An optical sensor for online hematocrit measurement: characterization and fitting algorithm development

Lo scopo del presente lavoro di tesi riguarda la caratterizzazione di un sensore ottico per la lettura di ematocrito e lo sviluppo dell’algoritmo di calibrazione del dispositivo. In altre parole, utilizzando dati ottenuti da una sessione di calibrazione opportunamente pianificata, l’algoritmo sviluppato ha lo scopo di restituire la curva di interpolazione dei dati che caratterizza il trasduttore. I passi principali del lavoro di tesi svolto sono sintetizzati nei punti seguenti: 1) Pianificazione della sessione di calibrazione necessaria per la raccolta dati e conseguente costruzione di un modello black box.  Output: dato proveniente dal sensore ottico (lettura espressa in mV)  Input: valore di ematocrito espresso in punti percentuali ( questa grandezza rappresenta il valore vero di volume ematico ed è stata ottenuta con un dispositivo di centrifugazione sanguigna) 2) Sviluppo dell’algoritmo L’algoritmo sviluppato e utilizzato offline ha lo scopo di restituire la curva di regressione dei dati. Macroscopicamente, il codice possiamo distinguerlo in due parti principali: 1- Acquisizione dei dati provenienti da sensore e stato di funzionamento della pompa bifasica 2- Normalizzazione dei dati ottenuti rispetto al valore di riferimento del sensore e implementazione dell’algoritmo di regressione. Lo step di normalizzazione dei dati è uno strumento statistico fondamentale per poter mettere a confronto grandezze non uniformi tra loro. Studi presenti, dimostrano inoltre un mutazione morfologica del globulo rosso in risposta a sollecitazioni meccaniche. Un ulteriore aspetto trattato nel presente lavoro, riguarda la velocità del flusso sanguigno determinato dalla pompa e come tale grandezza sia in grado di influenzare la lettura di ematocrito.

Microscopic and spectroscopic analysis of biogenic aerosols

Aerosol particles are important actors in the Earth’s atmosphere and climate system. They scatter and absorb sunlight, serve as nuclei for water droplets and ice crystals in clouds and precipitation, and are a subject of concern for public health. Atmospheric aerosols originate from both natural and anthropogenic sources, and emissions resulting from human activities have the potential to influence the hydrological cycle and climate. An assessment of the extent and impacts of this human force requires a sound understanding of the natural aerosol background. This dissertation addresses the composition, properties, and atmospheric cycling of biogenic aerosol particles, which represent a major fraction of the natural aerosol burden. The main focal points are: (i) Studies of the autofluo-rescence of primary biological aerosol particles (PBAP) and its application in ambient measure-ments, and (ii) X-ray microscopic and spectroscopic investigations of biogenic secondary organic aerosols (SOA) from the Amazonian rainforest.rnAutofluorescence of biological material has received increasing attention in atmospheric science because it allows real-time monitoring of PBAP in ambient air, however it is associated with high uncertainty. This work aims at reducing the uncertainty through a comprehensive characterization of the autofluorescence properties of relevant biological materials. Fluorescence spectroscopy and microscopy were applied to analyze the fluorescence signatures of pure biological fluorophores, potential non-biological interferences, and various types of reference PBAP. Characteristic features and fingerprint patterns were found and provide support for the operation, interpretation, and further development of PBAP autofluorescence measurements. Online fluorescence detection and offline fluorescence microscopy were jointly applied in a comprehensive bioaerosol field measurement campaign that provided unprecedented insights into PBAP-linked biosphere-atmosphere interactions in a North-American semi-arid forest environment. Rain showers were found to trigger massive bursts of PBAP, including high concentrations of biological ice nucleators that may promote further precipitation and can be regarded as part of a bioprecipitation feedback cycle in the climate system. rnIn the pristine tropical rainforest air of the Amazon, most cloud and fog droplets form on bio-genic SOA particles, but the composition, morphology, mixing state and origin of these particles is hardly known. X-ray microscopy and spectroscopy (STXM-NEXAFS) revealed distinctly different types of secondary organic matter (carboxyl- vs. hydroxy-rich) with internal structures that indicate a strong influence of phase segregation, cloud and fog processing on SOA formation, and aging. In addition, nanometer-sized potassium-rich particles emitted by microorganisms and vegetation were found to act as seeds for the condensation of SOA. Thus, the influence of forest biota on the atmospheric abundance of cloud condensation nuclei appears to be more direct than previously assumed. Overall, the results of this dissertation suggest that biogenic aerosols, clouds and precipitation are indeed tightly coupled through a bioprecipitation cycle, and that advanced microscopic and spectroscopic techniques can provide detailed insights into these mechanisms.rn

Kollineare Laserspektroskopie an radioaktiven Praseodymionen und Cadmiumatomen

Die Analyse optischer Spektren liefert einen kernmodellunabhängigen Zugang zur Bestimmung der Kernspins, Ladungsradien und elektromagnetischen Momente von Atomkernen im Grundzustand und von langlebigen Isomeren. Eine der vielseitigsten Methoden zur optischen Spektroskopie an kurzlebigen Isotopen ist die kollineare Laserspektroskopie. Im Rahmen dieser Arbeit wurde zum einen die TRIGA-LASER Strahlstrecke am Institut für Kernchemie der Universität Mainz durch die Implementierung einer neuen offline Oberflächenionenquelle für hohe Verdampfungstemperaturen und eines Strahlanalysesystems weiterentwickelt. Zum anderen wurde kollineare Laserspektroskopie an kurzlebigen Praseodym- und Cadmiumisotopen an ISOLDE/CERN durchgeführt. Die neue Ionenquelle ermöglichte dabei den Test der kollinearen Laserspektroskopie an Praseodymionen am TRIGA-LASER Experiment. Die Spektroskopie der Prasdeodymionen motivierte sich aus der Beobachtung einer zeitlichen Modulation der EC-Zerfallsrate von wasserstoffähnlichem 140Pr58+. Für die Erklärung dieser sogenannten GSI Oszillationen wird unter anderem das magnetische Moment des Kerns benötigt, welches bislang noch nicht experimentell bestimmt wurde. Zudem wurde für wasserstoffähnliches 140Pr58+ überraschenderweise eine kleinere EC-Zerfallskonstante gemessen als für heliumähnliches 140Pr57+. Die Erklärung dieses Phänomens setzt ein positives magnetisches Moment voraus. Bei der Spektroskopie am COLLAPS Experiment wurden erstmals die magnetischen Momente von 135Pr, 136Pr und 137Pr vermessen. Aufgrund zu geringer Produktionsraten war die Spektroskopie des gewünschten Isotops 140Pr jedoch nicht erfolgreich. Die Untersuchung der Cadmiumisotope ist kernphysikalisch motiviert. In der Zinnregion erstrecken sich die Isotope über die beiden magischen Zahlen N=50 und N=82 bei gleichzeitiger Nähe des Z=50 Schalenabschlusses. Hier können verschiedene Kernmodelle getestet werden, die sich beispielsweise hinsichtlich der Stärke des N=82 Schalenabschlusses widersprechen. Diese Arbeit berichtet über erste Ergebnisse der Spektroskopie an Cadmiumatomen, die sich über die Isotope 106−124,126Cd sowie die zugehörigen langlebigen I=11/2− Isomere erstreckt. Die zuvor experimentell bekannten oder aus dem erweiterten Schalenmodell abgeleiteten Kernspins konnten für alle Isotope bis auf 119Cd bestätigt werden. Der Kernspin von 119Cd wurde eindeutig zu I=1/2 bestimmt. Die elektrischen Quadrupolmomente der Isomere zeigen ein bemerkenswert lineares Verhalten in Abhängigkeit von der Neutronenzahl und dies über die eigentliche Kapazität der 1h11/2 Unterschale hinaus. Die Änderungen der mittleren quadratischen Ladungsradien zeigen den auch an Indium- und Zinnisotopen beobachteten stetigen Verlauf. Der lineare Anteil passt sehr gut zu den Berechnung des Tröpfchenmodells in der Parametrisierung nach Berchidevsky und Tondeur. Die Differenzen der mittleren quadratischen Ladungsradien zwischen Grund- und isomeren Zustand der ungeraden Cadmiumisotope zeigen einen interessanten parabolischen Verlauf mit einem Minimum zwischen A=117 und A=119.

Einsatz eines Aerosolmassenspektrometers während der CYPHEX-Kampagne und zur Methodenentwicklung einer Echtzeitquantifizierung gasförmiger Amine

Atmosphärische Aerosole haben einen starken Einfluss auf das Klima, der bisher nur grundlegend verstanden ist und weiterer Forschung bedarf. Das atmosphärische Verhalten der Aerosolpartikel hängt maßgeblich von ihrer Größe und chemischen Zusammensetzung ab. Durch Reflexion, Absorption und Streuung des Sonnenlichtes verändern sie den Strahlungshaushalt der Erde direkt und durch ihre Einflussnahme auf die Wolkenbildung indirekt. Besonders gealterte, stark oxidierte organische Aerosole mit großem Sauerstoff-zu-Kohlenstoff-Verhältnis wirken als effektive Wolkenkondensationskeime. Neben primären Aerosolpartikeln, die direkt partikelförmig in die Atmosphäre gelangen, spielen sekundäre Aerosolpartikel eine große Rolle, die aus Vorläufergasen in der Atmosphäre entstehen. Aktuelle Forschungsergebnisse legen nahe, dass kurzkettige aliphatische Amine bei Nukleationsprozessen beteiligt sind und somit die Partikelneubildung vielerorts mitsteuern. Um die Rolle von Aminen in der Atmosphäre besser erforschen und industrielle Emissionen kontrollieren zu können, bedarf es einer zuverlässigen Methode zur Echtzeitquantifizierung gasförmiger Amine mit hoher Zeitauflösung und niedriger Nachweisgrenze.rnDas hochauflösende Flugzeit-Aerosolmassenspektrometer (HR-ToF-AMS) bietet die Möglichkeit, atmosphärische Partikel in Echtzeit zu analysieren. Dabei werden Größe, Menge und grundlegende chemische Zusammensetzung erfasst. Anorganische Aerosolbestandteile können eindeutig zugeordnet werden. Es ist jedoch kaum möglich, einzelne organische Verbindungen in den komplizierten Massenspektren atmosphärischer Aerosole zu identifizieren und quantifizieren.rnIn dieser Arbeit wird atmosphärisches Aerosol untersucht, das im Westen Zyperns während der CYPHEX-Kampagne mit einem HR-ToF-AMS gemessen wurde. An diesem Standort ist vor allem stark gealtertes Aerosol vorzufinden, das aus Zentral- und Westeuropa stammt. Lokale Einflüsse spielen fast keine Rolle. Es wurde eine durchschnittliche Massenkonzentration von 10,98 μg/m3 gefunden, zusammengesetzt aus 57 % Sulfat, 30 % organischen Bestandteilen, 12 % Ammonium, < 1 % Nitrat und < 1 % Chlorid, bezogen auf das Gewicht. Der Median des vakuum-aerodynamischen Durchmessers betrug 446,25 nm. Es wurde sehr acides Aerosol gefunden, dessen anorganische Bestandteile weitgehend der Zusammensetzung von Ammoniumhydrogensulfat entsprachen. Tag-Nacht-Schwankungen in der Zusammensetzung wurden beobachtet. Die Sulfatkonzentration und die Acidität zeigten tagsüber Maxima und nachts Minima. Konzentrationsschwankungen an Nitrat und Chlorid zeigten einen weniger ausgeprägten Rhythmus, Maxima fallen aber immer mit Minima der Sulfatkonzentration, Aerosolacidität und Umgebungstemperatur zusammen. Organische Aerosolbestandteile entsprachen stark gealtertem, schwerflüchtigem oxidiertem organischem Aerosol. Es wurde eine interne Mischung der Partikel beobachtet, die ebenfalls meist bei alten Aerosolen auftritt.rnUm mit dem HR-ToF-AMS auch einzelne organische Verbindungen identifizieren und quantifizieren zu können, wurde eine Methode entwickelt, mit der man Amine der Gasphase selektiv in künstlich erzeugte Phosphorsäurepartikel aufnimmt und so für die HR-ToF-AMS-Messung zugänglich macht. Dadurch kombiniert man die Vorteile der Online-Messung des HR-ToF-AMS mit den Vorteilen klassischer Offline-Probenahmen. So können in Echtzeit sehr einfache Massenspektren gemessen werden, in denen störende Komponenten abgetrennt sind, während die Analyten eindeutig identifiziert werden können. Systeme dieser Art wurden GTRAP-AMS (Gaseous compound TRapping in Artificially-generated Particles – Aerosol Mass Spectrometry) genannt. Kalibrierungen für (Mono)Methylamin, Dimethylamin, Trimethylamin, Diethylamin und Triethylamin ergaben Nachweisgrenzen im ppt-Bereich bei einer Zeitauflösung von 3 min. Kammerexperimente zur Aminemission von Pflanzen zeigten eine gute Übereinstimmung des neu entwickelten Systems mit einer Gasdiffusionsabscheider-Offline-Probenahme und anschließender ionenchromatographischer Analyse. Beide Methoden zeigten Reaktionen der Pflanzen auf eine Veränderung der Lichtverhältnisse, während erhöhte Ozonkonzentrationen die Aminemission nicht veränderten. Die GTRAP-AMS-Methode eignet sich bereits für die Messung von Umgebungsluftkonzentrationen an einigen Orten, für die meisten Orte reicht die Nachweisgrenze allerdings noch nicht aus. Die Technik könnte bereits zur Echtzeitkontrolle industrieller Abgasemissionen eingesetzt werden.

Development, characterization, and application of flowing atmospheric-pressure afterglow ionization for mass spectrometric analysis of ambient organic aerosols

Addressing current limitations of state-of-the-art instrumentation in aerosol research, the aim of this work was to explore and assess the applicability of a novel soft ionization technique, namely flowing atmospheric-pressure afterglow (FAPA), for the mass spectrometric analysis of airborne particulate organic matter. Among other soft ionization methods, the FAPA ionization technique was developed in the last decade during the advent of ambient desorption/ionization mass spectrometry (ADI–MS). Based on a helium glow discharge plasma at atmospheric-pressure, excited helium species and primary reagent ions are generated which exit the discharge region through a capillary electrode, forming the so-called afterglow region where desorption and ionization of the analytes occurs. Commonly, fragmentation of the analytes during ionization is reported to occur only to a minimum extent, predominantly resulting in the formation of quasimolecular ions, i.e. [M+H]+ and [M–H]– in the positive and the negative ion mode, respectively. Thus, identification and detection of signals and their corresponding compounds is facilitated in the acquired mass spectra. The focus of the first part of this study lies on the application, characterization and assessment of FAPA–MS in the offline mode, i.e. desorption and ionization of the analytes from surfaces. Experiments in both positive and negative ion mode revealed ionization patterns for a variety of compound classes comprising alkanes, alcohols, aldehydes, ketones, carboxylic acids, organic peroxides, and alkaloids. Besides the always emphasized detection of quasimolecular ions, a broad range of signals for adducts and losses was found. Additionally, the capabilities and limitations of the technique were studied in three proof-of-principle applications. In general, the method showed to be best suited for polar analytes with high volatilities and low molecular weights, ideally containing nitrogen- and/or oxygen functionalities. However, for compounds with low vapor pressures, containing long carbon chains and/or high molecular weights, desorption and ionization is in direct competition with oxidation of the analytes, leading to the formation of adducts and oxidation products which impede a clear signal assignment in the acquired mass spectra. Nonetheless, FAPA–MS showed to be capable of detecting and identifying common limonene oxidation products in secondary OA (SOA) particles on a filter sample and, thus, is considered a suitable method for offline analysis of OA particles. In the second as well as the subsequent parts, FAPA–MS was applied online, i.e. for real time analysis of OA particles suspended in air. Therefore, the acronym AeroFAPA–MS (i.e. Aerosol FAPA–MS) was chosen to refer to this method. After optimization and characterization, the method was used to measure a range of model compounds and to evaluate typical ionization patterns in the positive and the negative ion mode. In addition, results from laboratory studies as well as from a field campaign in Central Europe (F–BEACh 2014) are presented and discussed. During the F–BEACh campaign AeroFAPA–MS was used in combination with complementary MS techniques, giving a comprehensive characterization of the sampled OA particles. For example, several common SOA marker compounds were identified in real time by MSn experiments, indicating that photochemically aged SOA particles were present during the campaign period. Moreover, AeroFAPA–MS was capable of detecting highly oxidized sulfur-containing compounds in the particle phase, presenting the first real-time measurements of this compound class. Further comparisons with data from other aerosol and gas-phase measurements suggest that both particulate sulfate as well as highly oxidized peroxyradicals in the gas phase might play a role during formation of these species. Besides applying AeroFAPA–MS for the analysis of aerosol particles, desorption processes of particles in the afterglow region were investigated in order to gain a more detailed understanding of the method. While during the previous measurements aerosol particles were pre-evaporated prior to AeroFAPA–MS analysis, in this part no external heat source was applied. Particle size distribution measurements before and after the AeroFAPA source revealed that only an interfacial layer of OA particles is desorbed and, thus, chemically characterized. For particles with initial diameters of 112 nm, desorption radii of 2.5–36.6 nm were found at discharge currents of 15–55 mA from these measurements. In addition, the method was applied for the analysis of laboratory-generated core-shell particles in a proof-of-principle study. As expected, predominantly compounds residing in the shell of the particles were desorbed and ionized with increasing probing depths, suggesting that AeroFAPA–MS might represent a promising technique for depth profiling of OA particles in future studies.

Wishlist: progettazione ed implementazione di una piattaforma di mobile social network per dispositivi Android

Questo elaborato tratta della progettazione e dell'implementazione di una piattaforma social, destinata alla commercializzazione, per creare, gestire, condividere un insieme di liste organizzate di oggetti. La piattaforma è di tipo client-server, dove il client consiste in un'applicazione Android e il server in un'applicazione Node.js e un database MySQL che offrono un'API RESTful. Nello specifico è stata trattata l'implementazione delle notifiche push (anche geolocalizzate) e la sincronizzazione dei dati per l'utilizzo offline.

Interfaccia utente in applicazione mobile con analisi dell'usability, dei workflow e del contesto operativo dell'utente

In questo lavoro di tesi verrà presentato un applicativo, sviluppato con l’azienda EBWorld, per dispositivi con sistema operativo Android. L’applicazione ha come destinatari i tecnici e gli operatori sul campo di aziende clienti di EBWorld. Nel dispositivo vengono caricati i dati estratti dal database (porzioni di mappe e informazioni ad esse correlate) che vengono lette e mostrate nello schermo. Le funzionalità fornite sono: utilizzo dello strumento trail, per effettuare misurazioni; creazione di progetti all’interno delle esportazioni; inserimento di sketch, definiti in accordo con l’azienda, all’interno dei progetti; selezione degli sketch e delle informazioni estratte dal database e visualizzazione delle relative informazioni / proprietà; eliminazione di sketch inseriti. È stato effettuato uno studio di progettazione dell’interfaccia per offrire un’ottima usabilità anche in situazioni critiche.

Treatment of hemispatial neglect by means of rTMS--a review

Hemispatial neglect - defined as the failure to attend, explore, and act upon the contralesional side of space - is a frequent and disabling neurological syndrome. Interhemispheric rivalry is considered as a major pathophysiological mechanism underlying hemispatial neglect. According to this account, the contralesional, intact hemisphere undergoes a pathological hyperactivity due to a deficient transcallosal inhibition from the damaged hemisphere. This model offers a framework for possible therapeutic interventions with repetitive transcranial magnetic stimulation (rTMS), i.e. a reduction of the pathological hyperactivity with a rTMS protocol that has lasting inhibitory effects. In the present work, we will first review evidence for the interhemispheric rivalry account coming from animals and humans. We will then describe studies showing the possibility to perturb and to restore interhemispheric balance in healthy subjects as a proof of concept for therapeutic rTMS application. Finally, we will consider studies applying rTMS as a therapeutic approach in hemispatial neglect. We conclude that rTMS is a promising approach to reduce the interhemispheric imbalance in neglect patients and to ameliorate symptoms. Newly developed protocols such as Theta Burst Stimulation (TBS) - with short stimulation times and long offline effects - seem to be particularly convenient. However, future studies should assess stimulation effects not only in clinical testing, but also on disability, considering combination with traditional therapies as well.

The link between visual exploration and neuronal activity: A multi-modal study combining eye tracking, functional magnetic resonance imaging and transcranial magnetic stimulation

In the present multi-modal study we aimed to investigate the role of visual exploration in relation to the neuronal activity and performance during visuospatial processing. To this end, event related functional magnetic resonance imaging er-fMRI was combined with simultaneous eye tracking recording and transcranial magnetic stimulation (TMS). Two groups of twenty healthy subjects each performed an angle discrimination task with different levels of difficulty during er-fMRI. The number of fixations as a measure of visual exploration effort was chosen to predict blood oxygen level-dependent (BOLD) signal changes using the general linear model (GLM). Without TMS, a positive linear relationship between the visual exploration effort and the BOLD signal was found in a bilateral fronto-parietal cortical network, indicating that these regions reflect the increased number of fixations and the higher brain activity due to higher task demands. Furthermore, the relationship found between the number of fixations and the performance demonstrates the relevance of visual exploration for visuospatial task solving. In the TMS group, offline theta bursts TMS (TBS) was applied over the right posterior parietal cortex (PPC) before the fMRI experiment started. Compared to controls, TBS led to a reduced correlation between visual exploration and BOLD signal change in regions of the fronto-parietal network of the right hemisphere, indicating a disruption of the network. In contrast, an increased correlation was found in regions of the left hemisphere, suggesting an intent to compensate functionality of the disturbed areas. TBS led to fewer fixations and faster response time while keeping accuracy at the same level, indicating that subjects explored more than actually needed.

An Evaluation of Compression Schemes for Wireless Networks

Data gathering, either for event recognition or for monitoring applications is the primary intention for sensor network deployments. In many cases, data is acquired periodically and autonomously, and simply logged onto secondary storage (e.g. flash memory) either for delayed offline analysis or for on demand burst transfer. Moreover, operational data such as connectivity information, node and network state is typically kept as well. Naturally, measurement and/or connectivity logging comes at a cost. Space for doing so is limited. Finding a good representative model for the data and providing clever coding of information, thus data compression, may be a means to use the available space to its best. In this paper, we explore the design space for data compression for wireless sensor and mesh networks by profiling common, publicly available algorithms. Several goals such as a low overhead in terms of utilized memory and compression time as well as a decent compression ratio have to be well balanced in order to find a simple, yet effective compression scheme.

Speech Enhancement With Inventory Style Speech Resynthesis

We present a new method for the enhancement of speech. The method is designed for scenarios in which targeted speaker enrollment as well as system training within the typical noise environment are feasible. The proposed procedure is fundamentally different from most conventional and state-of-the-art denoising approaches. Instead of filtering a distorted signal we are resynthesizing a new “clean” signal based on its likely characteristics. These characteristics are estimated from the distorted signal. A successful implementation of the proposed method is presented. Experiments were performed in a scenario with roughly one hour of clean speech training data. Our results show that the proposed method compares very favorably to other state-of-the-art systems in both objective and subjective speech quality assessments. Potential applications for the proposed method include jet cockpit communication systems and offline methods for the restoration of audio recordings.

Effects of transcranial direct current stimulation (tDCS) on behaviour and electrophysiology of language production

Excitatory anodal transcranial direct current stimulation (A-tDCS) over the left dorsal prefrontal cortex (DPFC) has been shown to improve language production. The present study examined neurophysiological underpinnings of this effect. In a single-blinded within-subject design, we traced effects of A-tDCS compared to sham stimulation over the left DPFC using electrophysiological and behavioural correlates during overt picture naming. Online effects were examined during A-tDCS by employing the semantic interference (SI-)Effect – a marker that denotes the functional integrity of the language system. The behavioural SI-Effect was found to be reduced, whereas the electrophysiological SI-Effect was enhanced over left compared to right temporal scalp-electrode sites. This modulation is suggested to reflect a superior tuning of neural responses within language-related generators. After -(offline) effects of A-tDCS were detected in the delta frequency band, a marker of neural inhibition. After A-tDCS there was a reduction in delta activity during picture naming and the resting state, interpreted to indicate neural disinhibition. Together, these findings demonstrate electrophysiological modulations induced by A-tDCS of the left DPFC. They suggest that A-tDCS is capable of enhancing neural processes during and after application. The present functional and oscillatory neural markers could detect positive effects of prefrontal A-tDCS, which could be of use in the neuro-rehabilitation of frontal language functions.

Contrast-enhanced transcranial Doppler ultrasound for diagnosis of patent foramen ovale

The suspected cause of clinical manifestations of patent foramen ovale (PFO) is a transient or a permanent right-to-left shunt (RLS). Contrast-enhanced transcranial Doppler ultrasound (c-TCD) is a reliable alternative to transesophageal echocardiography (TEE) for diagnosis of PFO, and enables also the detection of extracardiac RLS. The air-containing echo contrast agents are injected intravenously and do not pass the pulmonary circulation. In the presence of RLS, the contrast agents bypass the pulmonary circulation and cause microembolic signals (MES) in the basal cerebral arteries, which are detected by TCD. The two main echo contrast agents in use are agitated saline and D-galactose microparticle solutions. At least one middle cerebral artery (MCA) is insonated, and the ultrasound probe is fixed with a headframe. The monitored Doppler spectra are stored for offline analysis (e.g., videotape) of the time of occurrence and number of MES, which are used to assess the size and functional relevance of the RLS. The examination is more sensitive, if both MCAs are investigated. In the case of negative testing, the examination is repeated using the Valsalva maneuver. Compared to TEE, c-TCD is more comfortable for the patient, enables an easier assessment of the size and functional relevance of the RLS, and allows also the detection of extracardiac RLS. However, c-TCD cannot localize the site of the RLS. Therefore, TEE and TCD are complementary methods and should be applied jointly in order to increase the diagnostic accuracy for detecting PFO and other types of RLS.

Concurrent monitoring of cerebral electrophysiology and metabolism after traumatic brain injury: an experimental and clinical study

Multiparameter cerebral monitoring has been widely applied in traumatic brain injury to study posttraumatic pathophysiology and to manage head-injured patients (e.g., combining O(2) and pH sensors with cerebral microdialysis). Because a comprehensive approach towards understanding injury processes will also require functional measures, we have added electrophysiology to these monitoring modalities by attaching a recording electrode to the microdialysis probe. These dual-function (microdialysis/electrophysiology) probes were placed in rats following experimental fluid percussion brain injuries, and in a series of severely head-injured human patients. Electrical activity (cell firing, EEG) was monitored concurrently with microdialysis sampling of extracellular glutamate, glucose and lactate. Electrophysiological parameters (firing rate, serial correlation, field potential occurrences) were analyzed offline and compared to dialysate concentrations. In rats, these probes demonstrated an injury-induced suppression of neuronal firing (from a control level of 2.87 to 0.41 spikes/sec postinjury), which was associated with increases in extracellular glutamate and lactate, and decreases in glucose levels. When placed in human patients, the probes detected sparse and slowly firing cells (mean = 0.21 spike/sec), with most units (70%) exhibiting a lack of serial correlation in the spike train. In some patients, spontaneous field potentials were observed, suggesting synchronously firing neuronal populations. In both the experimental and clinical application, the addition of the recording electrode did not appreciably affect the performance of the microdialysis probe. The results suggest that this technique provides a functional monitoring capability which cannot be obtained when electrophysiology is measured with surface or epidural EEG alone.

Arc-flash analysis of utility power systems

The electric utility business is an inherently dangerous area to work in with employees exposed to many potential hazards daily. One such hazard is an arc flash. An arc flash is a rapid release of energy, referred to as incident energy, caused by an electric arc. Due to the random nature and occurrence of an arc flash, one can only prepare and minimize the extent of harm to themself, other employees and damage to equipment due to such a violent event. Effective January 1, 2009 the National Electric Safety Code (NESC) requires that an arc-flash assessment be performed by companies whose employees work on or near energized equipment to determine the potential exposure to an electric arc. To comply with the NESC requirement, Minnesota Power’s (MP’s) current short circuit and relay coordination software package, ASPEN OneLinerTM and one of the first software packages to implement an arc-flash module, is used to conduct an arc-flash hazard analysis. At the same time, the package is benchmarked against equations provided in the IEEE Std. 1584-2002 and ultimately used to determine the incident energy levels on the MP transmission system. This report goes into the depth of the history of arc-flash hazards, analysis methods, both software and empirical derived equations, issues of concern with calculation methods and the work conducted at MP. This work also produced two offline software products to conduct and verify an offline arc-flash hazard analysis.