2,423 research outputs found

    Cognitive impairment in COPD:an often overlooked co-morbidity

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    Electrical Energy Conversion Techniques for the Vertical Axis Wind Turbine

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    The characteristics of the Vertical Axis Wind Turbine make it possible to use generating techniques not suitable for Horizontal Axis Wind Turbines. Methods for converting mechanical energy into electrical energy are presented and discussed for vertical turbines of the 250 KW to 2500 KW size. This paper will also look at the present status of Vertical Axis Wind Turbine research in the United States

    Seedling Establishment of Spartina alterniflora and Spartina patens on Dredged Materials in Texas

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    Effects of fertilizer, elevation, and tidal inundation on seedling establishment of Spartina alterniflora and Spartina patens were tested at a wave-protected sandy dredged material site, Galveston Bay, Texas. No seedlings that grew from sown seeds became established at elevations below 36 cm (msl) while the greatest number established in the upper tier. Seedlings of S. alterniflora were more numerous than S. patens in the upper and middle tiers. Naturally occurring seedlings of S. alterniflora, which apparently germinated from seeds produced on transplants in adjacent plots, established at all elevations of the site during winter. The average time of tidal inundation at a particular elevation was less during winter than spring. Thus, establishment of plants by seed at low intertidal elevations appears feasible only during low seasonal winter tides and with S. alterniflora. Fertilizers did not enhance growth, and high concentrations of fertilizer caused stress to some S. alterniflora seedlings

    Examining the possible causal relationship between Lung Function, COPD and Alzheimers Disease. A Mendelian Randomization Study

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    RATIONALE: Large retrospective case-control studies have reported an association between chronic obstructive pulmonary disease (COPD), reduced lung function and an increased risk of Alzheimer’s disease. However, it remains unclear if these diseases are causally linked, or due to shared risk factors. Conventional observational epidemiology suffers from unmeasured confounding and reverse causation. Additional analyses addressing causality are required. OBJECTIVES: To examine a causal relationship between COPD, lung function and Alzheimer’s disease. METHODS: Using two-sample Mendelian randomisation, we used single nucleotide polymorphisms (SNPs) identified in a genome wide association study (GWAS) for lung function as instrumental variables (exposure). Additionally, we used SNPs discovered in a GWAS for COPD in those with moderate to very severe obstruction. The effect of these SNPs on Alzheimer’s disease (outcome) was taken from a GWAS based on a sample of 24 807 patients and 55 058 controls. RESULTS: We found minimal evidence for an effect of either lung function (OR: 1.02 per SD; 95% CI 0.91 to 1.13; p value 0.68) or liability for COPD on Alzheimer’s disease (OR: 0.97 per SD; 95% CI 0.92 to 1.03; p value 0.40). CONCLUSION: Neither reduced lung function nor liability COPD are likely to be causally associated with an increased risk of Alzheimer’s, any observed association is likely due to unmeasured confounding. Scientific attention and health prevention policy may be better focused on overlapping risk factors, rather than attempts to reduce risk of Alzheimer’s disease by targeting impaired lung function or COPD directly

    Toward respiratory assessment using depth measurements from a time-of-flight sensor

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    Introduction: There is increasing interest in technologies that may enable remote monitoring of respiratory disease. Traditional methods for assessing respiratory function such as spirometry can be expensive and require specialist training to perform and interpret. Remote, non-contact tracking of chest wall movement has been explored in the past using structured light, accelerometers and impedance pneumography, but these have often been costly and clinical utility remains to be defined. We present data from a 3-Dimensional time-of-flight camera (found in gaming consoles) used to estimate chest volume during routine spirometry maneuvres. Methods: Patients were recruited from a general respiratory physiology laboratory. Spirometry was performed according to international standards using an unmodified spirometer. A Microsoft Kinect V2 time-of-flight depth sensor was used to reconstruct 3-dimensional models of the subject's thorax to estimate volume-time and flow-time curves following the introduction of a scaling factor to transform measurements to volume estimates. The Bland-Altman method was used to assess agreement of model estimation with simultaneous recordings from the spirometer. Patient characteristics were used to assess predictors of error using regression analysis and to further explore the scaling factors. Results: The chest volume change estimated by the Kinect camera during spirometry tracked respiratory rate accurately and estimated forced vital capacity (FVC) and vital capacity to within ± <1%. Forced expiratory volume estimation did not demonstrate acceptable limits of agreement, with 61.9% of readings showing >150 ml difference. Linear regression including age, gender, height, weight, and pack years of smoking explained 37.0% of the variance in the scaling factor for volume estimation. This technique had a positive predictive value of 0.833 to detect obstructive spirometry. Conclusion: These data illustrate the potential of 3D time-of-flight cameras to remotely monitor respiratory rate. This is not a replacement for conventional spirometry and needs further refinement. Further algorithms are being developed to allow its independence from spirometry. Benefits include simplicity of set-up, no specialist training, and cost. This technique warrants further refinement and validation in larger cohorts
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