A low-cost sensing system for quality monitoring of dairy products

The dairy industry is in need of a cost-effective, highly reliable, very accurate, and fast measurement system to monitor the quality of dairy products. This paper describes the design and fabrication works undertaken to develop such a system. The techniques used center around planar electromagnetic sensors operating with radio frequency excitation. Computer-aided computation, being fast, facilitates on-line monitoring of the quality. The sensor technology proposed has the ability to perform volumetric penetrative measurements to measure properties throughout the bulk of the product

Discovery and validation for composite services on the semantic web

urrent technology for locating and validating composite services are not sufficient due to the following reasons. • Current frameworks do not have the capacity to create complete service descriptions since they do not model all the functional aspects together (i.e. the purpose of a service, state transitions, data transformations). Those that deal with behavioural descriptions are unable to model the ordering constraints between concurrent interactions completely since they do not consider the time taken by interactions. Furthermore, there is no mechanism to assess the correctness of a functional description. • Existing semantic-based matching techniques cannot locate services that conform to global constraints. Semantic-based techniques use ontological relationships to perform mappings between the terms in service descriptions and user requests. Therefore, unlike techniques that perform either direct string matching or schema matching, semantic-based approaches can match descriptions created with different terminologies and achieve a higher recall. Global constraints relate to restrictions on values of two or more attributes of multiple constituent services. • Current techniques that generate and validate global communication models of composite services yield inaccurate results (i.e. detect phantom deadlocks or ignore actual deadlocks) since they either (i) do not support all types of interactions (i.e. only send and receive, not service and invoke) or (ii) do not consider the time taken by interactions. This thesis presents novel ideas to deal with the stated limitations. First, we propose two formalisms (WS-ALUE and WS-π-calculus) for creating functional and behavioural descriptions respectively. WS-ALUE extends the Description Logic language ALUE with some new predicates and models all the functional aspects together. WS-π-calculus extends π-calculus with Interval Time Logic (ITL) axioms. ITL axioms accurately model temporal relationships between concurrent interactions. A technique comparing a WS-π-calculus description of a service against its WS-ALUE description is introduced to detect any errors that are not equally reflected in both descriptions. We propose novel semantic-based matching techniques to locate composite services that conform to global constraints. These constraints are of two types: strictly dependent or independent. A constraint is of the former type if the values that should be assigned to all the remaining restricted attributes can be uniquely determined once a value is assigned to one. Any global constraint that is not strictly dependent is independent. A complete and correct technique that locates services that conform to strictly dependent constraints in polynomial time, is defined using a three-dimensional data cube. The proposed approach that deals with independent constraints is correct, but not complete, and is a heuristic approach. It incorporates user defined objective functions, greedy algorithms and domain rules to locate conforming services. We propose a new approach to generate global communication models (of composite services) that are free of deadlocks and synchronisation conflicts. This approach is an extension of a transitive temporal reasoning mechanism

Inter-observer reliability of preoperative cardiopulmonary exercise test interpretation: a cross-sectional study.

BACKGROUND: Despite the increasing importance of cardiopulmonary exercise testing (CPET) for preoperative risk assessment, the reliability of CPET interpretation is unclear. We aimed to assess inter-observer reliability of preoperative CPET. METHODS: We conducted a prospective, multi-centre, observational study of preoperative CPET interpretation. Participants were professionals with previous experience or training in CPET, assessed by a standardized questionnaire. Each participant interpreted 100 tests using standardized software. The CPET variables of interest were oxygen consumption at the anaerobic threshold (AT) and peak oxygen consumption (VO2 peak). Inter-observer reliability was measured using intra-class correlation coefficient (ICC) with a random effects model. Results are presented as ICC with 95% confidence interval, where ICC of 1 represents perfect agreement and ICC of 0 represents no agreement. RESULTS: Participants included 8/28 (28.6%) clinical physiologists, 10 (35.7%) junior doctors, and 10 (35.7%) consultant doctors. The median previous experience was 140 (inter-quartile range 55-700) CPETs. After excluding the first 10 tests (acclimatization) for each participant and missing data, the primary analysis of AT and VO2 peak included 2125 and 2414 tests, respectively. Inter-observer agreement for numerical values of AT [ICC 0.83 (0.75-0.90)] and VO2 peak [ICC 0.88 (0.84-0.92)] was good. In a post hoc analysis, inter-observer agreement for identification of the presence of a reportable AT was excellent [ICC 0.93 (0.91-0.95)] and a reportable VO2 peak was moderate [0.73 (0.64-0.80)]. CONCLUSIONS: Inter-observer reliability of interpretation of numerical values of two commonly used CPET variables was good (>80%). However, inter-observer agreement regarding the presence of a reportable value was less consistent.TEFA was supported by a Medical Research Council and British Journal of Anaesthesia clinical research training fellowship. AL was supported by the NIHR Biomedical Research Centre at Barts Health NHS Trust and a “SmartHeart” EPSRC programme grant (EP/P001009/1

Treating tobacco dependence in older adults: a survey of primary care clinicians’ knowledge, attitudes, and practice

BACKGROUND: The benefits of smoking cessation among older people are well documented. Despite this, evidence suggests that older smokers are rarely engaged in smoking cessation efforts, and that existing tobacco dependence treatments require further tailoring to the specific needs of older smokers. This study assesses the knowledge, attitudes, and clinical practice of primary care clinicians in relation to addressing tobacco dependence among older people. METHODS: A cross-sectional survey of 427 NHS primary care clinicians in a large English city was conducted using modified version of a previously validated questionnaire. RESULTS: One hundred and seventy one clinicians (40 % response rate) completed the survey. While the majority (90.0 %) of respondents reported enquiring regularly about older patients’ smoking status, just over half (59.1 %) reported providing older patients with smoking cessation support. A lack of awareness in relation to the prevalence and impact of smoking in later life were apparent: e.g. only 47 % of respondents were aware of that approximately 10 life years are lost due to smoking related disease, and only 59 % knew that smoking can reduce the effectiveness of medication prescribed for conditions common in later life. Self-reported attendance at smoking-related training was significantly associated with proactive clinical practice. CONCLUSIONS: There is a need to improve clinicians’ knowledge, in relation to smoking and smoking cessation in older patients and to build clinician confidence in seizing teachable moments. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12875-015-0317-7) contains supplementary material, which is available to authorized users

Physician and patient attitudes towards complementary and alternative medicine in obstetrics and gynecology

<p>Abstract</p> <p>Background</p> <p>In the U.S., complementary and alternative medicine (CAM) use is most prevalent among reproductive age, educated women. We sought to determine general attitudes and approaches to CAM among obstetric and gynecology patients and physicians.</p> <p>Methods</p> <p>Obstetrician-gynecologist members of the American Medical Association in the state of Michigan and obstetric-gynecology patients at the University of Michigan were surveyed. Physician and patient attitudes and practices regarding CAM were characterized.</p> <p>Results</p> <p>Surveys were obtained from 401 physicians and 483 patients. Physicians appeared to have a more positive attitude towards CAM as compared to patients, and most reported routinely endorsing, providing or referring patients for at least one CAM modality. The most commonly used CAM interventions by patients were divergent from those rated highest among physicians, and most patients did not consult with a health care provider prior to starting CAM.</p> <p>Conclusion</p> <p>Although obstetrics/gynecology physicians and patients have a positive attitude towards CAM, physician and patients' view of the most effective CAM therapies were incongruent. Obstetrician/gynecologists should routinely ask their patients about their use of CAM with the goal of providing responsible, evidence-based advice to optimize patient care.</p

Documenting the Recovery of Vascular Services in European Centres Following the Initial COVID-19 Pandemic Peak: Results from a Multicentre Collaborative Study

Objective: To document the recovery of vascular services in Europe following the first COVID-19 pandemic peak. Methods: An online structured vascular service survey with repeated data entry between 23 March and 9 August 2020 was carried out. Unit level data were collected using repeated questionnaires addressing modifications to vascular services during the first peak (March – May 2020, “period 1”), and then again between May and June (“period 2”) and June and July 2020 (“period 3”). The duration of each period was similar. From 2 June, as reductions in cases began to be reported, centres were first asked if they were in a region still affected by rising cases, or if they had passed the peak of the first wave. These centres were asked additional questions about adaptations made to their standard pathways to permit elective surgery to resume. Results: The impact of the pandemic continued to be felt well after countries’ first peak was thought to have passed in 2020. Aneurysm screening had not returned to normal in 21.7% of centres. Carotid surgery was still offered on a case by case basis in 33.8% of centres, and only 52.9% of centres had returned to their normal aneurysm threshold for surgery. Half of centres (49.4%) believed their management of lower limb ischaemia continued to be negatively affected by the pandemic. Reduced operating theatre capacity continued in 45.5% of centres. Twenty per cent of responding centres documented a backlog of at least 20 aortic repairs. At least one negative swab and 14 days of isolation were the most common strategies used for permitting safe elective surgery to recommence. Conclusion: Centres reported a broad return of services approaching pre-pandemic “normal” by July 2020. Many introduced protocols to manage peri-operative COVID-19 risk. Backlogs in cases were reported for all major vascular surgeries