6 research outputs found

    LIS–lnterlink—connecting laboratory information systems to remote primary health–care centres via the Internet

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    A pilot study was performed to evaluate the feasibility of using the Internet to securely deliver patient laboratory results, and the system has subsequently gone into routine use in Poland. The system went from design to pilot and then to live implementation within a four-month period, resulting in the LIS-Interlink software product. Test results are retrieved at regular intervals from the BioLinkTM LIS (Laboratory Information System), encrypted and transferred to a secure area on the Web server. The primary health-care centres dial into the Internet using a local-cell service provided by Polish Telecom (TP), obtain a TCP/IP address using the TP DHCP server, and perform HTTP ‘get’ and ‘post’ operations to obtain the files by secure handshaking. The data are then automatically inserted into a local SQL database (with optional printing of incoming reports)for cumulative reporting and searching functions. The local database is fully multi-user and can be accessed from different clinics within the centres by a variety of networking protocols

    Integration of Sonoelastography Into the TIRADS Lexicon Could Influence the Classification

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    Aim: Numerous TIRADS (Thyroid Image Reporting and Data System) classifications have been developed, and various ultrasound (US) parameters are employed in different countries. The aim of our study was to introduce risk classification and management in a native population based on the Guidelines of Polish National Societies Diagnostics and Treatment of Thyroid Carcinoma but with the addition of sonoelastography.Materials and Methods: We examined prospectively 208 patients with 305 thyroid lesions employing B-mode ultrasound and sonoelastography (SE). Nodule composition, echogenicity, margins, shape, presence or absence of calcifications, thyroid capsule, nodule size were assessed using B-mode ultrasound. Moreover, sonoelastography results were presented using the Asteria scale.Results: In univariate analysis, the following US features were significantly associated with malignancy: >50% solid /solid component, marked hypoechogenicity, ill-defined margins, micro and macrocalcification, taller-than wide shape, no/partial halo pattern, infiltration of the capsule and an Asteria score of 4. Multivariate logistic regression analysis of B-mode features revealed that ill-defined margins (OR 10.77), markedly hypoechogenicity (OR 5.12), microcalcifications (OR 4.85), thyroid capsule infiltrations (OR 3.2), macrocalcifications (OR 3.01), and hard lesion in SE (OR 6.85) were associated with a higher Odds Ratio (OR) for malignancy. Multivariate logistic regression analysis revealed that combining two features increases the OR and the best combination was irregular margins and Asteria scale 4 (OR 20.21). Adding a third feature did not increase the OR.Conclusions: Sonoelastography increases the value risk of predicted malignancy, with consequent different approach to further clinical investigation and management. A solitary feature (Asteria 4) in a solid tumor can result in its categorization as TIRADS 4, but coexistence with high risk features allows it to be upgraded to TIRADS 5. The irregular margin was the strongest single feature which allowed for the assignment of a solid tumor into TIRADS 5 category. The highest accuracy was found by combining the features of age, margin, echogenicity (markedly hypoechoic), capsule infiltration, microcalcifications and sonoelastography (Asteria 3,4) of the tumors

    Method to Increase the Accuracy of Large Crankshaft Geometry Measurements Using Counterweights to Minimize Elastic Deformations

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    Large crankshafts are highly susceptible to flexural deformation that causes them to undergo elastic deformation as they revolve, resulting in incorrect geometric measurements. Additional structural elements (counterweights) are used to stabilize the forces at the supports that fix the shaft during measurements. This article describes the use of temporary counterweights during measurements and presents the specifications of the measurement system and method. The effect of the proposed solution on the elastic deflection of a shaft was simulated with FEA, which showed that the solution provides constant reaction forces and ensures nearly zero deflection at the supported main journals of a shaft during its rotation (during its geometry measurement). The article also presents an example of a design solution for a single counterweight

    Potential of Pine Needle Biomass for Bioethanol Production

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    Currently, fossil fuels are used to produce fuels and electricity, which are finite sources and have a negative impact on the natural environment. An excellent alternative to these fuels is biofuels, such as bioethanol from waste forest biomass. Pine needles are one of the most important available forest biomass materials with s significant impact on local understory vegetation. Forest waste biomass, which is a rich source of lignocellulose, can be used in various ways, such as for the eco-economical production of bioethanol. The aim of this study was to analyze the possibilities of bioethanol production from pine needle biomass obtained from forest land following different soil preparations and logging residue management. The pine needle dry matter yield, chemical components of pine needle biomass (cellulose, hemicellulose, lignin), and the amount of ethanol yield per hectare were evaluated. The highest average yield pine needle equal to 6.17 Mg∙ha−1 was observed. Bioethanol yield per hectare from this biomass was the highest for plowing with the LPZ-75 plow and was 1.08 m3∙ha−1. The discussed results were confirmed by detailed statistical analysis. To sum up, the researched pine needle biomass turned out to be an interesting raw material with the potential for bioethanol production
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