Tracing and cataloguing knowledge in an e-health cardiology environment

AbstractIn an e-health cardiology environment, the current knowledge engineering systems can support two knowledge processes; the knowledge tracing, and the knowledge cataloguing.We have developed an n-tier system capable of supporting these processes by enabling human collaboration in each phase along with, a prototype scalable knowledge engineering tactic. A knowledge graph is used as a dynamic information structure. Biosignal data (values of HR, QRS, and ST variables) from 86 patients were used; two general practitioners defined and updated the patients’ clinical management protocols; and feedback was inserted retrospectively. Several calibration tests were also performed.The system succeeded in formulating three knowledge catalogues per patient, namely, the “patient in life”, the “patient in time”, and the “patient in action”.For each patient the clinically accepted normal limits of each variable were predicted with an accuracy of approximately 95%. The patients’ risk-levels were identified accurately, and in turn, the errors were reduced. The data and the expert-oriented feedback were also time-stamped correctly and synchronized under a common time-framework.Knowledge processes optimization necessitates human collaboration and scalable knowledge engineering tactics. Experts should be responsible for resenting or rejecting a process if it downgrades the provided healthcare quality

Deep Eutectic Mn(NO3)2−H2O Binary System as a Safe, Cost-Effective, and Efficient Electrolyte for Supercapacitor Applications

Deep eutectic solvents (DESs) have proved to be an effective substitute for conventional electrolytes for energy storage applications because of their unique properties and ability to adapt them to specific applications. In this regard, this study examines an easy-to-produce, widely available and cheap manganese nitrate concentrated electrolyte that holds DES traits. The electrolyte (i. e., manganese nitrate; (Mn(NO3)2 ⋅ 6H2O with a weight composition of 42 %) revealed its eutectic behaviour by benchmarking the eutectic distance (53 °C), thermal expansion coefficient (3.9×10−4 K), activation energy for conductivity (∼2.45 kJ mol−1), and viscosity (14 kJ mol−1). What's more, it was successfully incorporated into a two-electrode symmetric supercapacitor comprising activated carbon electrodes and demonstrated specific capacitance retention of 93 % (170 F g−1) through 2000 consecutive galvanostatic charge-discharge cycles at 25 and −20 °C

Characterization of breast calcification types using dual energy X-ray method

Calcifications are products of mineralization whose presence is usually associated with pathological conditions. The minerals mostly seen in several diseases are calcium oxalate (CaC2O4), calcium carbonate (CaCO3) and hydroxyapatite (HAp). Up to date, there is no in-vivo method that could discriminate between minerals. To this aim, a dual energy X-ray method was developed in the present study. An analytical model was implemented for the determination of the Calcium/Phosphorus mass ratio (mca/mp ). The simulation was carried out using monoenergetic and polyenergetic X-rays and various calcification thicknesses (100 to 1000 um) and types (CaC2O4, CaCO3, HAp). The experimental evaluation of the method was performed using the optimized irradiation conditions obtained from the simulation study. X-ray tubes, combined with energy dispersive and energy integrating (imaging) detectors, were used for the determination of the mca/mp in phantoms of different mineral types and thicknesses. Based on the results of the experimental procedure, statistical significant difference was observed between the different types of minerals when calcification thicknesses were 300 um or higher

An Electrochemical Study on the Cathode of the Intermediate Temperature Tubular Sodium-Sulfur (NaS) Battery

The development of low-cost energy storage schemes is imminent in light of the ever-growing demand of electricity. Sodium-sulfur (NaS) batteries offer low-cost technology for energy storage applications due to the intrinsically high capacities of elemental sodium and sulfur as well as their abundant resources. Operating this battery technology on the intermediate range (130-200 degrees C) can lead to lower material costs, mitigate thermal management and safety issues and enhance cycle life. Herein, an electrochemical study on the cathode of the IT NaS cell is performed at 150 degrees C and a concentration range of 1.5 to 3 M sodium pentasulfide dissolved in tetraglyme, showing a robust long term performance (42 days of continuous cycling) with a volumetric energy density of 83 Wh L-1. Most importantly, the cell was eligible for a tenfold volume scale-up considerably enhancing its capacity (790 mAh) but in the same time somewhat hindered by mass transport, especially during the end of the discharge process as manifested by electrochemical impedance spectroscopy.</p

Dual Energy Method for Breast Imaging: A Simulation Study

Dual energy methods can suppress the contrast between adipose and glandular tissues in the breast and therefore enhance the visibility of calcifications. In this study, a dual energy method based on analytical modeling was developed for the detection of minimum microcalcification thickness. To this aim, a modified radiographic X-ray unit was considered, in order to overcome the limited kVp range of mammographic units used in previous DE studies, combined with a high resolution CMOS sensor (pixel size of 22.5 m) for improved resolution. Various filter materials were examined based on their K-absorption edge. Hydroxyapatite (HAp) was used to simulate microcalcifications. The contrast to noise ratio (CNR ) of the subtracted images was calculated for both monoenergetic and polyenergetic X-ray beams. The optimum monoenergetic pair was 23/58 keV for the low and high energy, respectively, resulting in a minimum detectable microcalcification thickness of 100 m. In the polyenergetic X-ray study, the optimal spectral combination was 40/70 kVp filtered with 100 m cadmium and 1000 m copper, respectively. In this case, the minimum detectable microcalcification thickness was 150 m. The proposed dual energy method provides improved microcalcification detectability in breast imaging with mean glandular dose values within acceptable levels

Dual energy subtraction method for breast calcification imaging

The aim of this work was to present an experimental dual energy (DE) method for the visualization of microcalcifications (μCsμCs). A modified radiographic X-ray tube combined with a high resolution complementary metal-oxide-semiconductor (CMOS) active pixel sensor (APS) X-ray detector was used. A 40/70 kV spectral combination was filtered with 100 μmμm cadmium (Cd) and 1000 μmμm copper (Cu) for the low/high-energy combination. Homogenous and inhomogeneous breast phantoms and two calcification phantoms were constructed with various calcification thicknesses, ranging from 16 to 152 μmμm. Contrast-to-noise ratio (CNR) was calculated from the DE subtracted images for various entrance surface doses. A calcification thickness of 152 μmμm was visible, with mean glandular doses (MGD) in the acceptable levels (below 3 mGy). Additional post-processing on the DE images of the inhomogeneous breast phantom resulted in a minimum visible calcification thickness of 93 μmμm (MGD=1.62 mGy). The proposed DE method could potentially improve calcification visibility in DE breast calcification imaging

Stress avulsion of the tibial tuberosity after tension band wiring of a patellar fracture: a case report

INTRODUCTION: To the best of our knowledge there is no other report of an elderly patient who was surgically treated for a patellar fracture with tension band wiring and who subsequently suffered from an avulsion fracture of the tibial tuberosity. The combination of a patellar fracture and avulsion of the patellar ligament has only been described as complication after bone-patellar tendon-bone anterior cruciate ligament reconstructions. However, due to demographic changes and more elderly patients treated this injury may become more frequent in future. CASE PRESENTATION: We present the case of an 81 year old female who sustained an oblique patellar fracture after a direct contact injury of the left knee when falling on ice. Consequently the patellar fracture was openly reduced and stabilized with tension band wiring. The follow-up was uneventful till three months after surgery when the patient noticed a spontaneous avulsion fracture of the tibial tuberosity (Ogden type 3). The tibial tuberosity fragment was reattached with two non-resorbable sutures looped around two modified AO cortical 3.5 mm long neck screws. Intraoperatively multiple bone cysts were seen. Biopsies were not taken to prevent further fragmentation of the tibial tuberosity. The patient was followed up with anteroposterior and lateral full weight bearing radiographs and clinical assessment at 6, 12 weeks and 6 months after surgery. Recovery was completely pain free with full satisfaction. CONCLUSION: In conclusion in elderly patients with a patella fracture a possible associated but not obvious fracture of the tibial tuberosity should be ruled out and the postoperative rehabilitation protocol after tension band wiring of the patella might have to be individually adjusted to bone quality and course of the fracture

In vivo evaluation of a vibration analysis technique for the per-operative monitoring of the fixation of hip prostheses

<p>Abstract</p> <p>Background</p> <p>The per-operative assessment of primary stem stability may help to improve the performance of total hip replacement. Vibration analysis methods have been successfully used to assess dental implant stability, to monitor fracture healing and to measure bone mechanical properties. The objective of the present study was to evaluate in vivo a vibration analysis-based endpoint criterion for the insertion of the stem by successive surgeon-controlled hammer blows.</p> <p>Methods</p> <p>A protocol using a vibration analysis technique for the characterisation of the primary bone-prosthesis stability was tested in 83 patients receiving a custom-made, intra-operatively manufactured stem prosthesis. Two groups were studied: one (n = 30) with non cemented and one (n = 53) with partially cemented stem fixation. Frequency response functions of the stem-femur system corresponding to successive insertion stages were compared.</p> <p>Results</p> <p>The correlation coefficient between the last two frequency response function curves was above 0.99 in 86.7% of the non cemented cases. Lower values of the final correlation coefficient and deviations in the frequency response pattern were associated with instability or impending bone fracture. In the cases with a partially cemented stem an important difference in frequency response function between the final stage of non cemented trial insertion and the final cemented stage was found in 84.9% of the cases. Furthermore, the frequency response function varied with the degree of cement curing.</p> <p>Conclusion</p> <p>The frequency response function change provides reliable information regarding the stability evolution of the stem-femur system during the insertion. The protocol described in this paper can be used to accurately detect the insertion end point and to reduce the risk for intra-operative fracture.</p

Mechanical analysis of infant carrying in hominoids

In all higher nonhuman primates, species survival depends upon safe carrying of infants clinging to body hair of adults. In this work, measurements of mechanical properties of ape hair (gibbon, orangutan, and gorilla) are presented, focusing on constraints for safe infant carrying. Results of hair tensile properties are shown to be species-dependent. Analysis of the mechanics of the mounting position, typical of heavier infant carrying among African apes, shows that both clinging and friction are necessary to carry heavy infants. As a consequence, a required relationship between infant weight, hair–hair friction coefficient, and body angle exists. The hair–hair friction coefficient is measured using natural ape skin samples, and dependence on load and humidity is analyzed. Numerical evaluation of the equilibrium constraint is in agreement with the knuckle-walking quadruped position of African apes. Bipedality is clearly incompatible with the usual clinging and mounting pattern of infant carrying, requiring a revision of models of hominization in relation to the divergence between apes and hominins. These results suggest that safe carrying of heavy infants justify the emergence of biped form of locomotion. Ways to test this possibility are foreseen here