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At least 379 records · Page 21Linked to original sources

Automated data collection and analysis system for MOSFET radiation detectors.

Metal oxide semiconductor field effect transistors (MOSFET) have been used as radiation dosimeters. Because of their small detector size, minimal power requirements, and signal integration characteristics, they offer unique possibilities as real-time dose monitors in radiotherapy. An automated data collection and analysis system for use with MOSFET radiation dosimeters has been designed and built. The objective was to design a system which can acquire and process the MOSFET signals in real time, in any radiation field encountered in radiotherapy. In particular, major problems have been solved arising from the intrinsic drifts of the MOSFET signal during low dose rate measurements. These signal drifts are significant when the MOSFET detector is used in applications such as on-line monitoring of radiation dose delivery in brachytherapy or radioimmunotherapy. The data collection and analysis system includes a portable IBM-compatible personal computer fitted with digital-to-analog and analog-to-digital converter boards. A single-chip programmable current supply is used to power the MOSFET dosimeters. Intrinsic and extrinsic drifts in signal due to ion diffusion and electron tunneling are corrected by deconvolution of the collected data in real time or after data collection. The data acquisition system and signal-processing methodologies are described.

Data Collection↗

Continuous intravascular blood gas monitoring.

The benefit of a continuous intra-arterial blood gas monitor is apparent to any physician who has ever waited for the return of blood gas values at the bedside of a critically ill patient. The potential for rapid detection and prompt treatment of blood gas changes, coupled with immediate evaluation of the effectiveness of a therapeutic intervention, appears great. Whereas these systems may offer a tremendous advance in the physician's ability to track and treat alterations in cardiopulmonary physiology, no large-scale in vivo human trials have yet been reported. The only data available on accuracy, bias, precision, drift, and complication rate are from relatively small trials. Hopefully, when large-scale trials are completed, these systems will live up to their tremendous potential.

Animals↗

Continuous ambulatory pulmonary artery pressure monitoring. A new method using a transducer tipped catheter and a simple recording system.

A transducer tipped catheter and simple recording system were used for the continuous measurement of ambulatory pulmonary artery pressure. The pulmonary artery pressure was recorded on a miniaturised tape recorder and replayed via an optical writer. Pulmonary arterial systolic and diastolic pressures can be analysed on a beat to beat basis. Continuous ambulatory monitoring was performed for a total 288 hours in 13 patients who were undergoing routine investigation for coronary artery disease. There was less than 1% zero drift and 0.25% linearity error per full scale pressure. The frequency response of the entire system was flat to 8 Hz with a linear phase delay. The transducer tipped catheter and a conventional fluid-filled system were used to measure left ventricular and pulmonary artery end diastolic pressures in eight patients. The correlation between the results obtained by the two methods was excellent. This method could be used at any centre equipped for ambulatory electrocardiographic monitoring.

Adult↗

Physical characteristics and clinical evaluation of a new disposable fibreoptic transducer-tipped catheter system.

A new disposable fibreoptic transducer-tipped catheter manometer system was evaluated to assess its accuracy, stability of accuracy under prolonged simulated intra-arterial conditions, and dynamic characteristics. Maximum errors observed in the measurement of static pressure using a sample of five catheters (with one display unit) were 2 mmHg at 0 mmHg reference pressure, 2 at 20 mmHg, 4 at 40 mmHg, 4 at 100 mmHg and 9 at 200 mmHg. An immersion artifact caused a shift in baseline of up to 2 mmHg. Exposure of the transducer to 24 hours of simulated intra-arterial conditions (pulsatile pressure at 40 degrees C) resulted in errors of up to 7 mmHg for pressures up to 100 mmHg, and 11 mmHg for 200 mmHg, which were largely attributable to a drift in baseline pressure (up 6 mmHg by 24 hours). Consistent overestimation by the system suggested inappropriate gain setting within the display unit which, however, is not user-adjustable. The system exhibited uniform frequency response up to 33 Hz.

Angiography↗

Wet STEM: a new development in environmental SEM for imaging nano-objects included in a liquid phase.

Environmental scanning electron microscopy (ESEM) enables wet samples to be observed without potentially damaging sample preparation through the use of partial water vapour pressure in the microscope specimen chamber. However, in the case of latices in colloidal state or microorganisms, samples are not only wet, but made of objects totally submerged in a liquid phase. In this case, under classical ESEM imaging conditions only the top surface of the liquid is imaged, with poor contrast, and possible drifting of objects. The present paper describes experiments using a powerful new Scanning Transmission Electron Microscopy (STEM) imaging system, that allows transmission observations of wet samples in an ESEM. A special device, designed to observe all sorts of objects submerged in a liquid under annular dark-field imaging conditions, is described. Specific features of the device enable to avoid drifting of floating objects which occurs in the case of a large amount of water, thus allowing slow-scan high-definition imaging of particles with a diameter down to few tens of nm. The large potential applications of this new technique are then illustrated, including the imaging of different nano-objects in water. The particular case of grafted latex particles is discussed, showing that it is possible to observe details on their surface when submerged in water. All the examples demonstrate that images acquired in wet STEM mode show particularly good resolution and contrast, without adding enhancing contrast objects, and without staining.

Environmental Monitoring↗

Evidence for an early motion system which integrates information from the two eyes.

In one type of cyclopean motion stimulus one eye views a counterphase flickering grating while the other eye views the same pattern in spatio-temporal quadrature. Algebraic summation of the two image sequences results in a drifting grating. Upon binocular (cyclopean) combination of the two patterns a drifting grating is perceived even though neither monocular pattern is moving. While this appears to support the position that the motion system is binocular, it has been suggested that such demonstrations involve higher level feature tracking rather than early motion system activation. The perceived direction of motion could result from the tracking of features after neural summation of left and right eye images. However, by adding a static, in-phase, pedestal grating to the left and right eye flickering test gratings, the direction information based on feature tracking is removed while leaving the motion energy information unchanged. We have found that when such stimuli are presented for several seconds, direction discrimination performance is significantly better than chance for pedestal grating contrasts several times the test grating contrast. Therefore, in the absence of a feature tracking cue, the direction of motion is identified using a binocular motion energy mechanism. The results do not exclude the existence of a binocular feature tracking system. Both systems are likely to exist.

Humans↗

Symbolic dynamics analysis of nonstationary data from a model of a magnetic system with solitons.

The probability distribution of a complexity measure is used to characterize chaotic states: an estimator of the algorithmic complexity of a time series of symbolic words is calculated within a fixed length time window, which sweeps through the time series analyzed. The words are derived through a symbolic dynamics scheme applied in an m-dimensional delay coordinate space. Time intervals instead of the variables of the system are used. The chaotic states of a model of a magnetic domain wall are characterized better by the methods presented than with the use of fractal dimensions and new intermittent states of the system were easily identified. Using an artificial nonstationary signal composed of different chaotic states of the Bloch wall as a test for chaos-chaos intermittency we demonstrate that the method developed is suitable for the detection and characterization of intermittency. It is also shown that nonstationarity in the form of a slow monotonic drift in the control parameter may extend the stability range of periodic states of the spatially extended system studied-a trackinglike phenomenon.

Journal Article↗

Phase coherent averaging in magnetic resonance spectroscopy using interleaved navigator scans: compensation of motion artifacts and magnetic field instabilities.

The quality of spectra in (1)H magnetic resonance spectroscopy (MRS) is strongly affected by temporal signal instabilities during the acquisition. One reason for these instabilities are hardware imperfections, e.g., drifts of the main magnetic field in superconducting magnets. This is of special concern in high-field systems where the specification of the field stability is close to the spectral linewidth. A second major potential source of artifacts, particularly in clinical MRS, is patient motion. Using standard acquisition schemes of phase-cycled averaging of the individual acquisitions, long-term effects (field drifts) as well as changes on a shorter time scale (motion) can severely reduce spectral quality. The new technique for volume-selective MRS presented here is based on the additional interleaved acquisition of a navigator signal during the recovery time of the metabolite acquisition. It corrects for temporal signal instabilities by means of a deconvolution of the metabolite and the navigator signal. This leads to phase-corrected individual metabolite scans and upon summation to a phase-coherent averaging scheme. The interleaved navigator acquisition does not require any user interaction or supervision, while sequence efficiency is maintained.

Animals↗

A simple and inexpensive system for monitoring jaw movements in ambulatory humans.

A simple and inexpensive method for recording vertical movements of the human mandible relative to the maxilla is presented. Measurements are made from accelerometers and a Hall-effect device temporarily glued to the upper and lower anterior teeth. The accelerometer signals are integrated once to give velocity and a second time to give position. Movements of the mandible relative to the maxilla are obtained by integrating the difference between the two accelerometer signals. The (relative) velocity and position records derived in this way are linear, but subject to drift when the jaw is stationary. Steady mandibular position is obtained from the Hall-effect system, but this signal must be corrected for its inherent non-linearity. This device can record rapid movements of the mandible even when the head is unrestrained, and interferes minimally with normal jaw movements.

Diagnostic Equipment↗

An automatically balancing isolation amplifier for the decoupling of measuring systems with high impedances.

It is theoretically shown that different conditions of coupling and grounding cause error voltages with the simultaneous use of two high-impedance measuring systems (e.g. pH electrodes). By the use of special amplifiers using optical transmission systems these error voltages are prevented. The transmission characteristics of the couplers are sensitive to changes in temperature due to the incorporation of infrared emitters in the system. An amplifying equipment with high d. c. stability was developed. The temperature drift was suppressed by the use of a special chopper stabilisation.

Electric Conductivity↗

Detection of abnormality in the electrocardiogram without prior knowledge by using the quantisation error of a self-organising map, tested on the European ischaemia database.

Most systems for the automatic detection of abnormalities in the ECG require prior knowledge of normal and abnormal ECG morphology from pre-existing databases. An automated system for abnormality detection has been developed based on learning normal ECG morphology directly from the patient. The quantisation error from a self-organising map 'learns' the form of the patient's ECG and detects any change in its morphology. The system does not require prior knowledge of normal and abnormal morphologies. It was tested on 76 records from the European Society of Cardiology database and detected 90.5% of those first abnormalities declared by the database to be ischaemic. The system also responded to abnormalities arising from ECG axis changes and slow baseline drifts and revealed that ischaemic episodes are often followed by long-term changes in ECG morphology.

Electrocardiography↗

Accuracy of a mixed venous saturation catheter during acutely induced changes in hematocrit in humans.

OBJECTIVE: To determine the accuracy of in vivo mixed venous hemoglobin saturation (Svo2) measurements with a fiber optic thermodilution catheter during acute changes in hematocrit. DESIGN: Comparison of fiberoptic in vivo Svo2 values with in vitro Svo2 values obtained with a multiwavelength spectrophotometer. SETTING: Operating room in a university hospital. PATIENTS: Six consecutive patients who are Jehovah's Witnesses. MEASUREMENTS AND MAIN RESULTS: Before and after each step of hypervolemic hemodilution and after every 500 mL of blood loss, blood gases were analyzed and hemodynamic, hemoglobin, hematocrit, and in vitro and in vivo Svo2 measurements were made. Hematocrit values were measured in the range of 40% to 18%. Plotting all in vivo Svo2 values (n = 74) against the in vitro Svo2 measurements obtained during the entire study period gives r2 = .86. The accuracy of in vivo Svo2 measurements was not affected by changes in hematocrit or cardiac output. The Svo2 catheter value at the beginning of the study differed from the in vitro Svo2 value by -0.86 +/- 2.56% and at the end of the study period of 8 to 10 hrs by 0.71 +/- 3.04%. CONCLUSIONS: The accuracy of the studied fiberoptic continuous measuring Svo2 system was not affected by changes in hematocrit or cardiac output. No significant drift in the in vitro Svo2 measurements was observed.

Adult↗

Three-dimensional surface reconstruction and panoramic optical mapping of large hearts.

Optical mapping of electrical activity from the surface of the heart is a powerful tool for studying complex arrhythmias. However, a limitation of traditional optical mapping is that the mapped region is restricted to the field of view of the sensor, which makes it difficult to track electrical waves as they drift in and out of view. To address this, we developed an optical system that panoramically maps epicardial electrical activity in three dimensions. The system was engineered to accomodate hearts comparable in size to human hearts. It is comprised of a surface scanner that measures epicardial geometry and a panoramic fluorescence imaging system that records electrical activity. Custom software texture maps the electrical data onto a reconstructed epicardial surface. The result is a high resolution, spatially contiguous, mapping dataset. In addition, the three-dimensional positions of the recording sites are known, making it possible to accurately measure parameters that require geometric information, such as propagation velocity. In this paper, we describe the system and demonstrate it by mapping a swine heart.

Algorithms↗

Incremental bias in Finapres estimation of baseline blood pressure levels over time.

Finapres finger blood pressure monitoring appears to provide a reliable alternative to intra-arterial blood pressure measurement under many circumstances. However, few studies have focused on the limitations of Finapres assessment. In a previous pilot investigation, we observed that Finapres pressure following mental stressors failed to return to initial resting levels. Our objectives in the present study were to (1) replicate earlier findings, (2) examine whether local changes in the measured finger were responsible for the observed drift, and (3) test a method to facilitate the return of pressure to systemic baseline levels. We studied two groups of healthy subjects who underwent a protocol consisting of two mental stressors preceded and followed by baseline periods. In the control group, the Finapres continuously monitored pressure on a single finger for the entire protocol. The intervention group periodically had the Finapres cuff removed and the measured finger exercised to prevent local changes that might influence Finapres estimation of blood pressure. Comparisons indicated a group x baseline interaction effect for systolic and diastolic pressures (P < .0004 and P < .003, respectively). The group with the exercise intervention showed much greater recover during the final baseline than the control group. Recovery of pressures in the control group but not the intervention group was inversely related to the stress level of blood pressure (r = .86, P < .0002), indicating a relationship between blood pressure rise and the degree of distortion of subsequent baseline values. On the basis of our results, we propose that in prolonged protocols, the measurement finger be exercised to facilitate accurate measurements of finger pressure with the Finapres.

Adult↗

AHSCs: the complex simplicity of service.

The literate and effective dissection of the problems of the modern Academic Health Sciences Centre (AHSC) represents a significant contribution by Lozon and Fox. However, the fundamental issues may be both simpler and more intractable than they describe. The hospitals, medical schools and research institutes that compose the AHSC have individually and collectively drifted away from an ethos of service with the patient at its centre. Systems theory teaches us that "emergent behaviour' wherein the AHSC becomes more than the sum of its parts will only be achieved when there is commitment to a common purpose aided by mutual respect and the generalist perspective necessary for its full expression. As social and health trends underscore and support the need for aggregative and problem focused education and research, it is not clear that AHSCs are reacting in an effective way - increased isolation from community and generalist care leaves highly specialized institutions vulnerable to criticism of both irrelevance and sub-optional care. A re-affirmation of unambiguous commitment to both study (research and educate) as well as serve those who suffer provides the most likely avenue to make the 21st century'the best of times 'for the AHSC.

Academic Medical Centers↗

Phase-locked control of tiled-grating assemblies for chirped-pulse-amplified lasers using a Mach-Zehnder interferometer.

Multikilojoule petawatt lasers using chirped-pulse amplification are being constructed worldwide. Several systems have adopted a tiled-grating approach to meet the size requirements for the compression gratings. Grating tiles need to be precisely phased to ensure a transform-limited focal spot when focusing high-energy laser pulses in the target plane. A computer-control test system that uses a Mach-Zehnder interferometer capable of monitoring and correcting drift in the tiled-grating assemblies within the compressor is described. The differential errors due to eight gratings, within a compressor with four grating assemblies, were compensated by adjusting a single grating.

Journal Article↗

[A method for analysis of muscle activity during electric stimulation].

The measurement of the surface-EMG during electrical stimulation requires the suppression of the stimulus pulse close to the source. This is necessary because of the discharge currents spreading within the human body caused by the stimulation pulse and the drift effects at the electrodes distorting the EMG-signal. A measurement-system will be presented, which splits the EMG in a detection and a processing path. A special converter keeps the base line at zero level. The detection path sets the gain of the recording amplifier and identifies the stimulation pulse to control its suppression. The processing of the EMG is conducted in the main path way. By these means the EMG including M-wave is undistorted and unbiased presented. The results will be discussed taking the physiology relevance into account.

Algorithms↗

Evaluation of two Mg2+-selective electrodes by means of a flow-through device.

Monitoring the ionized magnesium (Mg2+) concentration in critically ill patients can prevent development of serious and potentially fatal complications. The analyzers KONE Microlyte 6 (KONE Instruments, Espoo, Finland) and NOVA CRT (NOVA Biomedical, Waltham, MA, USA) provide the discontinuous measurement of Mg2+ and were evaluated in several studies. It was our objective to integrate the Mg2+-selective electrodes into a device for continuous on-line measurements. This device is suitable not only for research but also for a specific evaluation of electrode characteristics. It allowed us to compare the genuine electrodes and reference systems independently of their specific analyzers. Precision, accuracy, response time, limit of detection, drift and interferences were assessed by continuous flow-through measurements and discussed in comparison to the results of previous studies. The NOVA electrode proved to be superior regarding accuracy, sensitivity and selectivity, especially with respect to calcium. It was demonstrated that current commercial serum-like control materials were not appropriate for quality control of the assessed Mg2+-electrodes. However, despite the fact that the electrodes are commercially used for discontinuous measurements, both sensor types can be used for continuous on-line measurements in an extracorporeal circulation in a rat model. The NOVA electrode showed superior characteristics with this application as well. This study should also be understood as a contribution to the development of devices for online analyzers used in point-of-care-testing.

Blood Chemical Analysis↗