were 0 minute, 30 minutes, 60 minutes, 90 minutes, and 120 minutes (post breakfast sampling and 240 minutes, 270 minutes, 300 minutes, 330 minutes, 360 minutes, and 420 minutes (post lunch sampling on days 14, 28, 42, 56, and 70 for doses of 0 mg, 2.5 mg, 5.0 mg, 10 mg, and 20 mg, respectively. Blood sampling was performed after the steady state was reached.  A total of 24 individuals in the data set contributed to a total of 841 observation records. The PK was analyzed using noncompartmental analysis methods, which were implemented in WinNonLin®, and population PK analysis using NONMEM®. Glibenclamide concentration data were log transformed prior to fitting. Results: A two-compartmental disposition model was selected after evaluating one-, two-, and three-compartmental models to describe the time course of glibenclamide plasma concentration data. The one-compartment model adequately described the data; however, the two-compartment model provided a better fit. The three-compartment model failed to achieve successful convergence. A more complex model, to account for enterohepatic recirculation that was observed in the data, was unsuccessful. Conclusion: In South African diabetic subjects, glibenclamide demonstrates linear PK and was best

  15. Community based yoga classes for type 2 diabetes: an exploratory randomised controlled trial

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    Drincevic Desanka

    2009-02-01

    Full Text Available Abstract Background Yoga is a popular therapy for diabetes but its efficacy is contested. The aim of this study was to explore the feasibility of researching community based yoga classes in Type 2 diabetes with a view to informing the design of a definitive, multi-centre trial Methods The study design was an exploratory randomised controlled trial with in-depth process evaluation. The setting was two multi-ethnic boroughs in London, UK; one with average and one with low mean socio-economic deprivation score. Classes were held at a sports centre or GP surgery. Participants were 59 people with Type 2 diabetes not taking insulin, recruited from general practice lists or opportunistically by general practice staff. The intervention group were offered 12 weeks of a twice-weekly 90-minute yoga class; the control group was a waiting list for the yoga classes. Both groups received advice and leaflets on healthy lifestyle and were encouraged to exercise. Primary outcome measure was HbA1c. Secondary outcome measures included attendance, weight, waist circumference, lipid levels, blood pressure, UKPDS cardiovascular risk score, diabetes-related quality of life (ADDQoL, and self-efficacy. Process measures were attendance at yoga sessions, self-reported frequency of practice between taught sessions, and qualitative data (interviews with patients and therapists, ethnographic observation of the yoga classes, and analysis of documents including minutes of meetings, correspondence, and exercise plans. Results Despite broad inclusion criteria, around two-thirds of the patients on GP diabetic registers proved ineligible, and 90% of the remainder declined to participate. Mean age of participants was 60 +/- 10 years. Attendance at yoga classes was around 50%. Nobody did the exercises regularly at home. Yoga teachers felt that most participants were unsuitable for 'standard' yoga exercises because of limited flexibility, lack of basic fitness, co-morbidity, and lack

  16. Impact of Voglibose on of Metabolic Control Indicators in Patients with Diabetes Mellitus Type 1

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    V.I. Pankiv

    2015-02-01

    Full Text Available New therapeutic options to control diabetes mellitus (DM emerged with the discovery of alpha-glucosidase inhibitors which slow the absorption of carbohydrates in the small intestine. The objective of the study — to investigate the effect of voglibose administration on parameters of glycemic control, lipid metabolism and tolerability in patients with DM type 1. Materials and Methods. Criteria for inclusion in the study: DM type 1, age from 26 to 48 years, the level of glycated hemoglobin (HbA1c from 8 to 9 %. 19 patients were examined (7 men and 12 women, mean age 37.2 ± ± 3.9 years, DM duration 8.5 ± 1.4 years. Results. During the follow-up period (12 weeks, the level of HbA1c significantly decreased from 9.4 ± 0.6 % to 7.8 ± 0.4 % (p < 0.05. On the background of additional administration of voglibose, we observed a significant reduction in fasting glucose level from 10.37 ± 0.36 mmol/l to 7.39 ± 0.28 mmol/l (p < 0.01 and postprandial — from 12.29 ± 1.42 mmol/l to 8.46 ± 0.64 mmol/l (p < 0.01. At that, we have noted a significant reduction of total cholesterol (from 5.83 ± 0.11 mmol/l to 5.38 ± 0.08 mmol/l, p < 0.05, triglycerides (from 1.82 ± 0.03 mmol/l to 1.46 ± 0.03 mmol/l, p < 0.05 and low-density lipoprotein cholesterol (from 3.41 ± 0.05 mmol/l to 3.37 ± ± 0.04 mmol/l, p < 0.05. There were no significant changes in high-density lipoprotein cholesterol parameters. In two surveyed persons, we have detected adverse effects (bloating, which did not require discontinuation of therapy. Conclusion. Additional administration of voglibose at a dose of 0.9 mg/day on a background of insulin therapy helps to improve glycemic control and lipid metabolism, to reduce the daily dose of exogenous insulin and hypoglycemic reactions incidence in patients with DM type 1.

  17. Colossal change in thermopower with temperature-driven p-n-type conduction switching in La x Sr2-x TiFeO6 double perovskites

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    Roy, Pinku; Maiti, Tanmoy

    2018-02-01

    Double perovskite materials have been studied in detail by many researchers, as their magnetic and electronic properties can be controlled by the substitution of alkaline earth metals or lanthanides in the A site and transition metals in the B site. Here we report the temperature-driven, p-n-type conduction switching assisted, large change in thermopower in La3+-doped Sr2TiFeO6-based double perovskites. Stoichiometric compositions of La x Sr2-x TiFeO6 (LSTF) with 0  ⩽  x  ⩽  0.25 were synthesized by the solid-state reaction method. Rietveld refinement of room-temperature XRD data confirmed a single-phase solid solution with cubic crystal structure and Pm\\bar{3}m space group. From temperature-dependent electrical conductivity and Seebeck coefficient (S) studies it is evident that all the compositions underwent an intermediate semiconductor-to-metal transition before the semiconductor phase reappeared at higher temperature. In the process of semiconductor-metal-semiconductor transition, LSTF compositions demonstrated temperature-driven p-n-type conduction switching behavior. The electronic restructuring which occurs due to the intermediate metallic phase between semiconductor phases leads to the colossal change in S for LSTF oxides. The maximum drop in thermopower (ΔS ~ 2516 µV K-1) was observed for LSTF with x  =  0.1 composition. Owing to their enormous change in thermopower of the order of millivolts per kelvin, integrated with p-n-type resistance switching, these double perovskites can be used for various high-temperature multifunctional device applications such as diodes, sensors, switches, thermistors, thyristors, thermal runaway monitors etc. Furthermore, the conduction mechanisms of these oxides were explained by the small polaron hopping model.

  18. Antidiabetic and Antioxidant Effect of Cinnamon in poorly Controlled Type-2 Diabetic Iraqi Patients: A Randomized, Placebo-Controlled Clinical Trial

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    Ahmed Salih Sahib

    2016-06-01

    Conclusion: Intake of 1g of cinnamon for 12 weeks reduces fasting blood glucose and glycosylated hemoglobin among poorly controlled type 2 diabetes patients, as well as, there is improvement in the oxidative stress markers, indicating the beneficial effect of adjuvant cinnamon as antidiabetic and antioxidant along with conventional medications to treat poorly controlled type 2 diabetes mellitus. [J Complement Med Res 2016; 5(2.000: 108-113

  19. Closed-Loop Control Without Meal Announcement in Type 1 Diabetes.

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    Cameron, Faye M; Ly, Trang T; Buckingham, Bruce A; Maahs, David M; Forlenza, Gregory P; Levy, Carol J; Lam, David; Clinton, Paula; Messer, Laurel H; Westfall, Emily; Levister, Camilla; Xie, Yan Yan; Baysal, Nihat; Howsmon, Daniel; Patek, Stephen D; Bequette, B Wayne

    2017-09-01

    A fully closed-loop insulin-only system was developed to provide glucose control in patients with type 1 diabetes without requiring announcement of meals or activity. Our goal was to assess initial safety and efficacy of this system. The multiple model probabilistic controller (MMPPC) anticipates meals when the patient is awake. The controller used the subject's basal rates and total daily insulin dose for initialization. The system was tested at two sites on 10 patients in a 30-h inpatient study, followed by 15 subjects at three sites in a 54-h supervised hotel study, where the controller was challenged by exercise and unannounced meals. The system was implemented on the UVA DiAs system using a Roche Spirit Combo Insulin Pump and a Dexcom G4 Continuous Glucose Monitor. The mean overall (24-h basis) and nighttime (11 PM-7 AM) continuous glucose monitoring (CGM) values were 142 and 125 mg/dL during the inpatient study. The hotel study used a different daytime tuning and manual announcement, instead of automatic detection, of sleep and wake periods. This resulted in mean overall (24-h basis) and nighttime CGM values of 152 and 139 mg/dL for the hotel study and there was also a reduction in hypoglycemia events from 1.6 to 0.91 events/patient/day. The MMPPC system achieved a mean glucose that would be particularly helpful for people with an elevated A1c as a result of frequent missed meal boluses. Current full closed loop has a higher risk for hypoglycemia when compared with algorithms using meal announcement.

  20. NETosis before and after Hyperglycemic Control in Type 2 Diabetes Mellitus Patients.

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    Agostina Carestia

    Full Text Available Diabetes is characterized by chronic inflammation, endothelial dysfunction, increased risk of infections and early cardiovascular disease. By releasing neutrophil extracellular traps (NETs, neutrophils kill bacteria and exert pro-inflammatory and pro-thrombotic activities. Increased NETosis has been found in cross-sectional studies including treated type 2 diabetes mellitus (T2DM patients. In this study, we determined whether the ability of neutrophils to form NETs differs in diabetic patients pre- and post-hyperglycemic control versus healthy donors (HD, and the relationship between NETosis with pro-thrombotic, pro-inflammatory biomarkers and thrombotic clinical events.Diabetic patients recently diagnosed and after 6 and 12 months of treatment (N = 25 and HD (N = 25 were included. NET formation was studied by microscopy and fluorometry. Nucleosomes, HNE-DNA complexes, von Willebrand factor (vWF, IL6 and TNFα plasma levels were measured by ELISA and P-selectin on the platelet surface was assessed by cytometry.Basal levels of NETs in recently diagnosed T2DM patients were higher compared to HD. While TNFα stimulation of control neutrophils resulted in DNA release, patient neutrophils were not responsive. Although glycemia decreased after 6 months of metformin treatment, basal and TNFα and PMA-stimulated NETs reached normal values after 12 months. Compared to controls, nucleosomes, HNE-DNA complexes, IL-6 and TNFα levels were increased in recently diagnosed patients and decreased after 12 months of treatment. P-selectin and vWF levels were similar in both populations.Our data suggest that NETs could represent a biomarker for T2DM. Increased NETosis in T2DM patients does not appear to be the consequence of impaired glycemic control but rather due to pro-inflammatory cytokines and is not related to thrombotic events.

  1. Automated blood glucose control in type 1 diabetes: A review of progress and challenges.

    Science.gov (United States)

    Bertachi, Arthur; Ramkissoon, Charrise M; Bondia, Jorge; Vehí, Josep

    2018-03-01

    Since the 2000s, research teams worldwide have been working to develop closed-loop (CL) systems able to automatically control blood glucose (BG) levels in patients with type 1 diabetes. This emerging technology is known as artificial pancreas (AP), and its first commercial version just arrived in the market. The main objective of this paper is to present an extensive review of the clinical trials conducted since 2011, which tested various implementations of the AP for different durations under varying conditions. A comprehensive table that contains key information from the selected publications is provided, and the main challenges in AP development and the mitigation strategies used are discussed. The development timelines for different AP systems are also included, highlighting the main evolutions over the clinical trials for each system. Copyright © 2017 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.

  2. Personality traits, self-care behaviours and glycaemic control in Type 2 diabetes

    DEFF Research Database (Denmark)

    Skinner, T. C.; Bruce, D. G.; Davis, T. M.E.

    2014-01-01

    determined along with a range of other variables in 1313 participants with Type 2 diabetes (mean age 65.8 ± 11.1 years; 52.9% men) undertaking their baseline assessment as part of the community-based longitudinal observational Fremantle Diabetes Study Phase II. Age- and sex-adjusted generalized linear...... conscientiousness were less likely to be obese or smoke, and more likely to perform self-monitoring of blood glucose and take their medications (P ≤ 0.019), with similar independent associations in multivariate models (P ≤ 0.024). HbA1c was independently associated with younger age, indigenous ethnicity, higher BMI...... conscientiousness and low BMI and beneficial self-care behaviours suggests an indirect positive effect on glycaemia. Conscientiousness could be augmented by the use of impulse control training as part of diabetes management....

  3. A collaborative EDNAP exercise on SNaPshot™-based mtDNA control region typing

    DEFF Research Database (Denmark)

    Weiler, NEC; Baca, K; Ballard, D

    2017-01-01

    A collaborative European DNA Profiling (EDNAP) Group exercise was undertaken to assess the performance of an earlier described SNaPshot™-based screening assay (denoted mini-mtSNaPshot) (Weiler et al., 2016) [1] that targets 18 single nucleotide polymorphism (SNP) positions in the mitochondrial (mt......) DNA control region and allows for discrimination of major European mtDNA haplogroups. Besides the organising laboratory, 14 forensic genetics laboratories were involved in the analysis of 13 samples, which were centrally prepared and thoroughly tested prior to shipment. The samples had a variable......, the participants compared the SNP typing data of all 13 samples to a set of eight mtDNA reference profiles that were described according to standard nomenclature (Parson et al., 2014) [2], and indicated whether these references matched each sample or not. Incorrect scorings were obtained for 2% of the comparisons...

  4. Redatuming controlled-source electromagnetic data using Stratton–Chu type integral transformations

    DEFF Research Database (Denmark)

    Zhdanov, Michael; Cai, Hongzhu

    2016-01-01

    We present a new method of analyzing controlled-source electromagnetic (CSEM) data based on redatuming of the observed data from the actual receivers into the virtual receivers. We use the Stratton–Chu type integral transform to calculate the EM field in the virtual receivers. The virtual receivers...... can be placed at any desirable position, including close to the target, which increases the sensitivity of the EM data to the target. The developed method provides an effective model-based interpolation/extrapolation tool for electromagnetic field data. This paper demonstrates that redatuming can...... be used for designing the optimized CSEM survey configuration. The numerical examples, for the Kevin Dome Electromagnetic Project Site, illustrate the practical effectiveness of the developed method....

  5. Improved glycaemic control decreases inner mitochondrial membrane leak in type 2 diabetes

    DEFF Research Database (Denmark)

    Rabøl, R; Højberg, P M V; Almdal, T

    2009-01-01

    AIM: Several mechanisms have been targeted as culprits of weight gain during antihyperglycaemic treatment in type 2 diabetes (T2DM). These include reductions in glucosuria, increased food intake from fear of hypoglycaemia, the anabolic effect of insulin, decreased metabolic rate and increased......-67) and body mass index (BMI): 30.1 +/- 1.2 kg/m2 (mean +/- s.e.). Muscle biopsies from m. vastus lateralis and m. deltoideus were obtained before and after seven weeks of intensive insulin treatment, and mitochondrial respiration was measured using high-resolution respirometry. State 3 respiration...... was measured with the substrates malate, pyruvate, glutamate, succinate and ADP. State 4o was measured with addition of oligomycine. An age, sex and BMI-matched control group was also included. RESULTS: HbA1c improved significantly and the patients gained on average 3.4 +/- 0.9 kg. Before treatment...

  6. Improved Approach to Robust Control for Type-2 T-S Fuzzy Systems

    Directory of Open Access Journals (Sweden)

    Bum Yong Park

    2018-01-01

    Full Text Available This paper is concerned with the robust stability conditions to stabilize the type 2 Takagi-Sugeno (T-S fuzzy systems. The conditions effectively handle parameter uncertainties using lower and upper membership functions. To improve the solvability of the stability conditions, we establish a multigain controller with comprehensive information of the lower and upper membership grades. In addition, a well-organized relaxation technique is proposed to fully exploit relationship among fuzzy weighting functions and their lower and upper membership grades, which enlarges a set of feasible solutions. Therefore, we derive a less conservative stabilization condition in terms of linear matrix inequalities (LMIs than those in the literature. Two simulation examples illustrate the effectiveness and robustness of the derived stabilization conditions.

  7. Antioxidant effects of curcuminoids in patients with type 2 diabetes mellitus: a randomized controlled trial.

    Science.gov (United States)

    Panahi, Yunes; Khalili, Nahid; Sahebi, Ebrahim; Namazi, Soha; Karimian, Maryam Saberi; Majeed, Muhammed; Sahebkar, Amirhossein

    2017-02-01

    Oxidative stress has a key role in the pathogenesis of type II diabetes mellitus (T2DM) and its vascular complications. Antioxidant therapy has been suggested as a potential approach to blunt T2DM development and progression. The aim of this study was to assess the effects of supplementation with curcuminoids, which are natural polyphenolics from turmeric, on oxidative indices in diabetic individuals. In this randomized double-blind placebo-controlled trial, 118 subjects with T2DM were randomized to curcuminoids (1000 mg/day co-administered with piperine 10 mg/day) or matching placebo for a period of 8 weeks. Serum total antioxidant capacity, superoxide dismutase (SOD) activities and malondialdehyde (MDA) concentrations were measured at baseline and after the supplementation period. Curcuminoids supplementation caused a significant elevation in serum total antioxidant capacity (TAC) (p diabetic complications and cardiovascular endpoints.

  8. Mean Field Type Control with Congestion (II): An Augmented Lagrangian Method

    Energy Technology Data Exchange (ETDEWEB)

    Achdou, Yves, E-mail: achdou@ljll.univ-paris-diderot.fr; Laurière, Mathieu [Univ. Paris Diderot, Sorbonne Paris Cité, Laboratoire Jacques-Louis Lions, UMR 7598, UPMC, CNRS (France)

    2016-12-15

    This work deals with a numerical method for solving a mean-field type control problem with congestion. It is the continuation of an article by the same authors, in which suitably defined weak solutions of the system of partial differential equations arising from the model were discussed and existence and uniqueness were proved. Here, the focus is put on numerical methods: a monotone finite difference scheme is proposed and shown to have a variational interpretation. Then an Alternating Direction Method of Multipliers for solving the variational problem is addressed. It is based on an augmented Lagrangian. Two kinds of boundary conditions are considered: periodic conditions and more realistic boundary conditions associated to state constrained problems. Various test cases and numerical results are presented.

  9. Socioeconomic Status and Glycemic Control in Type 2 Diabetes; Race by Gender Differences

    Directory of Open Access Journals (Sweden)

    Shervin Assari

    2017-11-01

    Full Text Available Background: This study aimed to investigate differences in the association between socioeconomic status (SES and glycemic control in type 2 diabetes mellitus (DM across race by gender groups. Methods: Using a convenient sampling strategy, participants were 112 patients with type 2 DM who were prescribed insulin (ns = 38 Black women, 34 Black men, 14 White women, and 26 White men, respectively. Linear regression was used to test the associations between sociodemographic variables (race, gender, SES, governmental insurance and Hemoglobin A1c (HbA1c in the pooled sample and within subgroups defined by race and gender. Results: In the pooled sample, neither SES nor governmental insurance were associated with HbA1c. However, the race by gender interaction approached statistical significance (B = 0.34, 95% CI = −0.24–3.00, p =0.094, suggesting higher HbA1c in Black women, compared to other race by gender groups. In stratified models, SES (B = −0.33, 95% CI = −0.10–0.00, p = 0.050, and governmental insurance (B = 0.35, 95% CI = 0.05–2.42, p = 0.042 were associated with HbA1c for Black men, but not for any of the other race by gender subgroups. Conclusion: Socioeconomic factors may relate to health outcomes differently across race by gender subgroups. In particular, SES may be uniquely important for glycemic control of Black men. Due to lack of generalizability of the findings, additional research is needed.

  10. Sotagliflozin improves glycemic control in nonobese diabetes-prone mice with type 1 diabetes

    Directory of Open Access Journals (Sweden)

    Powell DR

    2015-02-01

    Full Text Available David R Powell, Deon Doree, Sabrina Jeter-Jones, Zhi-Ming Ding, Brian Zambrowicz, Arthur Sands Lexicon Pharmaceuticals, The Woodlands, TX, USA Purpose: Oral agents are needed that improve glycemic control without increasing hypoglycemic events in patients with type 1 diabetes (T1D. Sotagliflozin may meet this need, because this compound lowers blood glucose through the insulin-independent mechanisms of inhibiting kidney SGLT2 and intestinal SGLT1. We examined the effect of sotagliflozin on glycemic control and rate of hypoglycemia measurements in T1D mice maintained on a low daily insulin dose, and compared these results to those from mice maintained in better glycemic control with a higher daily insulin dose alone. Materials and methods: Nonobese diabetes-prone mice with cyclophosphamide-induced T1D were randomized to receive one of four daily treatments: 0.2 U insulin/vehicle, 0.05 U insulin/vehicle, 0.05 U insulin/2 mg/kg sotagliflozin or 0.05 U insulin/30 mg/kg sotagliflozin. Insulin was delivered subcutaneously by micro-osmotic pump; the day after pump implantation, mice received their first of 22 once-daily oral doses of sotagliflozin or vehicle. Glycemic control was monitored by measuring fed blood glucose and hemoglobin A1c levels. Results: Blood glucose levels decreased rapidly and comparably in the 0.05 U insulin/sotagliflozin-treated groups and the 0.2 U insulin/vehicle group compared to the 0.05 U insulin/vehicle group, which had significantly higher levels than the other three groups from day 2 through day 23. A1c levels were also significantly higher in the 0.05 U insulin/vehicle group compared to the other three groups on day 23. Importantly, the 0.2 U insulin/vehicle group had, out of 100 blood glucose measurements, 13 that were <70 mg/dL compared to one of 290 for the other three groups combined. Conclusion: Sotagliflozin significantly improved glycemic control, without increasing the rate of hypoglycemia measurements, in

  11. Subclinical peripheral neuropathy in type 1 diabetic adolescents and its relationship with metabolic control

    Directory of Open Access Journals (Sweden)

    Sajić Silvija

    2005-01-01

    Full Text Available Professional management of paediatric diabetology, according to consensus guidelines, involves the screening of micro-vascular complications at puberty. The subclinical form of peripheral neural dysfunction in diabetic teenagers is reported with a frequency of 50-88%, by different authors. The purpose of this study was to evaluate the frequency of subclinical distal neuropathy (DSMN in type 1 diabetic pediatric patients during the second decade of life, and its relationship with metabolic control. The Endocrinology Department and the Neurology-Physiology Laboratory of the Pediatric Clinic in Belgrade carried out a longitudinal follow-up study (lasting 18 months, beginning in November 2000 on a selection of patients with poor metabolic control. During routine clinical treatment, patients were evaluated using the electrophysiological diagnostic method on peripheral neural dysfunction, a subclinical form of neuropathy. Metabolic control was manifested through HbA1c levels, measured every 3 months, using ion-exchange chromatography. Finally, here is the data collected from the clinical follow-up investigation of 60 children, aged 13-19 (median 1S.S±2.2, with duration of diabetes from 2-16 years (median b.3±3.b, and on the following therapies: 43 CT-conventional and 17 IIT-intensive, and insulin dose/day, median 1.02 (0.6-2.1 U/kg. Detected DSMN parameters at the beginning and at the end of the study were also noted. DSMN frequency was positive, at 64% for HbA1c of 9.44; DSMN dysfunction was reversed in 5% of the patients, for HbA1c of 10.17; the worst result was the progression of DSMN at 6.7% for HbA1c of 10.52; 6.7% had negative DSMN, with improved metabolic control, for HbA1c of 8.4; 15% of the examinations were unfinished (+/*. ANOVA statistical analysis showed a significant statistical relationship between metabolic control (HbA1c levels and DSMN neuropathy (sig. 0.043, p<0.05. There was no significant relationship between the reversion of

  12. Prevalence and control of type 2 diabetes mellitus among primary care physicians in Spain. PRISMA Study.

    Science.gov (United States)

    Franch-Nadal, Josep; Mediavilla-Bravo, Javier; Mata-Cases, Manuel; Mauricio, Didac; Asensio, David; Sarroca, Jordi

    2017-05-01

    To describe the prevalence of known and ignored type 2 diabetes mellitus (T2DM) among primary care physicians (PCP), as well as the treatment used and the degree of metabolic control reached. Descriptive cross-sectional study on national level. The participants were randomly selected PCPs, members of the redGDPS Foundation. A total of 495 PCP were enrolled. Capillary HbA 1c measurement was done with a A1CNow+ ® device and a diabetes-related survey specifically designed for the study was administered to the participants. The total prevalence of T2DM was 11.1% (95% CI 8.33-13.9) (known disease 8,1% and ignored disease 3.0%). The prevalence of prediabetes was 16.2% (95% CI 13.0-19.4). A total of 62.5% of PCPs with known T2DM reached HbA 1c 8.5%. Control of blood pressure (BP<140/90mmHg) was reached in 87.5% and control of LDL cholesterol<130mg/dl with no history of cardiovascular disease was reached in 88.6% of cases of known T2DM. In the PCPs with a history of macrovascular disease, good control of LDL was reached in 42.9% of the cases. A total of 12.5% were active smokers. A total of 71.4% of PCPs with known T2DM self-treated their own disease, usually with 2 or more drugs (51.4%). The most commonly used drug was metformin (74.3%) followed by iDPP4 (48.6%). PCPs with T2DM have better metabolic control than the general population. It is necessary to study whether PCPs with T2DM may have greater adherence to treatment and do they achieve a better metabolic control. Copyright © 2017 SEEN. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. Connective Tissue Reflex Massage for Type 2 Diabetic Patients with Peripheral Arterial Disease: Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Adelaida María Castro-Sánchez

    2011-01-01

    Full Text Available The objective of this study was to evaluate the efficacy of connective tissue massage to improve blood circulation and intermittent claudication symptoms in type 2 diabetic patients. A randomized, placebo-controlled trial was undertaken. Ninety-eight type 2 diabetes patients with stage I or II-a peripheral arterial disease (PAD (Leriche-Fontaine classification were randomly assigned to a massage group or to a placebo group treated using disconnected magnetotherapy equipment. Peripheral arterial circulation was determined by measuring differential segmental arterial pressure, heart rate, skin temperature, oxygen saturation and skin blood flow. Measurements were taken before and at 30 min, 6 months and 1 year after the 15-week treatment. After the 15-week program, the groups differed (P<.05 in differential segmental arterial pressure in right lower limb (lower one-third of thigh, upper and lower one-third of leg and left lower limb (lower one-third of thigh and upper and lower one-third of leg. A significant difference (P<.05 was also observed in skin blood flow in digits 1 and 4 of right foot and digits 2, 4 and 5 of left foot. ANOVA results were significant (P<.05 for right and left foot oxygen saturation but not for heart rate and temperature. At 6 months and 1 year, the groups differed in differential segmental arterial pressure in upper third of left and right legs. Connective tissue massage improves blood circulation in the lower limbs of type 2 diabetic patients at stage I or II-a and may be useful to slow the progression of PAD.

  14. Topographically mediated controls on aboveground biomass across a mediterranean-type landscape

    Science.gov (United States)

    Dahlin, K.; Asner, G. P.; Field, C. B.

    2009-12-01

    Aboveground biomass accumulation is a useful metric for evaluating habitat restoration and ecosystem services projects, in addition to being a robust measure of carbon sequestration. However, at the landscape scale non-anthropogenic controls on biomass accumulation are poorly understood. In this study we combined field measurements, high resolution data from the NASA JPL Airborne Visible/Infrared Imaging Spectrometer (AVIRIS), and the Carnegie Airborne Observatory (CAO) airborne light detection and ranging (lidar) system to create a comprehensive map of aboveground biomass across a patchy mediterranean-type landscape (Jasper Ridge Biological Preserve, Stanford, CA). Candidate explanatory variables (e.g. slope, elevation, incident solar radiation) were developed using a geologic map and a digital elevation model derived from the lidar data. Finally, candidate variables were tested, and a model was produced to predict aboveground biomass from environmental data. Though many of the explanatory variables have only indirect effects on plant growth, the model permits inferences to be made about the relative importance of light, water, temperature, and edaphic characteristics on carbon accumulation in mediterranean-type systems.

  15. The influence of carbohydrate consumption on glycemic control in pregnant women with type 1 diabetes

    DEFF Research Database (Denmark)

    Asbjörnsdóttir, Björg; Akueson, Cecelia E.; Ronneby, Helle

    2017-01-01

    , as a part of routine care. The total daily carbohydrate consumption from the major sources (e.g. bread, potatoes, rice, pasta, dairy products, fruits, candy) was calculated. A dietician estimated the overall glycemic index score (scale 0–7). Results At least two days of diet recording were available in 75......Aims To study the influence of the quantity and the quality of carbohydrate consumption on glycemic control in early pregnancy among women with type 1 diabetes. Methods A retrospective study of 107 women with type 1 diabetes who completed 1–3 days of diet recording before first antenatal visit......% of the 107 women at mean 64 (SD ± 14) gestational days. The quantity of carbohydrate consumption from major sources was 180 (±51) g/day. HbA1c was positively associated with the quantity of carbohydrate consumption (β = 0.41; 95% CI 0.13–0.70, P = 0.005), corresponding to an increase of 0.4% in HbA1c per 100...

  16. Comparison of osteoprotegerin and vascular endothelial growth factor in normoalbuminuric Type 1 diabetic and control subjects.

    Science.gov (United States)

    Esteghamati, A; Arefzadeh, A; Zandieh, A; Salehi Sadaghiani, M; Noshad, S; Nakhjavani, M

    2013-01-01

    The aim of the current study was to evaluate the association of osteoprotegerin and vascular endothelial growth factor (VEGF) with glycemic indices and diabetes status. A total of 44 normoalbuminuric Type 1 diabetic patients and 44 healthy control subjects, matched for age, body mass index, sex ratio, and lipid measures were enrolled. Univariate and multivariate logistic regression analyses were used to determine the association of osteoprotegerin and VEGF with diabetes status. Further, linear regression analysis was performed to investigate the roles of osteoprotegerin and VEGF as determinants of glycated hemoglobin (HbA1c). Osteoprotegerin and VEGF were significantly elevated in diabetic subjects (2.76±0.85 vs 2.26±0.75 pmol/l and 187.1±92.7 vs 125.9±52.3 pg/ml, respectively, posteoprotegerin and VEGF for diabetes were 2.532 (1.003-6.392) and 1.021 (1.002-1.041), respectively (posteoprotegerin with HbA1c is independent of VEGF and vice versa (pOsteoprotegerin and VEGF are elevated in normoalbuminuric Type 1 diabetic subjects and are independently associated with glycemic indices and diabetes status.

  17. A Bayesian sequential design using alpha spending function to control type I error.

    Science.gov (United States)

    Zhu, Han; Yu, Qingzhao

    2017-10-01

    We propose in this article a Bayesian sequential design using alpha spending functions to control the overall type I error in phase III clinical trials. We provide algorithms to calculate critical values, power, and sample sizes for the proposed design. Sensitivity analysis is implemented to check the effects from different prior distributions, and conservative priors are recommended. We compare the power and actual sample sizes of the proposed Bayesian sequential design with different alpha spending functions through simulations. We also compare the power of the proposed method with frequentist sequential design using the same alpha spending function. Simulations show that, at the same sample size, the proposed method provides larger power than the corresponding frequentist sequential design. It also has larger power than traditional Bayesian sequential design which sets equal critical values for all interim analyses. When compared with other alpha spending functions, O'Brien-Fleming alpha spending function has the largest power and is the most conservative in terms that at the same sample size, the null hypothesis is the least likely to be rejected at early stage of clinical trials. And finally, we show that adding a step of stop for futility in the Bayesian sequential design can reduce the overall type I error and reduce the actual sample sizes.

  18. Randomised controlled trial of gabapentin in Complex Regional Pain Syndrome type 1 [ISRCTN84121379

    Directory of Open Access Journals (Sweden)

    Weber Wim EJ

    2004-09-01

    Full Text Available Abstract Background Complex Regional Pain Syndrome type one (CRPS I or formerly Reflex Sympathetic Dystrophy (RSD is a disabling syndrome, in which a painful limb is accompanied by varying symptoms. Neuropathic pain is a prominent feature of CRPS I, and is often refractory to treatment. Since gabapentin is an anticonvulsant with a proven analgesic effect in various neuropathic pain syndromes, we sought to study the efficacy of the anticonvulsant gabapentin as treatment for pain in patients with CRPS I. Methods We did a randomized double blind placebo controlled crossover study with two three-weeks treatment periods with gabapentin and placebo separated by a two-weeks washout period. Patients started at random with gabapentin or placebo, which was administered in identical capsules three times daily. We included 58 patients with CRPS type 1. Results Patients reported significant pain relief in favor of gabapentin in the first period. Therapy effect in the second period was less; finally resulting in no significant effect combining results of both periods. The CRPS patients had sensory deficits at baseline. We found that this sensory deficit was significantly reversed in gabapentin users in comparison to placebo users. Conclusions Gabapentin had a mild effect on pain in CRPS I. It significantly reduced the sensory deficit in the affected limb. A subpopulation of CRPS patients may benefit from gabapentin.

  19. [Superficial mycoses: comparative study between type 2 diabetic patients and a non-diabetic control group].

    Science.gov (United States)

    García-Humbría, Leila; Richard-Yegres, Nicole; Pérez-Blanco, Maigualida; Yegres, Francisco; Mendoza, Mireya; Acosta, Arnaldo; Hernández, Rosaura; Zárraga, Eluz

    2005-03-01

    Superficial mycoses are considered to affect more frequently patients with type 2 diabetes mellitus (DM-2), specially onychomycosis and Tinea pedis. The purpose of this study was to compare the dermatophytoses, candidiasis and Pitiriasis versicolor frequency between 40 patients with DM-2 and 40 healthy persons of either sex, 40 years old or more. Clinical, metabolic, mycologic and inmunologic studies against Candida albicans, were carried out. Both diabetics 75% (30/40) and controls 65% (26/40) presented a high frequency of superficial mycoses (no significant difference p = 0.329). Pitiriasis versicolor was not detected in diabetic patients. They presented Tinea unguium, concomitant with Tinea pedis, with a higher frequency. The predominant dermatophyte was Trichophyton rubrum 18/23 (78%) in diabetics and 8/16 (50%) in non diabetics. Candida was isolated as commensal from oral mucous: 23/40 (58%) in diabetics and 21/40 (52%) in non diabetics (serotipo A was the more frequent), and from onychomycosis: 11/40 (28%) in diabetics and 12/40 (30%) in non diabetics. The immunological response was the same in both groups: celular 100%, humoral 20%. No statistical correlation among superficial mycoses, blood glucose level, glycosylated hemoglobin values or the time suffering the disease was observed. The high susceptibility to dermatophytes and Candida sp. infection showed to be associated with age and no with the diabetic type 2 condition in those patients.

  20. Thyroid peroxidase antibodies in pregnant women with type 1 diabetes: impact on thyroid function, metabolic control and pregnancy outcome

    DEFF Research Database (Denmark)

    Vestgaard, Marianne; Nielsen, Lene Ringholm; Rasmussen, Åse Krogh

    2008-01-01

    In pregnant women with type 1 diabetes, we evaluated whether the presence of thyroid peroxidase autoantibodies (anti-TPO) was associated with changes in thyroid function, metabolic control and pregnancy outcome....

  1. Conditions affecting the activity of glucocerebrosidase purified from spleens of control subjects and patients with type 1 Gaucher disease

    NARCIS (Netherlands)

    Aerts, J. M.; Sa Miranda, M. C.; Brouwer-Kelder, E. M.; van Weely, S.; Barranger, J. A.; Tager, J. M.

    1990-01-01

    Glucocerebrosidase was purified to homogeneity from spleens of control subjects and Type 1 Gaucher disease patients by immunoaffinity chromatography. Activation of the enzyme by taurocholate, phosphatidylserine and sphingolipid activator protein 2 (saposin C; SAP-2) was investigated by titration of

  2. Systolic blood pressure control among individuals with Type 2 Diabetes: A comparative effectiveness analysis of three interventions

    Science.gov (United States)

    Intensive lifestyle management or frequent goal-based monitoring with pharmacological management can be successful strategies for blood pressure control in overweight and obese adults with type 2 diabetes....

  3. Cinnamon Bark, Water Soluble Cinnamon Extract, and Metformin as Initial Treatment for Type 2 Diabetes Mellitus: A Randomized, Controlled Trial

    Science.gov (United States)

    2016-12-14

    4430, Lackland AFB, TX 78236-9908 Federal Wide Assurance #FWA00001750 and DoD Assurance #50007 Warrior Medics – Mission Ready – Patient Focused...treatment for Type 2 diabetes mellitus: A randomized, controlled trial. Version: 3 November 2016 2 Summary of Patient Withdrawals from the...Cinnamon Extract, and Metformin as Initial Treatment for Type 2 Diabetes Mellitus: A Randomized, Controlled Trial. Paul Crawford, MD Clinical Investigation

  4. Glycemic Control, Self-Efficacy and Fear of Hypoglycemia Among Iranian Children with Type 1 Diabetes.

    Science.gov (United States)

    Amiri, Fatemehsadat; Vafa, Mohammadreza; Gonder-Frederick, Linda

    2015-08-01

    This study was designed to test the reliability of a Persian version of 2 questionnaires to assess the level of fear of hypoglycemia (FoH) and self-efficacy in diabetes management and their association with glycated hemoglobin (A1C) and parents' demographic characteristics in a sample of children with type 1 diabetes. We assessed 61 children with type 1 diabetes (35 boys and girls, 6.0 to 12.7 years of age) using the Hypoglycemia Fear Survey-Child version (HFS-C) and Self-Efficacy for Diabetes Scale-Child version (SED-C). Their glycemic control was evaluated by A1C levels. The internal consistency of the Persian version of HFS-C and SED-C were very good. Our results showed that children older than 10 years of age report lower levels of FoH, which are related to higher levels of self-efficacy (r=-.30, p=0.025 and r=-.30, p=0.02, respectively). Of the children, 42.3% of girls and 31.4% of boys reported that low blood sugar is a big problem for them. These findings suggest that FoH is a significant concern for this target group. Only 19.7% of children had controlled diabetes based on A1C levels. There was no significant association between higher A1C levels and other variables, including HFS-C, SED-C and parents' demographic characteristics. The Persian version of HFS-C and SED-C are reliable and valid measures of the fear of hypoglycemia and of self-efficacy in children with type 1 diabetes, and these questionnaires could be used in our country for identifying those children who may need diabetes education and other supports. The association between greater self-efficacy and lower fear of hypoglycemia suggests that addressing self-efficacy in diabetes education courses may be effective in helping to overcome FoH. Copyright © 2015 Canadian Diabetes Association. All rights reserved.

  5. The Relation of Diabetes Type 2 with Sexual Function among Reproductive Age Women in Iran, a Case-Control Study

    OpenAIRE

    Poorandokht Afshari; Shiva Yazdizadeh; Parvin Abedi; Homayra Rashidi

    2017-01-01

    Background. Diabetic patients are at the greater risk of retinopathy, nephropathy, neuropathy, and sexual dysfunction compared to the general population. Objective. The aim of this study was to evaluate the sexual dysfunction in type 2 diabetes reproductive age women in Iran. Method. This was a case-control study carried out on 130 women with type 2 diabetes and 130 healthy women. The type 2 diabetes diagnosis was confirmed with abnormal fasting blood sugar, abnormal random blood sugar test, ...

  6. Treatment of chronic tension-type headache with botulinum toxin: a double-blind, placebo-controlled clinical trial

    NARCIS (Netherlands)

    Padberg, M.; de Bruijn, S. F. T. M.; de Haan, R. J.; Tavy, D. L. J.

    2004-01-01

    Botulinum toxin is increasingly advocated as effective treatment in chronic tension-type headache. We conducted a randomized, placebo-controlled clinical trial to prove efficacy of botulinum toxin in chronic tension-type headache. Patients were randomly assigned to receive botulinum toxin (maximum

  7. Controls on plant functional surface cover types along a precipitation gradient in the Negev Desert of Israel

    NARCIS (Netherlands)

    Buis, E.; Veldkamp, A.; Boeken, B.; Breemen, van N.

    2009-01-01

    We studied the controls on functional surface cover types in four catchments along a semi-arid to arid precipitation gradient in the northern Negev Desert of Israel. First, we selected four functional types, based on their unique water use and redistribution functionality: shrubs, Asphodelus

  8. Teenage girls with type 1 diabetes have poorer metabolic control than boys and face more complications in early adulthood

    DEFF Research Database (Denmark)

    Samuelsson, Ulf; Anderzén, Johan; Gudbjörnsdottir, Soffia

    2016-01-01

    AIMS: To compare metabolic control between males and females with type 1 diabetes during adolescence and as young adults, and relate it to microvascular complications. METHODS: Data concerning 4000 adolescents with type 1 diabetes registered in the Swedish paediatric diabetes quality registry, an...

  9. Differential Effect of Race, Education, Gender, and Language Discrimination on Glycemic Control in Adults with Type 2 Diabetes

    OpenAIRE

    Brice Reynolds, D.; Walker, Rebekah J.; Campbell, Jennifer A.; Egede, Leonard E.

    2015-01-01

    Background: Discrimination has been linked to negative health outcomes, but little research has investigated different types of discrimination to determine if some have a greater impact on outcomes. We examined the differential effect of discrimination based on race, level of education, gender, and language on glycemic control in adults with type 2 diabetes.

  10. Implementation of a Small Type DC Microgrid Based on Fuzzy Control and Dynamic Programming

    Directory of Open Access Journals (Sweden)

    Chin-Hsing Cheng

    2016-09-01

    Full Text Available A DC microgrid (DC-MG is a novel power system that uses DC distribution in order to provide high quality power. The study system is made by a photovoltaic array (PV, a wind generator (WG, a fuel cell (FC, and an energy storage system (ESS to establish a small type DC microgrid, with the bus being established by DC/DC converters with fuzzy controllers. An overall power dispatch was designed for the proposed system to distribute the power flows among the different energy sources and the storage unit in the system in order to satisfy the load requirements throughout an entire 24-h period. The structure of a power supervisor based on an optimal power dispatch algorithm is here proposed. Optimization was performed using dynamic programming (DP. In this paper, a system configuration of a DC microgrid is analyzed in different scenarios to show the efficacy of the control for all devices for the variable weather conditions with different DC loads. Thus, the voltage level and the power flow of the system are shown for different load conditions.

  11. Control of type III protein secretion using a minimal genetic system.

    Science.gov (United States)

    Song, Miryoung; Sukovich, David J; Ciccarelli, Luciano; Mayr, Julia; Fernandez-Rodriguez, Jesus; Mirsky, Ethan A; Tucker, Alex C; Gordon, D Benjamin; Marlovits, Thomas C; Voigt, Christopher A

    2017-05-09

    Gram-negative bacteria secrete proteins using a type III secretion system (T3SS), which functions as a needle-like molecular machine. The many proteins involved in T3SS construction are tightly regulated due to its role in pathogenesis and motility. Here, starting with the 35 kb Salmonella pathogenicity island 1 (SPI-1), we eliminated internal regulation and simplified the genetics by removing or recoding genes, scrambling gene order and replacing all non-coding DNA with synthetic genetic parts. This process results in a 16 kb cluster that shares no sequence identity, regulation or organizational principles with SPI-1. Building this simplified system led to the discovery of essential roles for an internal start site (SpaO) and small RNA (InvR). Further, it can be controlled using synthetic regulatory circuits, including under SPI-1 repressing conditions. This work reveals an incredible post-transcriptional robustness in T3SS assembly and aids its control as a tool in biotechnology.

  12. Environmental Factors Associated with Type 1 Diabetes Development: A Case Control Study in Egypt.

    Science.gov (United States)

    Awadalla, Nabil J; Hegazy, Amal A; Abd El-Salam, Manal; Elhady, Marwa

    2017-06-07

    Uncertainty still exists regarding the role of some environmental risk in the development of type 1 diabetes mellitus (T1DM) both globally and in Egypt. The objective here was to explore the potential environmental risk factors associated with the development of T1DM among children in Egypt. A case-controlled study of 204 T1DM children and an equal number of age and sex-matched controls was conducted in Assiut, Egypt. Data regarding the parental, gestational, neonatal, and childhood possible risk factors for T1DM were evaluated. The final sex adjusted multivariable logistic regression model revealed that the risk for T1DM was significantly higher among rural residents (aOR = 2.03, 95% CI: 1.30-4.25), those with parental history of T1DM (aOR = 9.03, 95% CI: 1.02-83.32), birth through cesarean section (aOR = 2.13, 95% CI: 1.09-5.03), and having history of early introduction of cow milk in the first year of life (aOR = 19.49, 95% CI: 8.73-45.53). On the other hand, a protective effect was observed between at least six months' breastfeeding, vitamin D supplementation in the first year of life, high physical activity, and the development of T1DM. Educational programs should be adopted to improve awareness and knowledge of the parents to avoid the increased risk factors and encourage protective practices.

  13. Sleep in Type 1 Diabetes: Implications for Glycemic Control and Diabetes Management.

    Science.gov (United States)

    Perez, Katia M; Hamburger, Emily R; Lyttle, Morgan; Williams, Rodayne; Bergner, Erin; Kahanda, Sachini; Cobry, Erin; Jaser, Sarah S

    2018-02-05

    To highlight recent findings from studies of sleep in type 1 diabetes (T1D), with a focus on the role of sleep in self-management, the cognitive and psychosocial outcomes related to sleep disturbances, and factors associated with sleep disturbances specific to T1D. People with T1D experience higher rates of sleep disturbances than people without diabetes, and these disturbances have negative implications for glycemic control and diabetes management, as well as psychosocial and cognitive outcomes. Inconsistent sleep timing (bedtime and wake time) has emerged as a potential target for interventions, as variability in sleep timing has been linked with poorer glycemic control and adherence to treatment. Sleep-promoting interventions and new diabetes technology have the potential to improve sleep in people with T1D. Sleep is increasingly considered a critical factor in diabetes management, but more multi-method and longitudinal research is needed. We emphasize the importance of sufficient and consistent sleep for people with T1D, and the need for providers to routinely assess sleep among patients with T1D.

  14. Autonomous docking control of visual-servo type underwater vehicle system aiming at underwater automatic charging

    International Nuclear Information System (INIS)

    Yanou, Akira; Ohnishi, Shota; Ishiyama, Shintaro; Minami, Mamoru

    2015-01-01

    A visual-servo type remotely operated vehicle (ROV) system with binocular wide-angle lens was developed to survey submarine resources, decontaminate radiation from mud in dam lake and so on. This paper explores the experiments on regulator performance and underwater docking of the robot system utilizing Genetic Algorithm (GA) for real-time recognition of the robot's relative position and posture through 3D marker. The visual servoing performances have been verified as follows; (1) The stability performances of the proposed regulator system have been evaluated by exerting abrupt distrubane force while the ROV is controlled by visual servoing. (2) The proposed system can track time-variant desired target position in x-axis (front-back direction of the robot). (3) The underwater docking can be completed by switching visual servoing and docking modes based on the error threshold, and by giving time-varying desired target position and orientation to the controller as a desired pose. (author)

  15. Efficacy of strength training on tension-type headache: A randomised controlled study.

    Science.gov (United States)

    Madsen, Bjarne K; Søgaard, Karen; Andersen, Lars L; Tornøe, Birte; Jensen, Rigmor H

    2017-01-01

    Background Strength training has shown effects in reducing neck pain. As neck pain is highly prevalent in tension-type headache (TTH), it is relevant to examine the effect of strength training of the shoulder muscles on TTH patients. Aim To examine the effect of strength training of the shoulder/neck muscles on TTH frequency and duration. Methods Sixty patients with TTH were randomised into strength training or a control group. The strength training group trained ten weeks with elastic resistance bands. The control group performed ergonomic and posture correction. Efficacy was evaluated at follow-up after 19-22 weeks. Results Twenty-three patients completed strength training and 21 completed ergonomic and posture correction (per-protocol). No between-group effect was detected, but within groups numerical reductions were noted in both groups from baseline to follow-up. Frequency of TTH in the strength training group decreased by 11% ( P = 0.041) and duration decreased by10% ( P = 0.036), while the ergonomic and posture correction group showed a significant reduction in frequency of 24% ( P = 0.0033) and a decrease in duration of 27% ( P = 0.041). Conclusion No significant difference between the groups was found and the within-group effects did not reach clinical significance. Combining all the elements into a multifaceted intervention could prove more useful and should be further explored in future studies. Clinical trials registration number NCT02984826.

  16. Supragingival biofilm control and systemic inflammation in patients with type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Hilana Paula Carillo ARTESE

    2015-01-01

    Full Text Available The objective of this study was to evaluate the effect of strict supragingival biofilm control on serum inflammatory markers and on periodontal clinical parameters in type 2 diabetes mellitus (T2DM patients with chronic severe periodontitis. Twenty-four individuals with T2DM and periodontitis were randomly allocated to two treatment groups. The supragingival therapy group (ST, n = 12 received supragingival scaling, whereas the intensive therapy group (IT, n = 12 underwent supra- and subgingival scaling, as well as root planing. Patients from both groups received professional oral hygiene instructions every month. Data regarding visible plaque index (VPI, gingival bleeding index (GBI, bleeding on probing (BOP, probing pocket depth (PPD, clinical attachment level (CAL, serum levels of interleukin (IL-6, IL-17A, IL-8, tumor necrosis factor α (TNF-α, monocyte chemoattractant protein (MCP-1 enzyme-linked immunosorbent assay (ELISA, and glycated hemoglobin (HbA1c levels were obtained at baseline and at 6 months post-therapy. Both therapies resulted in the improvement of almost all clinical periodontal parameters (p 0.05, between the two periods. However, MCP-1 levels were significantly reduced in both the ST (p = 0.034 and the IT (p = 0.016 groups, whereas the serum IL-6 levels were significantly reduced only in the IT group (p = 0.001. Strict control of supragingival biofilm has a limited effect on systemic inflammatory markers, and a moderate effect on periodontal clinical parameters.

  17. Optimization of control parameters for SR in EDM injection flushing type on stainless steel 304 workpiece

    International Nuclear Information System (INIS)

    Reza, M S; Yusoff, A R; Shaharun, M A

    2012-01-01

    The operating control parameters of injection flushing type of electrical discharge machining process on stainless steel 304 workpiece with copper tools are being optimized according to its individual machining characteristic i.e. surface roughness (SR). Higher SR during EDM machining process results for poor surface integrity of the workpiece. Hence, the quality characteristic for SR is set to lower-the-better to achieve the optimum surface integrity. Taguchi method has been used for the construction, layout and analysis of the experiment for each of the machining characteristic for the SR. The use of Taguchi method in the experiment saves a lot of time and cost of machining the experiment samples. Therefore, an L18 Orthogonal array which was the fundamental component in the statistical design of experiments has been used to plan the experiments and Analysis of Variance (ANOVA) is used to determine the optimum machining parameters for this machining characteristic. The control parameters selected for this optimization experiments are polarity, pulse on duration, discharge current, discharge voltage, machining depth, machining diameter and dielectric liquid pressure. The result had shown that the lower the machining diameter, the lower will be the SR.

  18. Speech Recognition for Environmental Control: Effect of Microphone Type, Dysarthria, and Severity on Recognition Results.

    Science.gov (United States)

    Fager, Susan Koch; Burnfield, Judith M

    2015-01-01

    This study examines the use of commercially available automatic speech recognition (ASR) across microphone options as access to environmental control for individuals with and without dysarthria. A study of two groups of speakers (typical speech and dysarthria), was conducted to understand their performance using ASR and various microphones for environmental control. Specifically, dependent variables examined included attempts per command, recognition accuracy, frequency of error type, and perceived workload. A further sub-analysis of the group of participants with dysarthria examined the impact of severity. Results indicated a significantly larger number of attempts were required (P = 0.007), and significantly lower recognition accuracies were achieved by the dysarthric participants (P = 0.010). A sub-analysis examining severity demonstrated no significant differences between the typical speakers and participants with mild dysarthria. However, significant differences were evident (P = 0.007, P = 0.008) between mild and moderate-severe dysarthric participants. No significant differences existed across microphones. A higher frequency of threshold errors occurred for typical participants and no response errors for moderate-severe dysarthrics. There were no significant differences on the NASA Task Load Index.

  19. Determinants of Long-Term Durable Glycemic Control in New-Onset Type 2 Diabetes Mellitus

    Directory of Open Access Journals (Sweden)

    Kyoung Jin Kim

    2017-08-01

    Full Text Available BackgroundLong-term durable glycemic control is a difficult goal in the management of type 2 diabetes mellitus (T2DM. We evaluated the factors associated with durable glycemic control in a real clinical setting.MethodsWe retrospectively reviewed the medical records of 194 new-onset, drug-naïve patients with T2DM who were diagnosed between January 2011 and March 2013, and were followed up for >2 years. Glycemic durability was defined as the maintenance of optimal glycemic control (glycosylated hemoglobin [HbA1c] <7.0% for 2 years without substitution or adding other glucose-lowering agents. Clinical factors and glycemic markers associated with glycemic durability were compared between two groups: a durability group and a non-durability group.ResultsPatients in the durability group had a higher baseline body mass index (26.1 kg/m2 vs. 24.9 kg/m2 and lower HbA1c (8.6% vs. 9.7% than the non-durability group. The initial choice of glucose-lowering agents was similar in both groups, except for insulin and sulfonylureas, which were more frequently prescribed in the non-durability group. In multiple logistic regression analyses, higher levels of education, physical activity, and homeostasis model assessment of β-cell function (HOMA-β were associated with glycemic durability. Notably, lower HbA1c (<7.0% at baseline and first follow-up were significantly associated with glycemic durability (adjusted odds ratio [OR], 7.48; 95% confidence interval [CI], 2.51 to 22.3 (adjusted OR, 9.27; 95% CI, 1.62 to 53.1, respectively, after adjusting for confounding variables including the types of glucose-lowering agents.ConclusionEarly achievement of HbA1c level within the glycemic target was a determinant of long-term glycemic durability in new-onset T2DM, as were higher levels of education, physical activity, and HOMA-β.

  20. Combined Interval Training and Post-exercise Nutrition in Type 2 Diabetes: A Randomized Control Trial

    Directory of Open Access Journals (Sweden)

    Monique E. Francois

    2017-07-01

    Full Text Available Background: High-intensity interval training (HIIT can improve several aspects of cardiometabolic health. Previous studies have suggested that adaptations to exercise training can be augmented with post-exercise milk or protein consumption, but whether this nutritional strategy can impact the cardiometabolic adaptations to HIIT in type 2 diabetes is unknown.Objective: To determine if the addition of a post-exercise milk or protein beverage to a high-intensity interval training (HIIT intervention improves cardiometabolic health in individuals with type 2 diabetes.Design: In a proof-of-concept, double-blind clinical trial 53 adults with uncomplicated type 2 diabetes were randomized to one of three nutritional beverages (500 mL skim-milk, macronutrient control, or flavored water placebo consumed after exercise (3 days/week during a 12 week low-volume HIIT intervention. HIIT involved 10 X 1-min high-intensity intervals separated by 1-min low-intensity recovery periods. Two sessions per week were cardio-based (at ~90% of heart rate max and one session involved resistance-based exercises (at RPE of 5–6; CR-10 scale in the same interval pattern. Continuous glucose monitoring (CGM, glycosylated hemoglobin (HbA1c, body composition (dual-energy X-ray absorptiometry, cardiorespiratory fitness (V˙O2peak, blood pressure, and endothelial function (%FMD were measured before and after the intervention.Results: There were significant main effects of time (all p < 0.05 but no difference between groups (Interaction: all p > 0.71 for CGM 24-h mean glucose (−0.5 ± 1.1 mmol/L, HbA1c (−0.2 ± 0.4%, percent body fat (−0.8 ± 1.6%, and lean mass (+1.1 ± 2.8 kg. Similarly, V˙O2peak (+2.5 ± 1.6 mL/kg/min and %FMD (+1.4 ± 1.9% were increased, and mean arterial blood pressure reduced (−6 ± 7 mmHg, after 12 weeks of HIIT (all p < 0.01 with no difference between beverage groups (Interaction: all p > 0.11.Conclusion: High-intensity interval training is a

  1. Ehlers-Danlos Syndrome, Hypermobility Type: Impact of Somatosensory Orthoses on Postural Control (A Pilot Study

    Directory of Open Access Journals (Sweden)

    Emma G. Dupuy

    2017-06-01

    Full Text Available Elhers-Danlos syndrome (EDS is the clinical manifestation of connective tissue disorders, and comprises several clinical forms with no specific symptoms and selective medical examinations which result in a delay in diagnosis of about 10 years. The EDS hypermobility type (hEDS is characterized by generalized joint hypermobility, variable skin hyperextensibility and impaired proprioception. Since somatosensory processing and multisensory integration are crucial for both perception and action, we put forth the hypothesis that somatosensory deficits in hEDS patients may lead, among other clinical symptoms, to misperception of verticality and postural instability. Therefore, the purpose of this study was twofold: (i to assess the impact of somatosensory deficit on subjective visual vertical (SVV and postural stability; and (ii to quantify the effect of wearing somatosensory orthoses (i.e., compressive garments and insoles on postural stability. Six hEDS patients and six age- and gender-matched controls underwent a SVV (sitting, standing, lying on the right side evaluation and a postural control evaluation on a force platform (Synapsys, with or without visual information (eyes open (EO/eyes closed (EC. These two latter conditions performed either without orthoses, or with compression garments (CG, or insoles, or both. Results showed that patients did not exhibit a substantial perceived tilt of the visual vertical in the direction of the body tilt (Aubert effect as did the control subjects. Interestingly, such differential effects were only apparent when the rod was initially positioned to the left of the vertical axis (opposite the longitudinal body axis. In addition, patients showed greater postural instability (sway area than the controls. The removal of vision exacerbated this instability, especially in the mediolateral (ML direction. The wearing of orthoses improved postural stability, especially in the eyes-closed condition, with a particularly

  2. Ehlers-Danlos Syndrome, Hypermobility Type: Impact of Somatosensory Orthoses on Postural Control (A Pilot Study)

    Science.gov (United States)

    Dupuy, Emma G.; Leconte, Pascale; Vlamynck, Elodie; Sultan, Audrey; Chesneau, Christophe; Denise, Pierre; Besnard, Stéphane; Bienvenu, Boris; Decker, Leslie M.

    2017-01-01

    Elhers-Danlos syndrome (EDS) is the clinical manifestation of connective tissue disorders, and comprises several clinical forms with no specific symptoms and selective medical examinations which result in a delay in diagnosis of about 10 years. The EDS hypermobility type (hEDS) is characterized by generalized joint hypermobility, variable skin hyperextensibility and impaired proprioception. Since somatosensory processing and multisensory integration are crucial for both perception and action, we put forth the hypothesis that somatosensory deficits in hEDS patients may lead, among other clinical symptoms, to misperception of verticality and postural instability. Therefore, the purpose of this study was twofold: (i) to assess the impact of somatosensory deficit on subjective visual vertical (SVV) and postural stability; and (ii) to quantify the effect of wearing somatosensory orthoses (i.e., compressive garments and insoles) on postural stability. Six hEDS patients and six age- and gender-matched controls underwent a SVV (sitting, standing, lying on the right side) evaluation and a postural control evaluation on a force platform (Synapsys), with or without visual information (eyes open (EO)/eyes closed (EC)). These two latter conditions performed either without orthoses, or with compression garments (CG), or insoles, or both. Results showed that patients did not exhibit a substantial perceived tilt of the visual vertical in the direction of the body tilt (Aubert effect) as did the control subjects. Interestingly, such differential effects were only apparent when the rod was initially positioned to the left of the vertical axis (opposite the longitudinal body axis). In addition, patients showed greater postural instability (sway area) than the controls. The removal of vision exacerbated this instability, especially in the mediolateral (ML) direction. The wearing of orthoses improved postural stability, especially in the eyes-closed condition, with a particularly

  3. Impact of improving postprandial glycemic control with intensifying insulin therapy in type 2 diabetes.

    Science.gov (United States)

    Yacoub, Tamer

    2017-11-01

    Worldwide, many people with type 2 diabetes are not at recommended glycemic targets and remain at increased risk of microvascular and macrovascular complications. Reaching recommended glycemic targets requires normalizing both fasting and postprandial glucose (PPG). For some patients, this will require addition of a prandial insulin delivered by injection to control PPG excursions. Evidence from epidemiological studies suggests an association between postprandial hyperglycemia and cardiovascular disease, and thus, expert guidelines recommend that treatment for elevated PPG not be delayed. Indeed, studies have demonstrated that PPG makes the greatest contribution to HbA 1c in patients who are approaching, but have not yet reached HbA 1c insulin is critical in suppressing hepatic glucose output (and therefore PPG levels) after a meal. Rapid-acting insulin analogs, with their faster onset and shorter duration of action, offer advantages over regular human insulin. Unfortunately, even with improved pharmacokinetic/pharmacodynamic characteristics, rapid-acting insulin analogs are still unable to fully reproduce the rapid release of insulin into the portal circulation and suppression of hepatic glucose output that occurs in the individual without diabetes after starting a meal. The next generation of rapid-acting insulin analogs will have an even more favorable pharmacokinetic profile that should allow patients to further improve glycemic control. Continuous subcutaneous insulin infusion (CSII) represents another option for intensifying therapy and improving postprandial control in some patients, and studies have shown that the benefits are sustainable long-term. However, it is currently unclear which patients stand to benefit the most from the extra expense and complexity of a CSII regimen, and further studies are needed.

  4. Association between unfavorable lipid profile and glycemic control in patients with type 2 diabetes mellitus.

    Science.gov (United States)

    Klisic, Aleksandra; Kavaric, Nebojsa; Jovanovic, Milovan; Zvrko, Elvir; Skerovic, Verica; Scepanovic, Andjelka; Medin, Darko; Ninic, Ana

    2017-01-01

    Recent studies hypothesize that dyslipidemia can predict glycated hemoglobin (HbA1c) and could be important contributing factor to the pathogenesis of type 2 diabetes mellitus (DM2). Therefore, we aimed to evaluate the influence of lipid parameters on long-term glycemic control in DM2. A total of 275 sedentary DM2 (mean [±standard deviation] age 60.6 [±10.0] years) who volunteered to participate in this cross-sectional study were enrolled. Anthropometric (body weight, body hight, and waist circumference), biochemical parameters (fasting glucose, HbA1c, lipid parameters, creatinine), as well as blood pressure were obtained. Total cholesterol (odds ratio [OR] =1.30, 95% confidence interval [CI] [1.02-1.66], P = 0.032), triglycerides (OR = 1.34, 95% CI (1.07-1.67), P = 0.010), and low density lipoprotein cholesterol (OR = 1.42, 95% CI [1.10-1.83], P = 0.006) were the independent predictors of higher HBA1c, and as they increased by 1 mmol/L each, probabilities of higher HBA1c increased by 30%, 34%, and 42%, respectively. Low level of high-density lipoprotein cholesterol (HDL-c) was found to be the independent predictor of higher HBA1c (OR = 0.44, 95% CI [0.20-0.67], P = 0.039), and increase in HDL-c by 1 mmol/L, reduced the probability of higher HBA1c by 56%. Unfavorable lipid profile can predict HbA1c level in DM2 patients. Early diagnosis of dyslipidemia, as well as its monitoring and maintaining good lipids control can be used as a preventive measure for optimal long-term glycemic control.

  5. Association between unfavorable lipid profile and glycemic control in patients with type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Aleksandra Klisic

    2017-01-01

    Full Text Available Background: Recent studies hypothesize that dyslipidemia can predict glycated hemoglobin (HbA1c and could be important contributing factor to the pathogenesis of type 2 diabetes mellitus (DM2. Therefore, we aimed to evaluate the influence of lipid parameters on long-term glycemic control in DM2. Materials and Methods: A total of 275 sedentary DM2 (mean [±standard deviation] age 60.6 [±10.0] years who volunteered to participate in this cross-sectional study were enrolled. Anthropometric (body weight, body hight, and waist circumference, biochemical parameters (fasting glucose, HbA1c, lipid parameters, creatinine, as well as blood pressure were obtained. Results: Total cholesterol (odds ratio [OR] =1.30, 95% confidence interval [CI] [1.02–1.66], P = 0.032, triglycerides (OR = 1.34, 95% CI (1.07–1.67, P = 0.010, and low density lipoprotein cholesterol (OR = 1.42, 95% CI [1.10–1.83], P = 0.006 were the independent predictors of higher HBA1c, and as they increased by 1 mmol/L each, probabilities of higher HBA1c increased by 30%, 34%, and 42%, respectively. Low level of high-density lipoprotein cholesterol (HDL-c was found to be the independent predictor of higher HBA1c (OR = 0.44, 95% CI [0.20–0.67], P = 0.039, and increase in HDL-c by 1 mmol/L, reduced the probability of higher HBA1c by 56%. Conclusion: Unfavorable lipid profile can predict HbA1c level in DM2 patients. Early diagnosis of dyslipidemia, as well as its monitoring and maintaining good lipids control can be used as a preventive measure for optimal long-term glycemic control.

  6. Method for selective irradiation of thyristors

    International Nuclear Information System (INIS)

    Sheng, W.W.; Sun, Y.S.E.; Tefft, E.G.

    1979-01-01

    The commutating dv/dt capability of the triac is improved without affecting the gate carrier flow. This is achieved by masking the two current-carring regions and the hole region by means of a solder with high lead contont and irradiation with electrons in the range of 400 keV and 12 MeV and a dose of 10 12 up to 10 15 electrons/cm 2 . The electrons cause lattice defects in the intermediate boundary regions. (DG) [de

  7. Effect of female genital mutilation/cutting; types I and II on sexual function: case-controlled study.

    Science.gov (United States)

    Ismail, Sahar A; Abbas, Ahmad M; Habib, Dina; Morsy, Hanan; Saleh, Medhat A; Bahloul, Mustafa

    2017-08-30

    The existing literature is contradictory regarding effects of female genital mutilation/cutting (FGM/C) on sexual functions. The aim of this study was to explore the impact of type I and II FGM/C on sexual function of Egyptian women. We recruited 197 cut women and 197 control women from those visiting Assiut University hospitals for different reasons. We asked each woman to fill the Arabic female sexual function index (FSFI) (a self reported 19-item questionnaire assessing the main domains of female sexual function). Genital Examination was done to confirm the type of FGM. Female sexual dysfunction (FSD) was found in 83.8% of FGM/C cases in contrast to 64.5% of the control. The total FSFI score in the FGM/C group (19.82 ± 7.1) was significantly lower than in the control group (23.34 ± 8.1). Concerning the types of FGM/C, type 73.6% of cases had type I and 26.4% had type II. Type I FGM/C was performed mainly by physicians (62.1%) while type II was performed mainly by midwives (44.4%). FSD was found in 83.4% of FGM/C I cases and in 84.6% of FGM/C II cases. There was no statistically significant difference between the two types of FGM/C as regards total and individual domain scores except for the pain domain. There were significantly lower total and individual domain scores in both FGM/C types except for the desire domain compared to control. In this study, FGM/C was associated with reduced scores of FSFI on all domains scores, and among both types I and II, both were associated with sexual dysfunction.

  8. An Internal Data Non-hiding Type Real-time Kernel and its Application to the Mechatronics Controller

    Science.gov (United States)

    Yoshida, Toshio

    For the mechatronics equipment controller that controls robots and machine tools, high-speed motion control processing is essential. The software system of the controller like other embedded systems is composed of three layers software such as real-time kernel layer, middleware layer, and application software layer on the dedicated hardware. The application layer in the top layer is composed of many numbers of tasks, and application function of the system is realized by the cooperation between these tasks. In this paper we propose an internal data non-hiding type real-time kernel in which customizing the task control is possible only by change in the program code of the task side without any changes in the program code of real-time kernel. It is necessary to reduce the overhead caused by the real-time kernel task control for the speed-up of the motion control of the mechatronics equipment. For this, customizing the task control function is needed. We developed internal data non-cryptic type real-time kernel ZRK to evaluate this method, and applied to the control of the multi system automatic lathe. The effect of the speed-up of the task cooperation processing was able to be confirmed by combined task control processing on the task side program code using an internal data non-hiding type real-time kernel ZRK.

  9. Patient characteristics do not predict poor glycaemic control in type 2 diabetes patients treated in primary care

    NARCIS (Netherlands)

    Goudswaard, AN; Stolk, RP; Zuithoff, P; Rutten, GEHM

    Many diabetic patients in general practice do not achieve good glycaemic control. The aim of this study was to assess which characteristics of type 2 diabetes patients treated in primary care predict poor glycaemic control (HbA(1c) greater than or equal to7%). Data were collected from the medical

  10. Safety and efficacy of twice-daily exenatide in Taiwanese patients with inadequately controlled type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Chieh-Hsiang Lu

    2013-03-01

    Conclusion: This subgroup analysis of Taiwanese patients was consistent with the overall study results, which showed that exenatide BID is superior to placebo for improving glycemic control in Asian patients with type 2 diabetes who experienced inadequate glycemic control when using oral antidiabetic therapy.

  11. Cognitive behavioural group training (CBGT) for patients with type 1 diabetes in persistent poor glycaemic control: who do we reach?

    NARCIS (Netherlands)

    van der Ven, N.C.W.; Lubach, C.H.; Hogenelst, M.H.E.; van Iperen, A.; Tromp-Wever, A.M.; Vriend, A.; van der Ploeg, H.M.; Heine, R.J.; Snoek, F.J.

    2005-01-01

    Approximately a quarter of adults with type 1 diabetes do not succeed in achieving satisfactory glycaemic control, partly due to problems with the demanding self-management regimen. To improve glycaemic control, interventions with a cognitive behavioural approach, aimed at modifying dysfunctional

  12. 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

  13. The influence of aspirin dose and glycemic control on platelet inhibition in patients with type 2 diabetes mellitus

    NARCIS (Netherlands)

    Lemkes, B. A.; Bahler, L.; Kamphuisen, P. W.; Stroobants, A. K.; van den Dool, E. J.; Hoekstra, J. B.; Nieuwland, R.; Gerdes, V. E.; Holleman, F.

    Background: Low-dose aspirin seems to offer no benefit in the primary prevention of cardiovascular disease in type 2 diabetes mellitus (DM2). The anti-platelet effect may be diminished by poor glycemic control or inadequate dosing of aspirin. Objectives: To study the effects of both glycemic control

  14. Effect of an Intensive Lifestyle Intervention on Glycemic Control in Patients With Type 2 Diabetes A Randomized Clinical Trial

    DEFF Research Database (Denmark)

    Johansen, Mette Yun; MacDonald, Christopher Scott; Hansen, Katrine Bagge

    2017-01-01

    IMPORTANCE It is unclear whether a lifestyle intervention can maintain glycemic control in patients with type 2 diabetes. OBJECTIVE To test whether an intensive lifestyle intervention results in equivalent glycemic control compared with standard care and, secondarily, leads to a reduction in gluc...

  15. interval type-2 fuzzy gain-adaptive controller of a doubly fed

    African Journals Online (AJOL)

    Loukal K and Benalia L

    2016-05-01

    May 1, 2016 ... To get a crisp output from a type-1 fuzzy logic system, the type-reduced set must be defuzzied. The most common method to do this is to find the centroid of the type-reduced set. If the type-reduced set Y is discretized to n points, then the following expression gives the centroid of the type-reduced set as: ( ).

  16. Iron Profile and Glycaemic Control in Patients with Type 2 Diabetes Mellitus

    Directory of Open Access Journals (Sweden)

    Gunjan Misra

    2016-12-01

    Full Text Available Iron overload is increasingly being connected to insulin resistance in Type 2 Diabetes Mellitus (T2DM patients. Free iron causes the assembly of reactive oxygen species that invariably steer the body’s homeostasis towards oxidative stress-mediated diabetic complications. This study aims to assess the serum iron, total iron binding capacity (TIBC, and percentage transferrin saturation (Tsat of 150 subjects divided into three groups (I,II,III of 50. Healthy individuals (controls constituted Group I. Group II consisted of T2DM patients with optimal glycaemic control. T2DM patients with suboptimal glycaemic control formed group III. Mean serum free iron concentration was 105.34 ± 3.5, 107.33 ± 3.45, and 125.58 ± 3.45 μg/dL in Group I, Group II, and Group III, respectively. Mean serum TIBC concentration in Group I, Group II, and Group III was 311.39 ± 5.47, 309.63 ± 6.1, and 284.2 ± 3.18 μg/dL, respectively. Mean serum transferrin saturation (% in Group I, Group II, and Group III was 34.17 ± 1.21, 35.02 ± 1.2, and 44.39 ± 1.07, respectively. The difference between TIBC, mean serum free iron concentration, and transferrin saturation between Group I and Group III (for all, p values <0.001, as well as between Group II and Group III (p values 0.0012, 0.0015, and <0.0001, respectively was statistically significant. The fasting plasma glucose values of Groups II and III were significantly higher than those of Group I, (p < 0.0001. Glycated haemoglobin (HbA1c values were also shown to increase from Group I to II and then III, and the increase was highly significant (all p values <0.0001. Thus, decreased glycaemic control and an increase in the glycation of haemoglobin was the key to elevation in serum iron values and alterations in other parameters. However, a significant correlation was absent between serum iron and HbA1c (r = 0.05 and transferrin saturation (r = 0.0496 in Group III.

  17. Early loading of plalatal implants (ortho-type II a prospective multicenter randomized controlled clinical trial

    Directory of Open Access Journals (Sweden)

    Gedrange Tomasz

    2007-09-01

    Full Text Available Abstract Background In orthodontic treatment, anchorage control is a fundamental aspect. Usually conventional mechanism for orthodontic anchorage control can be either extraoral or intraoral that is headgear or intermaxillary elastics. Their use are combined with various side effects such as tipping of occlusal plane or undesirable movements of teeth. Especially in cases, where key-teeth are missing, conventional anchorage defined as tooth-borne anchorage will meet limitations. Therefore, the use of endosseous implants for anchorage purposes are increasingly used to achieve positional stability and maximum anchorage. Methods/Design The intended study is designed as a prospective, multicenter randomized controlled trial (RCT, comparing and contrasting the effect of early loading of palatal implant therapy versus implant loading after 12 weeks post implantation using the new ortho-implant type II anchor system device (Orthosystem Straumann, Basel, Switzerland. 124 participants, mainly adult males or females, whose diagnoses require temporary stationary implant-based anchorage treatment will be randomized 1:1 to one of two treatment groups: group 1 will receive a loading of implant standard therapy after a healing period of 12 week (gold standard, whereas group 2 will receive an early loading of orthodontic implants within 1 week after implant insertion. Participants will be at least followed for 12 months after implant placement. The primary endpoint is to investigate the behavior of early loaded palatal implants in order to find out if shorter healing periods might be justified to accelerate active orthodontic treatment. Secondary outcomes will focus e.g. on achievement of orthodontic treatment goals and quantity of direct implant-bone interface of removed bone specimens. As tertiary objective, a histologic and microtomography evaluation of all retrieved implants will be performed to obtain data on the performance of the SLA surface in human bone

  18. Role of community pharmacists in improving knowledge and glycemic control of type 2 diabetes

    Directory of Open Access Journals (Sweden)

    R Venkatesan

    2012-01-01

    Full Text Available Objective: To study the role of the community pharmacists in improving knowledge and glycemic control in patients with type 2 diabetes residing in villages of Coimbatore district, Tamil Nadu. Materials and Methods: Fifty patients were interviewed, of whom 39 subjects were included in the study. The literate and chronic diabetic patients were included in the study and illiterate, children below 12 years of age, pregnant women, nursing mothers and subjects with any other chronic disorders were excluded from the study. The subjects were interviewed and divided randomly into two groups. There were 20 subjects in the control group and 19 in the intervention group. The study protocol was explained to all the participants, and written informed consent was obtained from them. Before the initiation of the study, the subjects were interviewedfor 20-40 min to educate them about diabetes. Subjects in the intervention group received continuous counselling and medical advice to improve their awareness about the disease and drugs. During the study period, the Diabetes Care Profile (a questionnaire developed by J.J. Fitzgerald of the Michigan Diabetes Research and Training Center, University of Michigan Medical School, Michigan was performed to each subject. The interval between visits was 2 months. All the values are expressed in mean ± standard deviation. Results: The intervention group showed better progress in the recovery of diabetics because of the continuous counselling and monitoring. There were significant changes in Diabetes Care Profile subscale scores in both the control and the intervention groups at the end of the study, viz. 1.8 ± 4.52 to 2.75 ± 6.62 and 3.10 ± 3.23 to 1.53 ± 2.66. Similarly, the knowledge test score was found to be increased in the intervention group compared with the baseline values (8.53 ± 1.81 to 12.16 ± 1.34. Conclusions: At the end of the study period, the patients of the intervention group had very good glycemic

  19. Diffusion of two botulinum toxins type A on the forehead: double-blinded, randomized, controlled study.

    Science.gov (United States)

    Jiang, Hai-Yan; Chen, Shujun; Zhou, Jun; Leung, Kong Kwok; Yu, Peiying

    2014-02-01

    Different diffusion of different botulinum toxin type A (BoNTA) preparations may account for differences in outcomes in cosmetic clinical practice. A double-blind, randomized, self-controlled study was performed to evaluate the diffusion characteristics of onabotulinumtoxinA and a Chinese type A botulinum toxin (CBTX-A). Healthy volunteers (N = 20) were recruited to receive a 0.05-mL (2 U) injection of BoTNA at four forehead sites (medial forehead (subcutaneous (SC)) and temporal forehead (intradermal (ID))). On day 14, the Minor's iodine starch test was performed and photographs were taken for calculating the area and dimensions of anhydrotic area. When BoNTAs were different, the anhidrosis ID area was significantly greater with CBTX-A than onabotulinumtoxinA, the vertical dimension was significantly longer with CBTX-A ID than onabotulinumtoxinA ID and the horizontal dimension was significantly greater with CBTX-A ID than onabotulinumtoxinA ID. The area of anhidrosis SC was significantly greater with CBTX-A than onabotulinumtoxinA. When injection depths were different, the mean horizontal dimension was significantly greater with onabotulinumtoxinA SC than ID. Comparing the dimension of the same BoNTA and injection method, the vertical dimension was significantly greater than the horizontal dimension. OnabotulinumtoxinA diffuses less than CBTX-A. ID injection technique may result in less diffusion than SC. © 2013 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.

  20. Performance comparison of TCSC with TCPS and SSSC controllers in AGC of realistic interconnected multi-source power system

    Directory of Open Access Journals (Sweden)

    Javad Morsali

    2016-03-01

    Full Text Available The primary goals of employing series flexible ac transmission system (FACTS in automatic generation control (AGC studies of interconnected power systems are mitigating area frequency and tie-line power oscillations. This paper compares dynamic performance of thyristor controlled series capacitor (TCSC as damping controller with thyristor controlled phase shifter (TCPS and static synchronous series compensator (SSSC which are series FACTS damping controllers. Commonly used lead-lag controllers are used in structure of damping controllers. The effect of TCSC in tie-line power exchange is modeled mathematically based on the Taylor series expansion for small-signal load disturbance. The performance of the proposed TCSC controller in coordination with integral AGC is compared with cases of TCPS–AGC and SSSC–AGC. An improved particle swarm optimization (IPSO algorithm and integral of time multiplied squared error (ITSE performance index are used to design the damping controllers. A two-area power system having generations from reheat thermal, hydro, and gas units in each area is evaluated regarding nonlinearity effects of generation rate constraint (GRC and governor dead band (GDB. The simulations results in MATLAB/SIMULINK environment show that the proposed TCSC–AGC yields superior performance than others in damping of area frequencies and tie-line oscillations. Furthermore, sensitivity analyses are performed to show greater robustness of TCSC–AGC.

  1. Effect of Nigella sativa seeds on the glycemic control of patients with type 2 diabetes mellitus.

    Science.gov (United States)

    Bamosa, Abdullah O; Kaatabi, Huda; Lebdaa, Fatma M; Elq, Abdul-Muhssen Al; Al-Sultanb, Ali

    2010-01-01

    Diabetes mellitus is a common chronic disease affecting millions of people world wide. Standard treatment is failing to achieve required correction of blood glucose in many patients. Therefore, there is a need for investigating potential hypoglycemic drugs or herbs to improve glycemic control in diabetic patients. Nigella sativa seeds were used as an adjuvant therapy in patients with diabetes mellitus type 2 added to their anti-diabetic medications. A total of 94 patient were recruited and divided randomly into three dose groups. Capsules containing Nigella sativa were administered orally in a dose of 1, 2 and 3 gm/day for three months. The effect of Nigella sativa on the glycemic control was assessed through measurement of fasting blood glucose (FBG), blood glucose level 2 hours postprandially (2 hPG), and glycosylated hemoglobin (HbA1c). Serum C-peptide and changes in body weight were also measured. Insulin resistance and beta-cell function were calculated usin the homeostatic model assessment (HOMA2). Nigella sativa at a dose of 2 gm/day caused significant reductions in FBG, 2hPG, and HbA1 without significant change in body weight. Fasting blood glucose was reduced by an average of 45, 62 and 56 mg/dl at 4, 8 and 12 weeks respectively. HbAlC was reduced by 1.52% at the end of the 12 weeks of treatment (PNigella sativa in a dose of 1 gm/day also showed trends in improvement in all the measured parameters but it was not statistically significant from the baseline. However, no further increment in the beneficial response was observed with the 3 gm/day dose. The three doses of Nigella sativa used in the study did not adversely affect either renal functions or hepatic functions of the diabetic patients throughout the study period. the results of this study indicate that a dose of 2 gm/ day of Nigella sativa might be a beneficial adjuvant to oral hypoglycemic agents in type 2 diabetic patients.

  2. The effects of Pilates on metabolic control and physical performance in adolescents with type 1 diabetes mellitus.

    Science.gov (United States)

    Tunar, Mert; Ozen, Samim; Goksen, Damla; Asar, Gulgun; Bediz, Cem Seref; Darcan, Sukran

    2012-01-01

    Physical activity is a substantial method in the management of children and adolescents with Type 1 diabetes mellitus but it is not considered as a treatment for diabetes. The aim of this study was to investigate the effects of Pilates exercises on metabolic control and physical performance in patients with type 1 diabetes mellitus. Thirty one sedentary patients with type 1 diabetes mellitus, ranging in age from 12 to 17 (experimental group, n=17 and control group, n=14) were submitted to 12 weeks of Pilates training. Participants underwent tests to determine the physical performance and metabolic control before and after 12 weeks of Pilates session. At the end of study, there were significant alterations in physical performance of the study group. Peak power, mean power, vertical jump and flexibility of study group increased. There were no alterations for this parameters in the control group. There was no significant difference for glycated hemoglobin (HbA1c) in both groups. Physical performance increased via Pilates exercises in the patients with type 1 DM. However there were no changes in metabolic control. In the present study, the positive effects of exercise on metabolic control could not be shown in patients with Type 1 DM. Copyright © 2012 Elsevier Inc. All rights reserved.

  3. Impact of Education on Disease Knowledge and Glycaemic Control Among Type 2 Diabetic Patients in Family Practice

    Directory of Open Access Journals (Sweden)

    Samira Herenda

    2007-08-01

    Full Text Available In patients with diabetes type 2, good knowledge about disease often doesn’t follow appropriate behavior in their life. Therefore, we wanted to find out basic level of disease knowledge and glycemic control among type 2 diabetic patients, and after that impact of passive and intensive education on knowledge and glycemic control. Starting with 130 participants, 91 patients with type 2 diabetes, from four family medicine services in Tuzla Canton, completed six months education about their disease. Disease Knowledge Test of Michigan Diabetes Training and Research Center was used to evaluate knowledge about diabetes and glycaemic control was assessed by HbAic. Participants were tested at the beginning of survey, after 3 months of passive education and additional 3 months of intensive one. Basic test showed good knowledge of participants (score 8,3 out of 15, improved knowledge after passive education (score 9,23 and intensive one (11,19 (P<0,0001. Demographic characteristics of patients (age, sex, living area, level of education, duration of disease and type of treatment had no influence on disease knowledge and glycaemic control during education. Generally, patient education improved significantly glycaemic control by HbA1c reduction 0,45% (P=0,011 without significant differences between passive and intensive one. Education of patients improves both disease knowledge and glycaemic control among type 2 diabetic patients.

  4. Impact of education on disease knowledge and glycaemic control among type 2 diabetic patients in family practice.

    Science.gov (United States)

    Herenda, Samira; Tahirović, Husref; Poljaković, Dzemal

    2007-08-01

    In patients with diabetes type 2, good knowledge about disease often doesn't follow appropriate behavior in their life. Therefore, we wanted to find out basic level of disease knowledge and glycemic control among type 2 diabetic patients, and after that impact of passive and intensive education on knowledge and glycemic control. Starting with 130 participants, 91 patients with type 2 diabetes, from four family medicine services in Tuzla Canton, completed six months education about their disease. Disease Knowledge Test of Michigan Diabetes Training and Research Center was used to evaluate knowledge about diabetes and glycaemic control was assessed by HbA1c. Participants were tested at the beginning of survey, after 3 months of passive education and additional 3 months of intensive one. Basic test showed good knowledge of participants (score 8,3 out of 15), improved knowledge after passive education (score 9,23) and intensive one (11,19) (Psex, living area, level of education, duration of disease and type of treatment) had no influence on disease knowledge and glycaemic control during education. Generally, patient education improved significantly glycaemic control by HbA1c reduction 0,45% (P=0,011) without significant differences between passive and intensive one. Education of patients improves both disease knowledge and glycaemic control among type 2 diabetic patients.

  5. The effect of evening alcohol consumption on next-morning glucose control in type 1 diabetes.

    Science.gov (United States)

    Turner, B C; Jenkins, E; Kerr, D; Sherwin, R S; Cavan, D A

    2001-11-01

    Alcohol is associated with acute hypoglycemia in patients with type 1 diabetes. After drinking alcohol in the evening, delayed hypoglycemia has also been described, although its cause is unknown. We performed a controlled study to investigate this phenomenon. We admitted six men with type 1 diabetes (aged 19-51 years, HbA(1c) 7.0-10.3%) on two occasions, from 5:00 P.M. to 12:00 noon the following day. They received regular insulin injections before standardized meals, at 6:00 P.M. and 8:00 A.M., and a basal insulin infusion (0.15 mU x kg(-1) x min(-1)) from 11:00 P.M. They drank either dry white wine (0.75 g/kg alcohol) or mineral water at 9:00 P.M. over 90 min. Blood glucose, alcohol, insulin, cortisol, growth hormone, and glucagon levels were measured. Blood ethanol reached a mean (SEM) peak of 19.1 (1.2) mmol/l and was undetectable by 8:00 A.M. There were no significant differences in evening or overnight blood glucose levels between the studies. In the morning, fasting and postprandial blood glucose levels were significantly lower after consumption of wine (postprandial peak 8.9 [1.7] vs. 15 [1.5] mmol/l, P consumption of water. After consumption of wine, growth hormone secretion was significantly reduced between midnight and 4:00 A.M. (area under the curve 2.1 [1.1] vs. 6.5 [2.1] microg. l(-1) x h(-1), P = 0.04). There were no differences in insulin or other hormone levels. In type 1 diabetes, moderate consumption of alcohol in the evening may predispose patients to hypoglycemia after breakfast the next morning. This is associated with reduced nocturnal growth hormone secretion. Patients should be informed of this risk and advised regarding appropriate preventative measures.

  6. Application of BASNEF educational model for nutritional education among elderly patients with type 2 diabetes: improving the glycemic control

    OpenAIRE

    Gholamreza Sharifirad; Arash Najimi; Akbar Hassanzadeh; Leila Azadbakht

    2011-01-01

    Background: The objective of this study was to determine the effects of nutritional educational program on glycemic control of elderly patients with type 2 diabetes. Methods: In this parallel randomized controlled educational trial, 100 diabetic elderly patients (≥60 years) were chosen (50 in control and 50 in test group). Nutrition education based on beliefs, attitudes, subjective norms and enabling factors (BASNEF model) was conducted. Dietary intake and glycemic indices as well as the ...

  7. Diabetes-specific emotional distress mediates the association between depressive symptoms and glycaemic control in Type 1 and Type 2 diabetes

    DEFF Research Database (Denmark)

    van Bastelaar, Kim M P; Pouwer, F; Geelhoed-Duijvestijn, P H L M

    2010-01-01

    study carried out in three tertiary diabetes clinics in the Netherlands. Most recent glycated haemoglobin (HbA(1c)) measurement was obtained from medical records. The Centre for Epidemiologic Studies Depression Scale (CES-D) and Problem Areas in Diabetes scale (PAID) were used to measure depression...... and glycaemic control, diabetes-specific emotional distress appears to be an important mediator. Addressing diabetes-specific emotional problems as part of depression treatment in diabetes patients may help improve glycaemic outcomes.......OBJECTIVES: To investigate whether diabetes-specific emotional distress mediates the relationship between depression and glycaemic control in patients with Type 1 and Type 2 diabetes. RESEARCH DESIGN AND METHODS: Data were derived from the baseline assessment of a depression in diabetes screening...

  8. Cosmetic Outcome of Tubularized Incised Plate Depends on The Type of Hypospadias: A Case Control Study

    Directory of Open Access Journals (Sweden)

    Gede Wirya Kusuma Duarsa

    2016-08-01

    Full Text Available Background: Recent studies show Tubularized Incised Plate (TIP urethroplasty, commonly used for distal hypospadias repair, can be used in proximal hypospadias with a decent success rate. It was contented that the age of the patient when undertook the surgery influences the outcome, with young age gaining more favourable outcome than the older. One the objectives of hypospadias repair is the cosmetic outcome, which can be evaluated using Hypospadias Objective Penile Evaluation (HOPE questionnaires. Our objective is to compare the proportion of the young and the older patients based on the cosmetic surgical outcome. Methods: In Sanglah General Hospital, Denpasar, 38 patients who had undergone a TIP urethroplasty from January 2012 until December 2015 were evaluated using HOPE questionnaires. Results: The sample are divided into two equally-numbered groups based on the HOPE total score. The median of the age of the subjects when they undergone the surgery is 4.8 years (1.89-18.10. The proportion of the over 5 year old in the cosmetically unsatisfying group (case is the same as the proportion in the cosmetically satisfying group (control, 52.63%, EOR=1 (p>0.05. The proportion based on the year of surgery are different, but not statistically significant (p>0.05. Based on the type of hypospadias, the proportion of subjects with proximal hypospadias in the case group is more than in the control group, EOR=14.95 (p<0.05. It shows proximal hypospadias is a risk factor for cosmetically unsatisfying result post TIP urethroplasty. Conclusions: It should be taken into account that TIP in proximal hypospadias has a greater risk to produce an unsatisfying cosmetical result.

  9. Chiari malformation type I: a case-control association study of 58 developmental genes.

    Directory of Open Access Journals (Sweden)

    Aintzane Urbizu

    Full Text Available Chiari malformation type I (CMI is a disorder characterized by hindbrain overcrowding into an underdeveloped posterior cranial fossa (PCF, often causing progressive neurological symptoms. The etiology of CMI remains unclear and is most likely multifactorial. A putative genetic contribution to CMI is suggested by familial aggregation and twin studies. Experimental models and human morphometric studies have suggested an underlying paraxial mesoderm insufficiency. We performed a case-control association study of 303 tag single nucleotide polymorphisms (SNP across 58 candidate genes involved in early paraxial mesoderm development in a sample of 415 CMI patients and 524 sex-matched controls. A subgroup of patients diagnosed with classical, small-PCF CMI by means of MRI-based PCF morphometry (n = 186, underwent additional analysis. The genes selected are involved in signalling gradients occurring during segmental patterning of the occipital somites (FGF8, Wnt, and retinoic acid pathways and from bone morphogenetic proteins or BMP, Notch, Cdx and Hox pathways or in placental angiogenesis, sclerotome development or CMI-associated syndromes. Single-marker analysis identified nominal associations with 18 SNPs in 14 genes (CDX1, FLT1, RARG, NKD2, MSGN1, RBPJ1, FGFR1, RDH10, NOG, RARA, LFNG, KDR, ALDH1A2, BMPR1A considering the whole CMI sample. None of these overcame corrections for multiple comparisons, in contrast with four SNPs in CDX1, FLT1 and ALDH1A2 in the classical CMI group. Multiple marker analysis identified a risk haplotype for classical CMI in ALDH1A2 and CDX1. Furthermore, we analyzed the possible contributions of the most significantly associated SNPs to different PCF morphometric traits. These findings suggest that common variants in genes involved in somitogenesis and fetal vascular development may confer susceptibility to CMI.

  10. Development of linear pulse motor type control element drive mechanism for smart

    International Nuclear Information System (INIS)

    Je-Yong, Yu; Jong-in, Kim; Ji-ho, Kim; Hyung, Huh; Moon-Hee, Chang

    2001-01-01

    The system-integrated modular advanced reactor (SMART) currently under development at the Korea Atomic Energy Research Institute is being designed with soluble boron free operation and the use of nuclear heating for reactor start-up. These design features require a Control Element Drive Mechanism(CEDM) for SMART to have fine-step movement capability as well as high reliability for fine reactivity control. In this paper, the design characteristics of a new concept CEDM driven by a Linear Pulse Motor (LPM) which meets the design requirements of the integral reactor SMART are introduced. The primary dimensions of the linear pulse motor are determined by electro-magnetic analysis and the results are also presented. In parallel with the electro-magnetic analysis, the conceptual design of the CEDM is visualized and checked for interferences among parts by assembling three dimensional (3D) models on computer. A prototype of the LPM with double air-gaps for the CEDM sub-assemblies to lift 100 kg is designed, analysed, manufactured and tested to confirm the validity of the CEDM design concept. A converter and test facility are manufactured to verify the dynamic performance of the LPM. The mover of the LPM is welded with ferromagnetic material and non-ferromagnetic material to get the magnetic flux path between the inner stator and outer stator. The thrust forces of LPM predicted by the analytic model have shown good agreement with experimental results from the prototype LPM. It is found that the LPM type CEDM has high force density and a simple drive mechanism to reduce volume and satisfy reactor operating circumstances with high pressure and temperature. (authors)

  11. Metabolic Control of Type 1 Diabetes in Children Treated with Insulin Pump Therapy

    Directory of Open Access Journals (Sweden)

    Sniježana Hasanbegović

    2009-05-01

    Full Text Available In this paper we present study of metabolic control in children suffering from TYPE 1 Diabetes Mellitus (T1DM who use insulin pump (IP therapy, and who were treated at Paediatric Clinic in Sarajevo.In retrospective study we followed all T1DM patients with IP therapy introduced in the period from 1st March 2005 to 1st September 2008.We analyzed their age and sex structure, therapy before IP use, and the metabolic control of T1DM represented with glycosylated haemoglobin (HbA1c value just before and 6 months after IP therapy introducing.The total number of observed patients was 39. There were 24 boys (61,5 % and 15 girls (38,5 % with the age range between 12,3 ± 3,2 years. Most patients were from age group 8-14 years. In the same number of patients 17 (43,6 % diabetes duration was less than 5 years and 5-10 years. Before IP introduction most patient 61,5 % use therapy with insulin analogues. Mean value of HbA1c before IP therapy introduction was 8,57±1,65 % and 6 months after IP therapy introduction HbA1c 7,53 ± 0,81 % (p = 0,0009. There was significant reduction HbA1c values even 6 month after IP therapy introduced.Therapy with IP in children with diabetes was very efficient in achieving therapeutic goal of T1DM treatment (HbA1c<7,0 % what will protect patients from appearance and progression of chronic micro vascular complications on eyes, kidneys and peripheral nerves.

  12. Indications for Insulin Pump Therapy in Type 1 Diabetes and Associations With Glycemic Control.

    Science.gov (United States)

    Jendle, Johan H; Rawshani, Araz; Svensson, Ann-Marie; Avdic, Tarik; Gudbjörnsdóttir, Soffia

    2016-09-01

    Real-world data regarding indications for use of insulin pump remain sparse. We investigated characteristics among individuals with type 1 diabetes (T1D) in relation to indication for use of insulin pump (CSII). Comparison was made with T1D subjects using multiple daily injections (MDI). We included all individuals with T1D who had at least 1 registration in the National Diabetes Register during 2014-2015. Among 46 874 individuals, we excluded 2350 due to missing data. We examined 35 725 on MDI and 8799 on CSII regarding characteristics in relation to insulin delivery method, as well as association between insulin delivery and glycemic control (HbA1c) and presence of albuminuria. Unadjusted mean (SD) HbA1c was 63.84 (15.07) mmol/mol (7.99 [1.38]%) and 63.75 (13.19) mmol/mol (7.99 [1.21]%) in the MDI and CSII group, respectively. MDI and CSII users were on average 48.8 and 41.5 years old, respectively. MDI users were on average 26 years old and CSII users 17 years old at the time of diabetes diagnosis. Overall, a higher proportion of CSII users were females (53.5%). As compared with MDI, use of CSII was associated with up to 7.84 mmol/mol (0.72%) lower HbA1c in a multivariable adjusted model. Use of CSII was, however, not associated with risk of having albuminuria. CSII was used more frequently in younger individuals, early-onset diabetes, and problematic glycemic control. The use of CSII was associated with lower HbA1c among CSII users except from those who started CSII due to high HbA1c. © 2016 Diabetes Technology Society.

  13. Factors associated with glycemic control in adult type 1 diabetes patients treated with insulin pump therapy.

    Science.gov (United States)

    Matejko, Bartłomiej; Skupien, Jan; Mrozińska, Sandra; Grzanka, Małgorzata; Cyganek, Katarzyna; Kiec-Wilk, Beata; Malecki, Maciej T; Klupa, Tomasz

    2015-02-01

    Continuous subcutaneous insulin infusion (CSII) by insulin pump seems to improve glycemia and quality of life as compared to conventional insulin therapy in type 1 diabetes (T1DM). However, while many T1DM subjects achieve excellent glycemic control, some others cannot reach recommended goals. In a retrospective analysis, we searched for factors associated with glycemic control in T1DM patients treated with insulin pump therapy. Data from 192 patients (133 women and 59 men) treated with personal insulin pumps at the Department of Metabolic Diseases, University Hospital, Krakow, Poland were analyzed. Sources of information included medical records, memory read-outs from insulin pumps and data from glucose meters. Univariate, multivariate linear and logistic regression analysis for the association with hemoglobin A1c (HbA1c) level were performed. The mean age of the subjects was 28.9 (±11.2) years, the mean duration of T1DM-14.6 (±7.6) years, mean body mass index-23.5 (±3.1) kg/m2. The mean HbA1c level in the entire study group was 7.4% (57 mmol/mol). In the multivariate linear regression analysis, HbA1c correlated with the mean number of daily blood glucose measurements, number of hypoglycemic episodes per 100 blood glucose measurements, age at the examination, and continuous glucose monitoring system use. Multivariate logistic regression analysis for reaching the therapeutic target of HbA1cpump-treated T1DM subjects.

  14. Refractive error in Chinese with type 2 diabetes and its association with glycaemic control.

    Science.gov (United States)

    Song, E; Qian, Deng-Juan; Wang, Shan; Xu, Cailian; Pan, Chen-Wei

    2018-03-01

    The aim of this study was to determine the prevalence of refractive errors and their association with glycaemic control among adults with type 2 diabetes mellitus (T2DM) in eastern China. A community-based survey, including 913 adults with T2DM aged 30 to 89 years, was conducted. Refractive error was assessed by autorefraction, after which subjective refraction was performed. Ocular biometric parameters were measured by non-contact partial coherence laser interferometry. Myopia was defined as spherical equivalent (SE) less than -0.50 dioptres (D), high myopia as SE less than -5.00 D, hyperopia as SE greater than 0.50 D and astigmatism as cylinder less than -0.50 D. After excluding participants who had undergone cataract surgery, 839 were included in the data analyses and 96.1 per cent were found to have refractive errors. The overall prevalences of myopia, high myopia, hyperopia and astigmatism were 28.2 per cent (95 per cent confidence interval [CI] 25.2-31.3), 6.3 per cent (95 per cent CI 4.7-8.0), 46.4 per cent (95 per cent CI 43.0-49.7) and 81.0 per cent (95 per cent CI 78.4-83.7) with no gender differences observed (all p > 0.10). In multivariate analysis, myopia was associated with decreasing age (odds ratio [OR] = 0.86, p = 0.01; per year increase), higher blood levels of haemoglobin A 1c (HbA 1c ) (OR = 1.12, p = 0.05; per unit increase), higher education levels (OR = 5.10, p Refractive errors may be associated with glycaemic control among T2DM patients. Longitudinal analyses are warranted to examine the relationship between changes in HbA 1c and the development of refractive errors. © 2017 Optometry Australia.

  15. Adherence to Two Methods of Education and Metabolic Control in Type 2 Diabetics.

    Science.gov (United States)

    Gutiérrez Herrera, Verónica R; Zerón, Hugo Mendieta; Mendieta Alcántara, Martha R

    2015-04-01

    Education in diabetes optimizes metabolic control, prevents acute and chronic complications, and improves quality of life. Our main objective was to evaluate if a better metabolic control is achieved in diabetic patients undergoing a program of intensive interactive care than in those with traditional care and written information. Patients with type 2 diabetes mellitus (T2DM), aged 20-60 years, education level at least of primary school, serum creatinine ≤ 2.5 mg/dl, self-sufficient and HbA1c ≥ 7.1% were allocated in two groups of education, 1) minimal education (MEG) and 2) full education (FEG). The MEG patients followed predefined diet; FEG patients chose the diet by selecting foods from each group in a list of matches, teaching them to count nutrients, kilocalories (kcal) and percentage of nutrients. A follow-up of 31 patients in each group was obtained. The proportion of patients who had initial adherence was 13.33% in the MEG group and 9.67% in the FEG group while, at the end of the study, these percentages were of 73.3% and 58.38% respectively. The final HbA1c decreased in both groups, with or without good adherence. The FEG group had a higher decline in the values of cholesterol (p = 0.036) and LDL (p = 0.002) than the MEG group. Education programs in T2DM contribute to a decrease in HbA1c within six months, but an intensive program is more effective in reducing cholesterol and LDL.

  16. Studying cerebellar circuits by remote control of selected neuronal types with GABA-A receptors

    Directory of Open Access Journals (Sweden)

    William Wisden

    2009-12-01

    Full Text Available Although GABA-A receptor-mediated inhibition of cerebellar Purkinje cells by molecular layer interneurons (MLIs has been studied intensely on the cellular level, it has remained unclear how this inhibition regulates cerebellum-dependent behaviour. We have implemented two complementary approaches to investigate the function of the MLI-Purkinje cell synapse on the behavioral level. In the first approach we permanently disrupted inhibitory fast synaptic transmission at the synapse by genetically removing the postsynaptic GABA-A receptors from Purkinje cells (PC-Δγ2 mice. We found that chronic disruption of the MLI-Purkinje cell synapse strongly impaired cerebellar learning of the vestibular occular reflex (VOR, presumably by disrupting the temporal patterns of Purkinje cell activity. However, in PC-Δγ2 mice the baseline VOR reflex was only mildly affected; indeed PC-Δγ2 mice showed no ataxia or gait abnormalities suggesting that MLI control of Purkinje cell activity is either not involved in ongoing motor tasks or that the system has found a way to compensate for its loss. To investigate the latter possibility we have developed an alternative genetic technique; we made the MLI-Purkinje cell synapse selectively sensitive to rapid manipulation with the GABAA receptor modulator zolpidem (PC-γ2-swap mice. Minutes after intraperitoneal zolpidem injection, these PC-γ2-swap mice developed severe motor abnormalities, revealing a substantial contribution of the MLI-Purkinje cell synapse to real time motor control. The cell-type selective permanent knockout of synaptic GABAergic input, and the fast reversible modulation of GABAergic input at the same synapse illustrate how pursuing both strategies gives a fuller view.

  17. Liberal Glycemic Control in Critically Ill Patients With Type 2 Diabetes: An Exploratory Study.

    Science.gov (United States)

    Kar, Palash; Plummer, Mark P; Bellomo, Rinaldo; Jenkins, Alicia J; Januszewski, Andrzej S; Chapman, Marianne J; Jones, Karen L; Horowitz, Michael; Deane, Adam M

    2016-09-01

    The optimal blood glucose target in critically ill patients with preexisting diabetes and chronic hyperglycemia is unknown. In such patients, we aimed to determine whether a " liberal" approach to glycemic control would reduce hypoglycemia and glycemic variability and appear safe. Prospective, open-label, sequential-period exploratory study. Medical-surgical ICU. During sequential 6-month periods, we studied 83 patients with preexisting type 2 diabetes and chronic hyperglycemia (glycated hemoglobin, ≥ 7.0% at ICU admission). During the "standard care" period, 52 patients received insulin to treat blood glucose concentrations greater than 10 mmol/L whereas during the "liberal" period, 31 patients received insulin to treat blood glucose concentrations greater than 14 mmol/L. Time-weighted mean glucose concentrations and the number and duration of moderate (liberal: 10.3 [2.1] mmol/L; p = 0.02) and nadir blood glucose (4.4 [1.5] vs 5.5 [1.6] mmol/L; p liberal period. There was a signal toward reduced risk of moderate-severe hypoglycemia (relative risk: liberal compared with standard care: 0.47 [95% CI, 0.19-1.13]; p = 0.09). Ten patients (19%) during the standard period and one patient (3%) during the liberal period had recurrent episodes of moderate-severe hypoglycemia. Liberal therapy reduced glycemic variability (coefficient of variability, 33.2% [12.9%] vs 23.8% [7.7%]; p liberal glycemic control appears to attenuate glycemic variability and may reduce the prevalence of moderate-severe hypoglycemia.

  18. Linear pulse motor type control element drive mechanism for the integral reactor

    International Nuclear Information System (INIS)

    Yu, J. Y.; Choi, S.; Kim, J. H.; Huh, H.; Park, K. B.

    2007-01-01

    The integral reactor SMART currently under development at Korea Atomic Energy Research Institute is designed with soluble boron free operation and use of nuclear heating for reactor startup. These design features require the Control Element Drive Mechanism (CEDM) for SMART to have fine-step movement capability as well as high reliability for the fine reactivity control. In this paper, design characteristics of a new concept CEDM driven by the Linear Pulse Motor (LPM) which meets the design requirements of the integral reactor SMART are introduced. The primary dimensions of the linear pulse motor are determined by the electro-magnetic analysis and the results are also presented. In parallel with the electro-magnetic analysis, the conceptual design of the CEDM is visualized and checked for interferences among parts by assembling three dimensional (3D) models on the computer. Prototype of LPM with double air-gaps for the CEDM sub-assemblies to lift 100 kg is designed, analysed, manufactured and tested to confirm the validity of the CEDM design concept. A converter and a test facility are manufactured to verify the dynamic performance of the LPM. The mover of the LPM is welded with ferromagnetic material and non-ferromagnetic material to get the magnetic flux path between inner stator and outer stator. The thrust forces of LPM predicted by analytic model have shown good agreement with experimental results from the prototype LPM. It is found that the LPM type CEDM has high force density and simple drive mechanism to reduce volume and satisfy the reactor operating circumstances with high pressure and temperature

  19. Reinforcement interval type-2 fuzzy controller design by online rule generation and q-value-aided ant colony optimization.

    Science.gov (United States)

    Juang, Chia-Feng; Hsu, Chia-Hung

    2009-12-01

    This paper proposes a new reinforcement-learning method using online rule generation and Q-value-aided ant colony optimization (ORGQACO) for fuzzy controller design. The fuzzy controller is based on an interval type-2 fuzzy system (IT2FS). The antecedent part in the designed IT2FS uses interval type-2 fuzzy sets to improve controller robustness to noise. There are initially no fuzzy rules in the IT2FS. The ORGQACO concurrently designs both the structure and parameters of an IT2FS. We propose an online interval type-2 rule generation method for the evolution of system structure and flexible partitioning of the input space. Consequent part parameters in an IT2FS are designed using Q -values and the reinforcement local-global ant colony optimization algorithm. This algorithm selects the consequent part from a set of candidate actions according to ant pheromone trails and Q-values, both of which are updated using reinforcement signals. The ORGQACO design method is applied to the following three control problems: 1) truck-backing control; 2) magnetic-levitation control; and 3) chaotic-system control. The ORGQACO is compared with other reinforcement-learning methods to verify its efficiency and effectiveness. Comparisons with type-1 fuzzy systems verify the noise robustness property of using an IT2FS.

  20. Application of statistical methods (SPC) for an optimized control of the irradiation process of high-power semiconductors

    International Nuclear Information System (INIS)

    Mittendorfer, J.; Zwanziger, P.

    2000-01-01

    High-power bipolar semiconductor devices (thyristors and diodes) in a disc-type shape are key components (semiconductor switches) for high-power electronic systems. These systems are important for the economic design of energy transmission systems, i.e. high-power drive systems, static compensation and high-voltage DC transmission lines. In their factory located in Pretzfeld, Germany, the company, eupec GmbH+Co.KG (eupec), is producing disc-type devices with ceramic encapsulation in the high-end range for the world market. These elements have to fulfill special customer requirements and therefore deliver tailor-made trade-offs between their on-state voltage and dynamic switching behaviour. This task can be achieved by applying a dedicated electron irradiation on the semiconductor pellets, which tunes this trade-off. In this paper, the requirements to the irradiation company Mediscan GmbH, from the point of view of the semiconductor manufacturer, are described. The actual strategy for controlling the irradiation results to fulfill these requirements are presented, together with the choice of relevant parameters from the viewpoint of the irradiation company. The set of process parameters monitored, using statistical process control (SPC) techniques, includes beam current and energy, conveyor speed and irradiation geometry. The results are highlighted and show the successful co-operation in this business. Watching this process vice versa, an idea is presented and discussed to develop the possibilities of a highly sensitive dose detection device by using modified diodes, which could function as accurate yet cheap and easy-to-use detectors as routine dosimeters for irradiation institutes. (author)