Evaluating tools to support a new practical classification of diabetes: excellent control may represent misdiagnosis and omission from disease registers is associated with worse control.

To conduct a service evaluation of usability and utility on-line clinical audit tools developed as part of a UK Classification of Diabetes project to improve the categorisation and ultimately management of diabetes

A layered surface acoustic wave gas sensor based on a polyaniline/In2O3 nanofibre composite

A polyaniline/In2O3 nanofibre composite based layered surface acoustic wave ( SAW) sensor has been developed and investigated for different gases. Chemical oxidative polymerization of aniline in the presence of finely divided In2O3 was employed to synthesize a polyaniline nanofibre/In2O3 nanoparticle composite. The nanocomposite was deposited onto a layered ZnO/64 degrees YX LiNbO3 SAW transducer. The novel sensor was exposed to H-2, NO2 and CO gases. Fast response and recovery times with good repeatability were observed at room temperature

Nanomaterial based room temperature Hydrogen gas sensors

Polyaniline (PANI) nanofiber and PANI/semi-conducting metal oxide nanofiber composites based layered surface acoustic wave (SAW) and conductometric sensors have been developed and investigated towards hydrogen (H<sub>2</sub>) gas. Chemical oxidative polymerization of aniline was employed to synthesize pure PANI nanofibers as well as PANI/semi-conducting metal oxide composites. The nano-materials were deposited onto layered ZnO/64deg YX LiNbO<sub>3</sub> SAW and conductometric transducers. The novel sensors were exposed to H<sub>2</sub> gas. Fast response and recovery with good repeatability were observed at room temperature

Polyaniline nanofiber based surface acoustic wave gas sensors - effect of nanofiber diameter on H2 response

A template-free rapidly mixed reaction was employed to synthesize polyaniline nanofibers using chemical oxidative polymerization of aniline. Hydrochloric acid (HCl) and camphor sulfonic acid (CSA) were used in the synthesis to obtain 30- and 50-nm average diameter polyaniline nanofibers. The nanofibers were deposited onto layered ZnO/64 degrees YX LiNbO3 surface-acoustic-wave transducers. The sensors were tested toward hydrogen (H-2) gas while operating at room temperature. The dopant for the polyaniline nanofiber synthesis was found to have a significant effect on the device sensitivity. The sensor response was found to be larger for the 50-nmdiameter CSA-doped nanofiber based sensors, while the response and recovery times were faster for the 30-nm diameter HCl-doped nanofibers

ZnO nanobelt based conductometric H2 and NO2 gas sensors

Conductometric H2 and NO2 gas sensors based on single-crystalline ZnO nanobelt sensitive layers have been developed. These layers were deposited using a rf magnetron sputterer. TEM and SEM characterization methods were employed to study the morphology of the nanobelts. These sensors were exposed to H2 and NO2 gases at operating temperatures between 225degC and 420degC. Study showed that sensors responded with highest magnitude at above 300degC. The fastest response and recovery times, with greater repeatability occurred at 385degC and 350degC for H2 and NO2 gases, respectively. Sensor with ZnO nanobelts has a much lower optimum operational temperature than that of conductometric sensors with other forms of ZnO crystal layers

Apnoeic oxygenation for emergency anaesthesia of pre-hospital trauma patients

Background Efficient and timely airway management is universally recognised as a priority for major trauma patients, a proportion of whom require emergency intubation in the pre-hospital setting. Adverse events occur more commonly in emergency airway management, and hypoxia is relatively frequent. The aim of this study was to establish whether passive apnoeic oxygenation was effective in reducing the incidence of desaturation during pre-hospital emergency anaesthesia. Methods A prospective before-after study was performed to compare patients receiving standard care and those receiving additional oxygen via nasal prongs. The primary endpoint was median oxygen saturation in the peri-rapid sequence induction period, (2 minutes pre-intubation to 2 minutes post-intubation) for all patients. Secondary endpoints included the incidence of hypoxia in predetermined subgroups. Results Of 725 patients included; 188 patients received standard treatment and 537 received the intervention. The overall incidence of hypoxia (first recorded SpO2 < 90%) was 16.7%; 10.9% had SpO2 < 85%. 98/725 patients (13.5%) were hypoxic post-intubation (final SpO2 < 90% 10 minutes post-intubation). Median SpO2 was 100% vs. 99% for the standard vs. intervention group. There was a statistically significant benefit from apnoeic oxygenation in reducing the frequency of peri-intubation hypoxia (SpO2  95%, p = 0.0001. The other significant benefit was observed in the recovery phase for patients with severe hypoxia prior to intubation. Conclusion Apnoeic oxygenation did not influence peri-intubation oxygen saturations, but it did reduce the frequency and duration of hypoxia in the post-intubation period. Given that apnoeic oxygenation is a simple low-cost intervention with a low complication rate, and that hypoxia can be detrimental to outcome, application of nasal cannulas during the drug-induced phase of emergency intubation may benefit a subset of patients undergoing emergency anaesthesia.publishedVersio