Blood glucose meters : an independent head to head comparison

A new generation of blood glucose meters is now available for use by people with diabetes and health professionals, but little independent evaluation data is available. Previous models are prone to a variety of errors. We compared the accuracy, precision and features of the six latest meters available in Australia as of 1996. Meters studied were the Mini-Accutrend and Advantage (Boehringer Mannheim), Precision QID and Companion 2 (MediSense), Glucometer Elite (Bayer) and Lynx (National Diagnostic Products). We measured the blood glucose levels of 50 people with diabetes with these meters, and compared them to a reference method (YSI glucose analyser). Error grid analysis confirmed that accuracy of all meters was sufficient for their intended use as patient monitors. Precision was assessed using 25 samples from control solutions provided for each meter, and the coefficient of variation calculated. Improvements in strip and meter technology in some models have increased ease of use and reduced the likelihood of user error. This study, when considered with individual preferences for various features and price should assist patients in choosing a new blood glucose meter.

Nonadditivity of faradaic currents and modification of double layer capacitance in the voltammetry of mixtures of ferrocene and ferrocenium salts in ionic liquids

Electrochemical studies on the Fc + e− Fc+ (Fc = ferrocene) process have been undertaken via the oxidation of Fc and reduction of Fc+ as the hexafluorophosphate (PF6−) or tetrafluoroborate (BF4−) salts and their mixtures in three ionic liquids (ILs) (1-butyl-1-methylpyrrolidinium bis[(trifluoromethyl)sulfonyl]imide, 1-butyl-3-methylimidazolium tetrafluoroborate, and 1-butyl-3-methylimidazolium hexafluorophosphate). Data obtained at macro- and microdisk electrodes using conventional dc and Fourier-transformed large-amplitude ac (FT-ac) voltammetry reveal that diffusion coefficients for Fc and Fc+ differ significantly and are a function of the Fc and Fc+ concentration, in contrast to findings in molecular solvents with 0.1 M added supporting electrolyte media. Thus, the Faradaic currents associated with the oxidation of Fc (Fc0/+) and reduction of FcPF6 or FcBF4 (Fc+/0) when both Fc and Fc+ are simultaneously present in the ILs differ from values obtained when individual Fc and Fc+ solutions are used. The voltammetry for both the Fc0/+ and Fc+/0 processes exhibited near-Nernstian behavior at a glassy carbon macrodisk electrode and a platinum microdisk electrode, when each process was studied individually in the ILs. As expected, the reversible formal potentials (E°′) and diffusion coefficients (D) at 23 ± 1 °C were independent of the electrode material and concentration. However, when Fc and FcPF6 or FcBF4 were both present, alterations to the mass transport process occurred and apparent D values calculated for Fc and Fc+ were found to be about 25−39% and 32−42% larger, respectively, than those determined from individual solutions. The apparent value of the double layer capacitance determined by FT-ac voltammetry from individual and mixed Fc and Fc+ conditions at the GC electrode was also a function of concentration. Double layer capacitance values increased significantly with the concentration of Fc and FcPF6 or FcBF4 when species were studied individually or simultaneously, but had a larger magnitude under conditions where both species were present. Variation in the structure of the ILs and hence mobilities of the ionic species, when Fc and FcPF6 or FcBF4 are simultaneously present, is considered to be the origin of the nonadditivity of the Faradaic currents and variation in capacitance.

Nonadditivity of Faradaic currents and modification of capacitance currents in the voltammetry of mixtures of ferrocene and the cobaltocenium cation in protic and aprotic ionic liquids

Unexpected nonadditivity of currents encountered in the electrochemistry of mixtures of ferrocene (Fc) and cobaltocenium cation (Cc+) as the PF6 - salt has been investigated by direct current (dc) and Fourier-transformed alternating current (ac) cyclic voltammetry in two aprotic (1-butyl-3-methylimidazolium tetrafluoroborate and 1-butyl-3-methylimidazolium hexafluorophosphate) and three protic (triethylammonium formate, bis(2-hydroxyethyl)ammonium acetate, and triethylammonium acetate) ionic liquids (ILs). The voltammetry of the individual Fc0/+ and Cc+/0 couples always exhibits near-Nernstian behavior at glassy carbon and gold electrodes. As expected for an ideal process, the reversible formal potentials and diffusion coefficients at 23 ( 1 °C in each IL determined from measurement on individual Fc and Cc+ solutions were found to be independent of electrode material, concentration, and technique used for the measurement. However, when Fc and Cc+ were simultaneously present, the dc and ac peak currents per unit concentration for the Fc0/+ and Cc+/0 processes were found to be significantly enhanced in both aprotic and protic ILs. Thus, the apparent diffusion coefficient values calculated for Fc and Cc+ were respectively found to be about 25 and 35% larger than those determined individually in the aprotic ILs. A similar change in the Fc0/+ mass transport characteristics was observed upon addition of tetrabutylammonium hexafluorophosphate (Bu4NPF6), and the double layer capacitance also varied in distinctly different ways when Fc and Cc+ were present individually or in mixtures. Importantly, the nonadditivity of Faradaic current is not associated with a change in viscosity or from electron exchange as found when some solutes are added to ILs. The observation that the 1H NMR T1 relaxation times for the proton resonance in Cc+ also are modified in mixed systems implies that specific interaction with aggregates of the constituent IL ionic species giving rise to subtle structural changes plays an important role in modifying the mass transport, double layer characteristics, and dynamics when solutes of interest in this study are added to ILs. Analogous voltammetric changes were not observed in studies in organic solvent media containing 0.1 M added supporting electrolyte. Implications of the nonadditivity of Faradaic and capacitance terms in ILs are considered.

Non-additivity of Faradaic and capacitance terms in ionic liquids

A study was conducted to evaluate the unexpected non-additivity of Faradaic and capacitance currents encountered in the case of ionic liquids. The results highlight that the non-additivity of Faradaic and capacitance currents should be considered in IL electrochemistry when multiple solutes are present.

Evolution of the electrochemical capacitance of transition metal oxynitrides with time: the effect of ageing and passivation

A number of transition metal nitrides and oxynitrides, which are actively investigated today as electrode materials in a wide range of energy conversion and storage devices, possess an oxide layer on the surface. Upon exposure to ambient air, properties of this layer progressively change in the process known as "ageing". Since a number of electrochemical processes involve the surface or sub-surface layers of the active electrode compounds only, ageing could have a significant effect on the overall performance of energy conversion and storage devices. In this work, the influence of the ageing of tungsten and molybdenum oxynitrides on their electrochemical properties in supercapacitors is explored for the first time. Samples are synthesised by the temperature-programmed reduction in NH3 and are treated with different gases prior to exposure to air in order to evaluate the role of passivation in the ageing process. After the synthesis, products are subjected to controlled ageing and are characterised by low temperature nitrogen adsorption, X-ray photoelectron spectroscopy and transmission electron microscopy. Capacitive properties of the compounds are evaluated by performing cyclic voltammetry and galvanostatic charge and discharge measurements in the 1 M H2SO4 electrolyte. © 2014 the Partner Organisations.

A self-supported, flexible, binder-free pseudo-supercapacitor electrode material with high capacitance and cycling stability from hollow, capsular polypyrrole fibers

Flexible energy devices with high performance and long-term stability are highly promising for applications in portable electronics, but remain challenging to develop. As an electrode material for pseudo-supercapacitors, conducting polymers typically show higher energy storage ability over carbon materials and larger conductivity than transition-metal oxides. However, conducting polymer-based supercapacitors often have poor cycling stability, attributable to the structural rupture caused by the large volume contrast between doping and de-doping states, which has been the main obstacle to their practical applications. Herein, we report a simple method to prepare a flexible, binder-free, self-supported polypyrrole (PPy) supercapacitor electrode with high cycling stability through using novel, hollow PPy nanofibers with porous capsular walls as a film-forming material. The unique fiber structure and capsular walls provide the PPy film with enough free-space to adapt to volume variation during doping/de-doping, leading to super-high cycling stability (capacitance retention > 90% after 11000 charge-discharge cycles at a high current density of 10 A g^-1) and high rate capability (capacitance retention ∼ 82.1% at a current density in the range of 0.25-10 A g^-1).

Design and fabrication of a capacitance based wearable pressure sensor using e-textiles

This paper addresses the methods used for the design and fabrication of a capacitance based wearable pressure sensor fabricated using neoprene and (SAC) plated Nylon Fabric. The experimental set up for the pressure sensor is comprised of a shielded grid of sensing modules, a 555 timer based transduction circuitry, and an Arduino board measuring the frequency of signal to a corresponding pressure. The fundamental design parameters addressed during the development of the pressure sensor presented in this paper are based on size, simplicity, cost, adaptability, and scalability. The design approach adopted in this paper results in a sensor module that is less obtrusive, has a thinner and flexible profile, and its sensitivity is easily scalable for ‘smart’ product applications across industries associated to sports performance, ergonomics, rehabilitation, etc.

Theoretical study of quantum capacitance and associated delay in armchair-edge graphene nanoribbons

This work presents a comprehensive investigation of the quantum capacitance and the associated effects on the carrier transit delay in armchair-edge graphene nanoribbons (A-GNRs) based on semi-analytical method. We emphasize on the realistic analysis of bandgap with taking edge effects into account by means of modified tight binding (TB) model. The results show that the edge effects have significant influence in defining the bandgap which is a necessary input in the accurate analyses of capacitance. The quantum capacitance is discussed in both nondegenerate (low gate voltage) and degenerate (high gate voltage) regimes. We observe that the classical capacitance limits the total gate (external) capacitance in the degenerate regime, whereas, quantum capacitance limits the external gate capacitance in the nondegenerate regime. The influence of gate capacitances on the gate delay is studied extensively to demonstrate the optimization of switching time. Moreover, the high-field behavior of a GNR is studied in the degenerate and nondegenerate regimes. We find that a smaller intrinsic capacitance appears in the channel due to high velocity carrier, which limits the quantum capacitance and thus limit the gate delay. Such detail analysis of GNRs considering a realistic model would be useful for the optimized design of GNR-based nanoelectronic devices.

Personal, family, social, and environmental correlates of active commuting to school

Background: Active commuting to school may be an important opportunity for children to accumulate adequate physical activity for improved cardiovascular risk factors, enhanced bone health, and psychosocial well-being. The purpose of this study was to examine personal, family, social, and environmental correlates of active commuting to school among children. Methods: Cross-sectional study of 235 children aged 5 to 6 years and 677 children aged 10 to 12 years from 19 elementary schools in Melbourne, Australia. Self-administered questionnaires were completed by parents, and the older children. The shortest possible routes to school were examined using a geographic information system. Results: Among both age groups, negative correlates of active commuting to school included parental perception of few other children in the neighborhood and no lights or crossings for their child to use, and an objectively assessed busy road barrier en route to school. In younger children, an objectively assessed steep incline en route to school was negatively associated with walking or cycling to school. Good connectivity en route to school was negatively associated with walking or cycling to school among older children. Among both age groups, children were more likely to actively commute to school if their route was <800 meters. There were no associations with perceived energy levels or enjoyment of physical activity, weight status, or family factors. Conclusions: For children, creating child-friendly communities and providing skills to safely negotiate the environment may be important. Environmental correlates of active transport in children and adults may differ and warrant further investigation.

Medication knowledge and self-management by people with type 2 diabetes

Objective: To explore medication knowledge and self management practices of people with type 2 diabetes.

Design: A one-shot cross sectional study using in-depth interviews and participant observation.

Setting: Diabetes outpatient education centre of a university teaching hospital.

Subjects: People with type 2 diabetes, n=30, 17 males and 13 females, age range 33-84, from a range of ethnic groups.

Outcome measures: Ability to state name, main actions and when to take medicines. Performance of specific medication-related tasks; opening bottles and packs, breaking tablets in half, administering insulin, and testing blood glucose.

Results: Average medication use > or = 10 years. Respondents were taking 86 different medicines, mean 7 +/- 2.97 SD. Dose frequency included two, three and four times per day. All respondents had > or = 2 diabetic complications +/- other comorbidities. The majority (93%) were informed about how and when to take their medicines, but only 37% were given information about side effects and 17% were given all possible seven items of information. Younger respondents received more information than older respondents. Older respondents had difficulty opening bottles and breaking tablets in half. Twenty per cent regularly forgot to take their medicines. Increasing medication costs was one reason for stopping medicines or reducing the dose or dose interval. The majority tested their blood glucose but did not control test their meters and 33% placed used sharps directly into the rubbish.

Conclusion: Polypharmacy was common. Medication knowledge and self management were inadequate and could lead to adverse events.

Fuels of the future : the challenge of new fuel types

Landscape disturbances associated with human activities result in many changes in vegetation structure and floristics. These changes include invasion of native vegetation by both introduced and native species, which leads to the development of 'new' vegetation types. These new vegetation types are often associated with greatly increased fuel loads, and increased levels of fire hazard. Two of these 'new' fuel types are dense thickets of woody weeds, such as Coyote Bush (Baccharis pilularis) and swards of exotic grasses with very high fuel loads, such as Buffel Grass (Cenchrus ciliaris) and Para Grass (Urochloa mutica). The 'new' fuel types which can now be recognized have significant implications for the accuracy of fire behaviour prediction and modelling. For example, modelling fire behaviour in areas invaded by exotic grasses in Australia is problematic, as current grassland fire behaviour models do not allow for the input ofthe high fuel loads associated with these invasive grasses. In forest, McArthur Forest Fire Danger Meters may not be appropriate for forests with significant levels of elevated fuels. Two case studies from southeastern Australia are discussed: the invasion of native vegetation in the urban interface by the woody shrub Burgan (Kunzea ericoides) and invasion of native grasslands by Phalaris (Phalaris aquatica).

Dynamic pacing strategies during the cycle phase of an ironman triathlon

Introduction: A nonlinear dynamic systems model has previously been proposed to explain pacing strategies employed during exercise.

Purpose: This study was conducted to examine the pacing strategies used under varying conditions during the cycle phase of an Ironman triathlon.

Methods: The bicycles of six well-trained male triathletes were equipped with SRM power meters set to record power output, cadence, speed, and heart rate. The flat, three-lap, out-and-back cycle course, coupled with relatively consistent wind conditions (17-30 km·h-1), enabled comparisons to be made between three consecutive 60-km laps and relative wind direction (headwind vs tailwind).

Results: Participants finished the cycle phase (180 km) with consistently fast performance times (5 h, 11 ± 2 min; top 10% of all finishers). Average power output (239 ± 25 to 203 ± 20 W), cadence (89 ± 6 to 82 ± 8 rpm), and speed (36.5 ± 0.8 to 33.1 ± 0.8 km·h-1) all significantly decreased with increasing number of laps (P < 0.05). These variables, however, were not significantly different between headwind and tailwind sections. The deviation (SD) in power output and cadence did not change with increasing number of laps; however, the deviations in torque (6.8 ± 1.6 and 5.8 ± 1.3 N·m) and speed (2.1 ± 0.5 and 1.6 ± 0.3 km·h-1) were significantly greater under headwind compared with tailwind conditions, respectively. The median power frequency tended to be lower in headwind (0.0480 ± 0.0083) compared with tailwind (0.0531 ± 0.0101) sections.

Conclusion: These data show evidence that a nonlinear dynamic pacing strategy is used by well-trained triathletes throughout various segments and conditions of the Ironman cycle phase. Moreover, an increased variation in torque and speed was found in the headwind versus the tailwind condition.