Diabetic Patients are often Sub-Optimally Aware about their Disease and its Treatment

Background: Diabetes mellitus (DM) represents a continuously growing worldwide threat with major financial impact on the healthcare systems. The importance of tight glycaemic control in patients with DM type II is well established and is most effectively accomplished with the proper cooperation of both the treating physicians aswell as the treated subjects.Aims: The aim of our study was to evaluate the level of awareness of patients with DM type II about the various aspects of DM, including the nature of the disease, its precipitating factors and complications, as well as its treatment.Methodology: The patients were asked to complete anonymously a questionnaire concerning their knowledge about diabetes, its basic pathophysiology and complications, the treatment options and possible side-effects. Data were analyzed using STATA statistical software (Version 9.0).Results: Eighty patients were on oral hypoglycaemic agents (OHA), 34 on insulin while 4 were under a hybrid treatment. Among patients on OHA, 40 patients (50%) were taking a combination of them. 13.4% of the sample was aware of what DM stands for, 84.9% did not know the type of DM they were suffering from, while (85.7%) considered that obesity plays a major role in the pathogenesis of DM. Concerning the therapy of DM, only 54.83% of the patients were aware of the brand names of their antidiabetic medication, 88.2% did not know theirway of action, while 60.5% did not know the possible side effects. The majority of the sample, 60.5%, assumed that blood glucose should be measured only before meals.Conclusions: The knowledge of the subjects visiting the center for the first time was found to be inadequate. This is probably due to inadequate information, non-availability of educational material and improper guidance

Best practices for developing a human centered monitoring system for CO2 storage projects through a collaborative and interdisciplinary research approach

This deliverable was created in the context of the European ACT II project DigiMon and is part of work package 3 (designing a human-centered monitoring system), task 3.3 (evaluation of the research process and writing best practices report)

Project report on WP1 outcomes relevant to other WPs

This report summaries some of the key technologies that have been studied and developed through WP1 with the purpose of transferring these finding to other WPs in the DigiMon project. The objective of the DigiMon project is to develop an early-warning system for Carbon Capture and Storage (CCS) which utilises a broad range of sensor technologies including Distributed Acoustic Sensing (DAS). While the system is primarily focused on the CCS projects located in the shallow offshore environment of the North Sea, it is also intended to be adaptable to onshore settings. Some of the key areas that the systems will monitor include the movement of the plume within the reservoir, well integrity and CO2 leakage into the overburden. A combination of different methods will be adopted to monitor these key areas, which include active and passive seismics, gravimetry, temperature and chemical sensing. This report focuses on technology and methods which have been developed by the DigiMon project and is not intended as a technology review, which is instead the focus of the DigiMon deliverable 2.3 Technology Readiness Assessment

An updated ground thermal properties database for GSHP applications

Abstract When a new ground source heat exchanger field is planned, underground thermal properties input data are necessary for the correct sizing of the geo-exchange system. To support the design, the EU founded Cheap-GSHPs project developed a Decision Support System, that comprises a new database of thermal properties for both rocks and unconsolidated sediments. The thermal properties database has been developed by integrating and comparing data (1) provided by the most important international guidelines, (2) acquired from a wide literature review and (3) obtained from more than 400 direct measurements. The data are mainly thermal conductivity data, hence the convective contribution provided by groundwater flow to heat transfer is not included. This paper presents and analyses the collected database

Critical technology elements (WP1)

The overall objective of the DigiMon project is to “accelerate the implementation of CCS by developing and demonstrating an affordable, flexible, societally embedded and smart Digital Monitoring early warning system”, for monitoring any CO2 storage reservoir and subsurface barrier system. Within the project the objective of WP1 was to develop individual technologies, data acquisition, analysis techniques and workflows in preparation for inclusion in the DigiMon system. The technologies and data processing techniques developed as part of WP1 include distributed fibre-optic sensing (DFOS) for seismic surveys and chemical sensing, 4D gravity and seafloor deformation measurements, a new seismic source and seismic monitoring survey design. For these technologies the key targets for WP1 were • Develop individual components of the system to raise individual technology readiness levels (TRLs), • Validate and optimise processing software for individual system components, • Develop an effective Distributed Acoustic Sensing (DAS) data interpretation workflow. This work was performed with the expected outcomes of • Raising the DAS TRL for passive seismic monitoring, • An assessment the feasibility of using Distributed Chemical Sensing (DCS) for CO2 detection, • Reducing the cost of 4D gravity and seafloor deformation measurements

Hypertension in the elderly

The elderly are the most rapidly growing population group in the world. Data collected over a 30-year period have demonstrated the increasing prevalence of hypertension with age. The risk of coronary artery disease, stroke, congestive heart disease, chronic kidney insufficiency and dementia is also increased in this subgroup of hypertensives. Hypertension in the elderly patients represents a management dilemma to cardiovascular specialists and other practioners. During the last years and before the findings of the Systolic Hypertension in Europe Trial were published, the general medical opinion considered not to decrease blood pressure values similarly to other younger patients, in order to avoid possible ischemic events and poor oxygenation of the organs (brain, heart, kidney). The aim of this review article is to highlight the importance of treating hypertension in aged population in order to improve their quality of life and lower the incidence of the cardiovascular complications

Correlations of Seismic Velocities and Elastic Moduli with Temperature in Superhot and Enhanced Geothermal Systems

This paper presents correlations derived by linear regression analysis of seismic velocities VP and VS and elastic moduli EP and ES with temperature in Los Humeros superhot (SHGS) and Acoculco enhanced (EGS) geothermal systems at depths down to 3 km below the surface and temperatures up to approximately 400 °C. In Los Humeros, the seismic velocity models were derived from the inversion of legacy active seismic survey data acquired in 1998, as well as from passive seismic monitoring and ambient seismic noise interferometry carried out during 2017–2019 by the GEMex consortium. In the Acoculco EGS, ambient seismic noise data were used. Steady-state formation temperatures were re-evaluated during and after the end of the GEMex project using measurements provided as a courtesy of the Federal Electricity Commission of Mexico (CFE). The density data needed for the calculation of elastic moduli were provided by the GEMex consortium, as derived from the inversion of regional and local gravity surveys. The analysis indicated that statistically significant correlations of seismic parameters to temperature exist in the vertical direction, namely exponential in Los Humeros superhot and logarithmic in Acoculco EGS, but no correlation was evident in the horizontal direction. This result suggests an indirect relationship among the considered variables due to interdependence on other parameters, such as pressure and vapor saturation. As the analysis was performed using only data obtained from sensing-at-surface methods, without direct geophysical calibration at depth, a distributed fiber-optic seismic and temperature sensing system at both surface and downhole is proposed for active-source and passive seismic monitoring, and seismic-while-drilling by the drill-bit source is considered for reverse vertical seismic profile (RVSP) recording whenever possible for future high-temperature geothermal applications

Correlations of Seismic Velocities and Elastic Moduli with Temperature in Superhot and Enhanced Geothermal Systems

This paper presents correlations derived by linear regression analysis of seismic velocities VP and VS and elastic moduli EP and ES with temperature in Los Humeros superhot (SHGS) and Acoculco enhanced (EGS) geothermal systems at depths down to 3 km below the surface and temperatures up to approximately 400 °C. In Los Humeros, the seismic velocity models were derived from the inversion of legacy active seismic survey data acquired in 1998, as well as from passive seismic monitoring and ambient seismic noise interferometry carried out during 2017–2019 by the GEMex consortium. In the Acoculco EGS, ambient seismic noise data were used. Steady-state formation temperatures were re-evaluated during and after the end of the GEMex project using measurements provided as a courtesy of the Federal Electricity Commission of Mexico (CFE). The density data needed for the calculation of elastic moduli were provided by the GEMex consortium, as derived from the inversion of regional and local gravity surveys. The analysis indicated that statistically significant correlations of seismic parameters to temperature exist in the vertical direction, namely exponential in Los Humeros superhot and logarithmic in Acoculco EGS, but no correlation was evident in the horizontal direction. This result suggests an indirect relationship among the considered variables due to interdependence on other parameters, such as pressure and vapor saturation. As the analysis was performed using only data obtained from sensing-at-surface methods, without direct geophysical calibration at depth, a distributed fiber-optic seismic and temperature sensing system at both surface and downhole is proposed for active-source and passive seismic monitoring, and seismic-while-drilling by the drill-bit source is considered for reverse vertical seismic profile (RVSP) recording whenever possible for future high-temperature geothermal applications

Examining the Development of a Geothermal Risk Mitigation Scheme in Greece

Geothermal project development entails a number of risks, the most significant of which is the geological risk. The introduction of a risk mitigation scheme (RMS) might enable project developers to shift some of the geological risk to public or private entities. Keeping the above in mind, the objective of this study is to examine the development of an effective and financially feasible geothermal risk mitigation scheme in Greece, i.e., a country with no such scheme available. In this respect, the existing status of the geothermal sector in the country is presented, followed by an evaluation of the financial sustainability of a potential RMS, taking into account different insurance premiums, risk coverages, and project success rates. The results indicate that alternative insurance premium, risk coverage, and success rate requirements would result in different financial preconditions for the foundation either of a public or a private fund. Keeping in mind that in most examined scenarios the initial RMS capital is expended before the end of the ending of the scheme, it is suggested that such a plan can only be initiated by the public sector, which is typical of countries with little-developed geothermal markets