Continuous health monitoring using e-textile integrated biosensors

In this work, continuous health monitoring for disabled or elderly people is proposed using textile integrated electrodes for ECG measurement. Other applications, such as EMG or skin impedance measurement are also envisaged. The paper specifically describes a shirt integrating electrodes for ECG measurement that has been tested in several conditions. The techniques for integration of ECG electrodes can be directly applied for production of EMG or skin-impedance electrodes.Signal processing techniques for heart rate value extraction and to deal with low-quality signal or motion artefacts are being tested and will also be described. Results show that signals acquired with the shirt are comparable to signals acquired with conventional gel electrodes. The complete integration of the electrodes into clothing may have a very interesting psychological benefit, but some issues related to comfort and daily use have to be further investigated.Fundação para a Ciência e a Tecnologia (FCT

Wearable biopotential measurement using the TI ADS1198 analog front-end and textile electrodes : signal conditioning and signal quality assessment

The development of mobile systems for monitoring bioelectric signals outside a hospital environment involves many challenges that do not arise when it is in a controlled environment, like a hospital. The dimensions of these systems are an important factor to consider in order to facilitate their use without interfering with the daily activities of individuals. The purpose of this work is the implementation of a single-supply battery-powered, low power ECG/EMG signal monitoring system based on the ADS1198 Analog Front-End from Texas Instruments. The system was designed to acquire ECG signals from three electrodes using the integrated Right-Leg-Drive (RLD) circuit from the ADS1198. The developed analog front-end was connected for testing purposes through the SPI interface to a NI-USB 8451 board and signals were acquired using LabVIEW. The circuit was tested in several situations and proved to provide high quality signals using textile integrated electrodes and conventional disposable gel electrodes.FEDER- “Programa Operacional Factores de Competitividade – COMPETE”, FCT - Fundação para a Ciência e a Tecnologia, projects PEst-C/CTM/UI0264/2011 and PTDC/EEA-ELC/70803/2006, and Instituto de Telecomunicaçõe

INFLUENCE OF SPLICES ON THE STABILITY BEHAVIOUR OF COLUMNS AND FRAMES

Abstract. The paper presents a study on the influence of splice connections on the stability behaviour of compressed steel columns. The column is modelled as two independent prismatic parts connected by a rotational spring at the splice location and rotational and extensional springs at the column ends to represent the effect of the adjacent structure. The general behaviour is characterized using a polynomial Rayleigh-Ritz approximation substituted into the potential energy function, in combination with the Lagrange's method of undetermined multipliers, and based on this model the critical load is found. The load-carrying capacity is analysed with respect to the following variables: (i) location and rotational stiffness of the splice, (ii) change in the column section serial size and (iii) column end-restraints stiffness coefficients. A nonlinear regression model is developed to predict simple relationships between the critical load and the relevant column characteristics

INFLUENCE OF SPLICES ON THE STABILITY BEHAVIOUR OF COLUMNS AND FRAMES

Abstract. The paper presents a study on the influence of splice connections on the stability behaviour of compressed steel columns. The column is modelled as two independent prismatic parts connected by a rotational spring at the splice location and rotational and extensional springs at the column ends to represent the effect of the adjacent structure. The general behaviour is characterized using a polynomial Rayleigh-Ritz approximation substituted into the potential energy function, in combination with the Lagrange's method of undetermined multipliers, and based on this model the critical load is found. The load-carrying capacity is analysed with respect to the following variables: (i) location and rotational stiffness of the splice, (ii) change in the column section serial size and (iii) column end-restraints stiffness coefficients. A nonlinear regression model is developed to predict simple relationships between the critical load and the relevant column characteristics

The role of enteric hormone GLP-2 in the response of bone markers to a mixed meal in postmenopausal women with type 2 diabetes mellitus

Abstract\ud \ud Background\ud Type 2 diabetes mellitus (T2D) is a complex disease associated with several chronic complications, including bone fragility and high fracture risk due to mechanisms not yet fully understood. The influence of the gastrointestinal tract and its hormones on bone remodeling has been demonstrated in healthy individuals. Glucagon-like peptide 2 (GLP-2), an enteric hormone secreted in response to nutrient intake, has been implicated as a mediator of nutrient effects on bone remodeling. This study aimed to analyze the dynamics of bone resorption marker C-terminal telopeptide of type I collagen (CTX), bone formation marker osteocalcin, and GLP-2 in response to a mixed meal in diabetic postmenopausal women.\ud \ud \ud Methods\ud Forty-three postmenopausal women with osteopenia or osteoporosis (20 controls – group CO – and 23 diabetic – group T2D) were subjected to a standard mixed meal tolerance test, with determination of serum CTX, plasma osteocalcin and serum GLP-2 concentrations at baseline and 30, 60, 120 and 180 minutes after the meal.\ud \ud \ud Results\ud T2D women had higher body mass index as well as higher femoral neck and total hip bone mineral density. At baseline, luteinizing hormone, follicle-stimulating hormone, osteocalcin and CTX levels were lower in group T2D. In response to the mixed meal, CTX and osteocalcin levels decreased and GLP-2 levels increased in both groups. The expected CTX suppression in response to the mixed meal was lower in group T2D.\ud \ud \ud Conclusions\ud Bone turnover markers were significantly reduced in T2D women at baseline. Confirming the role of nutrient intake as a stimulating factor, GLP-2 increased in response to the mixed meal in both groups. Importantly, CTX variation in response to the mixed meal was reduced in T2D women, suggesting abnormal response of bone remodeling to nutrient intake in T2D.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de nível superior (CAPES

Os primórdios da organização do espaço territorial e da vila cearense: algumas notas

This paper presents, in outline, the action taken by economic agents, representatives of the Church and the Portuguese State in organizing the space of the Captaincy of Ceará in the eighteenth century. The Portuguese State founded towns in strategic locations for better capitalization of the cattle breeder economy, where first settled sesmeiros and the Church. There was no reason or justification of geopolitical nature that demanded technical and financial investments by the Portuguese in the full adequacy of the local conditions to Portuguese urban guidelines. In the face of the late occupation, the article also discusses the late cartographic representation as expressing the lack of interests of the Portuguese administration in relation to a fuller understanding of the region

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Influence of splices on the stability behaviour of columns and frames

The paper presents a study on the influence of splice connections on the stability behaviour of compressed steel columns. The column is modelled as two independent prismatic parts connected by a rotational spring at the splice location and rotational and extensional springs at the column ends to represent the effect of the adjacent structure. The general behaviour is characterized using a polynomial Rayleigh-Ritz approximation substituted into the potential energy function, in combination with the Lagrange’s method of undetermined multipliers, and based on this model the critical load is found. The load-carrying capacity is analysed with respect to the following variables: (i) location and rotational stiffness of the splice, (ii) change in the column section serial size and (iii) column end-restraints stiffness coefficients. A nonlinear regression model is developed to predict simple relationships between the critical load and the relevant column characteristics