Artificial pancreas systems for people with type 2 diabetes: Conception and design of the european CLOSE project

In the last 10 years tremendous progress has been made in the development of artificial pancreas (AP) systems for people with type 1 diabetes (T1D). The pan-European consortium CLOSE (Automated Glucose Control at Home for People with Chronic Disease) is aiming to develop integrated AP solutions (APplus) tailored to the needs of people with type 2 diabetes (T2D). APplus comprises a product and service package complementing the AP system by obligatory training as well as home visits and telemedical consultations on demand. Outcome predictors and performance indicators shall help to identify people who could benefit most from AP usage and facilitate the measurement of AP impact in diabetes care. In a first step CLOSE will establish a scalable APplus model case working at the interface between patients, homecare service providers, and payers in France. CLOSE will then scale up APplus by pursuing geographic distribution, targeting additional audiences, and enhancing AP functionalities and interconnectedness. By being part of the European Institute of Innovation and Technology (EIT) Health public-private partnership, CLOSE is committed to the EIT “knowledge triangle” pursuing the integrated advancement of technology, education, and business creation. Putting stakeholders, education, and impact into the center of APplus advancement is considered key for achieving wide AP use in T2D care

Early Diagnosis of Vegetation Health From High-Resolution Hyperspectral and Thermal Imagery: Lessons Learned From Empirical Relationships and Radiative Transfer Modelling

[Purpose of Review] We provide a comprehensive review of the empirical and modelling approaches used to quantify the radiation–vegetation interactions related to vegetation temperature, leaf optical properties linked to pigment absorption and chlorophyll fluorescence emission, and of their capability to monitor vegetation health. Part 1 provides an overview of the main physiological indicators (PIs) applied in remote sensing to detect alterations in plant functioning linked to vegetation diseases and decline processes. Part 2 reviews the recent advances in the development of quantitative methods to assess PI through hyperspectral and thermal images.[Recent Findings] In recent years, the availability of high-resolution hyperspectral and thermal images has increased due to the extraordinary progress made in sensor technology, including the miniaturization of advanced cameras designed for unmanned aerial vehicle (UAV) systems and lightweight aircrafts. This technological revolution has contributed to the wider use of hyperspectral imaging sensors by the scientific community and industry; it has led to better modelling and understanding of the sensitivity of different ranges of the electromagnetic spectrum to detect biophysical alterations used as early warning indicators of vegetation health.[Summary] The review deals with the capability of PIs such as vegetation temperature, chlorophyll fluorescence, photosynthetic energy downregulation and photosynthetic pigments detected through remote sensing to monitor the early responses of plants to different stressors. Various methods for the detection of PI alterations have recently been proposed and validated to monitor vegetation health. The greatest challenges for the remote sensing community today are (i) the availability of high spatial, spectral and temporal resolution image data; (ii) the empirical validation of radiation–vegetation interactions; (iii) the upscaling of physiological alterations from the leaf to the canopy, mainly in complex heterogeneous vegetation landscapes; and (iv) the temporal dynamics of the PIs and the interaction between physiological changes.The authors received funding provided by the FluorFLIGHT (GGR801) Marie Curie Fellowship, the QUERCUSAT and ESPECTRAMED projects (Spanish Ministry of Economy and Competitiveness), the Academy of Finland (grants 266152, 317387) and the European Research Council Synergy grant ERC-2013-SyG-610028 IMBALANCE-P.Peer reviewe

Quantifying Vegetation Biophysical Variables from Imaging Spectroscopy Data: A Review on Retrieval Methods

An unprecedented spectroscopic data stream will soon become available with forthcoming Earth-observing satellite missions equipped with imaging spectroradiometers. This data stream will open up a vast array of opportunities to quantify a diversity of biochemical and structural vegetation properties. The processing requirements for such large data streams require reliable retrieval techniques enabling the spatiotemporally explicit quantification of biophysical variables. With the aim of preparing for this new era of Earth observation, this review summarizes the state-of-the-art retrieval methods that have been applied in experimental imaging spectroscopy studies inferring all kinds of vegetation biophysical variables. Identified retrieval methods are categorized into: (1) parametric regression, including vegetation indices, shape indices and spectral transformations; (2) nonparametric regression, including linear and nonlinear machine learning regression algorithms; (3) physically based, including inversion of radiative transfer models (RTMs) using numerical optimization and look-up table approaches; and (4) hybrid regression methods, which combine RTM simulations with machine learning regression methods. For each of these categories, an overview of widely applied methods with application to mapping vegetation properties is given. In view of processing imaging spectroscopy data, a critical aspect involves the challenge of dealing with spectral multicollinearity. The ability to provide robust estimates, retrieval uncertainties and acceptable retrieval processing speed are other important aspects in view of operational processing. Recommendations towards new-generation spectroscopy-based processing chains for operational production of biophysical variables are given

The impact of intrinsic and extrinsic factors on the job satisfaction of dentists

The Two-Factor Theory of job satisfaction distinguishes between intrinsic-motivation (i.e. recognition, responsibility) and extrinsic-hygiene (i.e. job security, salary, working conditions) factors. The presence of intrinsic-motivation facilitates higher satisfaction and performance, whereas the absences of extrinsic factors help mitigate against dissatisfaction. The consideration of these factors and their impact on dentists’ job satisfaction is essential for the recruitment and retention of dentists.Objectives: The objective of the study is to assess the level of job satisfaction of German dentists and the factors that are associated with it.Methods: This cross-sectional study was based on a job satisfaction survey. Data were collected from 147 dentists working in 106 dental practices. Job satisfaction was measured with the 10-item Warr-Cook-Wall job satisfaction scale. Organizational characteristics were measured with two items. Linear regression analyses were performed in which each of the nine items of the job satisfaction scale (excluding overall satisfaction) were handled as dependent variables. A stepwise linear regression analysis was performed with overall job satisfaction as the dependent outcome variable, the nine items of job satisfaction and the two items of organizational characteristics controlled for age and gender as predictors.Results: The response rate was 95.0%. Dentists were satisfied with ‘freedom of working method’ and mostly dissatisfied with their ‘income’. Both variables are extrinsic factors. The regression analyses identified five items that were significantly associated with each item of the job satisfaction scale: ‘age’, ‘mean weekly working time’, ‘period in the practice’, ‘number of dentist's assistant’ and ‘working atmosphere’. Within the stepwise linear regression analysis the intrinsic factor ‘opportunity to use abilities’ (β = 0.687) showed the highest score of explained variance (R2 = 0.468) regarding overall job satisfaction.Conclusions: With respect to the Two-Factor Theory of job satisfaction both components, intrinsic and extrinsic, are essential for dentists but the presence of intrinsic motivating factors like the opportunity to use abilities has most positive impact on job satisfaction. The findings of this study will be helpful for further activities to improve the working conditions of dentists and to ensure quality of car