JAVA APIS FOR BLUETOOTH WIRELESS TECHNOLOGY

Bluetooth™ Teknologia - Bluetooth Wireless Technology - on lyhyen kantaman langaton kommunikointiteknologia. Vaikka se onkin ensisijaisesti suunniteltu kaapelin korvaajaksi laitteiden omaan toimintaan liittyvässä liikenteessä, voidaan sitä myös käyttää alustana monen käyttäjien peleissä ja muissa vastaavissa sovelluksissa. Tassa diplomityössä esitellään Bluetooth teknologia sovellusohjelmoijan näkökulmasta. Työssä esitellään teollisuuskonsortion määrittelemä Java-ohjelmointirajapinta Bluetooth teknologiaan. Tämän rajapinnan avulla voidaan kehittää kannettavia sovelluksia jotka kommunikoivat Bluetooth yhteyden yli. Rajapinta pohjautuu "Java™ 2 Microedition" alustaan ja on siten toteutettavissa myös pienissä laitteissa kuten matkapuhelimissa. Työssä esitellään lyhyesti rajapinnan keskeiset osat sekä annetaan esimerkki rajapinnan käytöstä. Työn konstruktiivisessa osassa rajapinnan keskeiset on toteutettu kahdelle eri alustalle: Sambian™ ja Microsoft® Windows® käyttöjärjestelmille. Talla tavalla on saatu arvokasta tietoa siitä, miten kyseinen rajapinta tulisi toteuttaa ja myös siitä miten sovellukset sitä käyttäisivät. Keskeiset suunnitteluratkaisut ja saadut kokemukset on raportoitu työn kirjallisessa osassa. Vaikka työn konstruktiivinen osuus onkin luonteeltaan esitutkimus eikä tähdännyt tuotteeseen, on tuloksena syntynyttä rajapintaa tarkoitus käyttää useassa Nokian sisäisessä tutkimus-ja kehityshankkeessa.

Current Sheet Regulation of Solar Near-relativistic Electron Injection Histories

We present a sample of three large near-relativistic (>50 keV) electron events observed in 2001 by both the ACE and the Ulysses spacecraft, when Ulysses was at high-northern latitudes (>60◦) and close to 2 AU. Despite the large latitudinal distance between the two spacecraft, electrons injected near the Sun reached both heliospheric locations. All three events were associated with large solar flares, strong decametric type II radio bursts and accompanied by wide (>212◦) and fast (>1400 km s−1) coronal mass ejections (CMEs). We use advanced interplanetary transport simulations and make use of the directional intensities observed in situ by the spacecraft to infer the electron injection profile close to the Sun and the interplanetary transport conditions at both low and high latitudes. For the three selected events, we find similar interplanetary transport conditions at different heliolatitudes for a given event, with values of the mean free path ranging from 0.04 AU to 0.27 AU. We find differences in the injection profiles inferred for each spacecraft. We investigate the role that sector boundaries of the heliospheric current sheet (HCS) have on determining the characteristics of the electron injection profiles. Extended injection profiles, associated with coronal shocks, are found if the magnetic footpoints of the spacecraft lay in the same magnetic sector as the associated flare, while intermittent sparse injection episodes appear when the spacecraft footpoints are in the opposite sector or a wrap in the HCS bounded the CME structure.

Thoracoscopic resection of pulmonary metastasis: Current practice and results.

NlmCategory="UNASSIGNED">Video-assisted thoracoscopic surgery (VATS) is currently a routinely performed procedure for the management of early non small cell lung cancer. The oncological results of VATS in terms of local recurrence and overall survival are equivalent or superior to those of conventional thoracotomy with lower morbidity and hospital stay. In the field of pulmonary metastasectomy, current guidelines support a thoracotomy approach in order to properly palpate the lung and detect nodules too small to be identified on standard radiological examinations (typically less than 5mm in diameter). However, the oncological and clinical significance of these millimetric nodules is not known. This has led some thoracic surgeons to rethink the approach of solitary pulmonary metastasectomy: because of improvements in thin slice helical CT-scans, some support a VATS approach for solitary pulmonary nodules without formal bimanual palpation and suggest this allows equivalent oncological results and decreased surgical morbidity.

Measurement Properties of the Smartphone-Based B-B Score in Current Shoulder Pathologies.

NlmCategory="UNASSIGNED">This study is aimed at the determination of the measurement properties of the shoulder function B-B Score measured with a smartphone. This score measures the symmetry between sides of a power-related metric for two selected movements, with 100% representing perfect symmetry. Twenty healthy participants, 20 patients with rotator cuff conditions, 23 with fractures, 22 with capsulitis, and 23 with shoulder instabilities were measured twice across a six-month interval using the B-B Score and shoulder function questionnaires. The discriminative power, responsiveness, diagnostic power, concurrent validity, minimal detectable change (MDC), minimal clinically important improvement (MCII), and patient acceptable symptom state (PASS) were evaluated. Significant differences with the control group and significant baseline-six-month differences were found for the rotator cuff condition, fracture, and capsulitis patient groups. The B-B Score was responsive and demonstrated excellent diagnostic power, except for shoulder instability. The correlations with clinical scores were generally moderate to high, but lower for instability. The MDC was 18.1%, the MCII was 25.2%, and the PASS was 77.6. No floor effect was observed. The B-B Score demonstrated excellent measurement properties in populations with rotator cuff conditions, proximal humerus fractures, and capsulitis, and can thus be used as a routine test to evaluate those patients.

Todennäköisyyspohjaisen kaapelipaloriskianalyysimenetelmän kehittäminen ydinvoimalaitokselle

Ydinenergian tuottamisessa turvallisuus on tärkeää. Todennäköisyyspohjaisella riskianalyysillä voidaan arvioida turvallisuusvaatimusten täyttymistä eri tilanteissa. Tässä diplomityössä tarkastellaan todennäköisyyspohjaisen riskianalyysin käyttöä ydinvoimalaitoksen kaapelipalojen vaikutusten arvioinnissa. Työn tarkoituksena on omalta osaltaan edistää ydinvoimalaitosten kaapelipaloturvallisuuden parantamista. Työssä esitellään todennäköisyyspohjaisen riskianalyysin ja todennäköisyyspohjaisen paloanalyysin periaatteet sekä nykyiset kaapelipaloanalyysimenetelmät. Olemassa olevien menetelmien pohjalta kehitettiin menetelmä Olkiluoto 1 ja 2 laitosyksiköiden kaapelipaloturvallisuuden arviointiin. Työssä tarkastellaan myös maailmalla sattuneita kaapelipaloja sekä ydinvoimalaitosten palosimulointiin kehitettyä ohjelmistoa. Työssä kehitetty kaapelipaloanalyysi jakautuu kahteen päävaiheeseen: virtapiirien vika-analyysiin ja virtapiirivikojen todennäköisyysanalyysiin. Virtapiirien vika-analyysi käsittää kaapeleiden vikamoodien, virtapiirien vikaantumisluokkien sekä vikaantumisten vaikutuksien määrittämisen. Virtapiirivikojen todennäköisyysanalyysissä määritetään puolestaan vikaantumistodennäköisyydet kaapelipalokokeiden tulosten pohjalta. Kehitettyä analyysimenetelmää sovellettiin esimerkinomaisesti Olkiluoto 1 ja 2 laitosyksiköiden kahdelle eri huonetilalle. Tuloksena saatiin turvallisuudelle tärkeiden järjestelmien virtapiirien vikaantumismallit sekä niiden todennäköisyydet. Tulosten perusteella voidaan todeta, että työssä kehitetty kaapelipaloanalyysimenetelmä toimi hyvin. Tulevaisuudessa menetelmää on tarkoitus hyödyntää Olkiluoto 1 ja 2 -laitosyksiköiden kaapelipaloturvallisuuden arvioinnissa.

Muovien laserhitsaus modernissa optisen kuitukaapelin tuotannossa

Tämän diplomityön päämääränä oli tutkia nykyisen optisen markkinasektorin nykytilaa ja ennakoida mahdollista tulevaa kapasiteetin tarpeen kasvua merkittävän taantumakauden jälkeen. Erityistä huomiota käytettiin kaapelin valmistuksen vaiheisiin ja näitä vastaaviin laitteisiin. Tätä kautta selvitettiin nykyisten markkinoilla toimivien laiteratkaisujen ominaisuudet. Työssä havaittiin kuitukaapeleiden rakenneratkaisujen muuttuvan asennettavuuden parantamisen ja kaapeleiden paremman kestävyyden suuntaan. Näiden muuttuessa tulevat valmistustekniikat ja menetelmät kehittymään vastaamaan uusia ratkaisuja. Laserhitsausmenetelmällä voidaan laajentaa kaapeleiden rakenneratkaisujen ja materiaalivaihtoehtojen valikoimaa perinteisen extruusiotekniikan rinnalle. Työ avaa uusia toteutusmandollisuuksia kaapelinvalmistusprosessiin, sekä antaa pohjaa uusien kaapelirakenteiden tuomiseen globaaleille optisen kuitukaapelin markkinoille.

Hépatite C: traitement actuel [Hepatitis C: current therapy].

Le traitement de l'hépatite C chronique a été révolutionné par l'introduction de nouveaux antiviraux (directly acting antivirals [DAA]). Ces inhibiteurs de protéase, de la protéine NS5A et de la polymérase peuvent être associés dans des traitements oraux hautement efficaces et bien tolérés sans interféron. Dans cet article, nous fournissons un aperçu du traitement actuel de l'hépatite C chronique avec considération particulière des DAA actuellement autorisés en Suisse. Treatment of chronic hepatitis C is currently being revolutionised, with the introduction of directly acting antivirals (DAA), including protease, NS5A and polymerase inhibitors. These can be combined in interferon-free oral therapies with unprecedented efficacy and good tolerance. Here, we review the current therapy of chronic hepatitis C, with a particular focus on DAA that are approved in Switzerland today.

Delirium in the elderly: Current problems with increasing geriatric age.

Delirium is an acute disorder of attention and cognition seen relatively commonly in people aged 65 yr or older. The prevalence is estimated to be between 11 and 42 per cent for elderly patients on medical wards. The prevalence is also high in nursing homes and long term care (LTC) facilities. The consequences of delirium could be significant such as an increase in mortality in the hospital, long-term cognitive decline, loss of autonomy and increased risk to be institutionalized. Despite being a common condition, it remains under-recognised, poorly understood and not adequately managed. Advanced age and dementia are the most important risk factors. Pain, dehydration, infections, stroke and metabolic disturbances, and surgery are the most common triggering factors. Delirium is preventable in a large proportion of cases and therefore, it is also important from a public health perspective for interventions to reduce further complications and the substantial costs associated with these. Since the aetiology is, in most cases, multfactorial, it is important to consider a multi-component approach to management, both pharmacological and non-pharmacological. Detection and treatment of triggering causes must have high priority in case of delirium. The aim of this review is to highlight the importance of delirium in the elderly population, given the increasing numbers of ageing people as well as increasing geriatric age.

Paediatric end-of-life care needs in Switzerland: current practices, and perspectives from parents and professionals. A study protocol.

AIM: To present a protocol for a multi-phase study about the current practice of end-of-life care in paediatric settings in Switzerland. BACKGROUND: In Switzerland, paediatric palliative care is usually provided by teams, who may not necessarily have specific training. There is a lack of systematic data about specific aspects of care at the end of a child's life, such as symptom management, involvement of parents in decision-making and family-centred care and experiences and needs of parents, and perspectives of healthcare professionals. DESIGN: This retrospective nationwide multicentre study, Paediatric End-of-LIfe CAre Needs in Switzerland (PELICAN), combines quantitative and qualitative methods of enquiry. METHODS: The PELICAN study consists of three observational parts, PELICAN I describes practices of end-of-life care (defined as the last 4 weeks of life) in the hospital and home care setting of children (0-18 years) who died in the years 2011-2012 due to a cardiac, neurological or oncological disease, or who died in the neonatal period. PELICAN II assesses the experiences and needs of parents during the end-of-life phase of their child. PELICAN III focuses on healthcare professionals and explores their perspectives concerning the provision of end-of-life care. CONCLUSION: This first study across Switzerland will provide comprehensive insight into the current end-of-life care in children with distinct diagnoses and the perspectives of affected parents and health professionals. The results may facilitate the development and implementation of programmes for end-of-life care in children across Switzerland, building on real experiences and needs. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01983852.

Transcranial Direct Current Stimulation for the Treatment of Chronic Tinnitus: A Randomized Controlled Study.

BACKGROUND: Tinnitus is an often disabling condition for which there is no effective therapy. Current research suggests that tinnitus may develop due to maladaptive plastic changes and altered activity in the auditory and prefrontal cortex. Transcranial direct current stimulation (tDCS) modulates brain activity and has been shown to transiently suppress tinnitus in trials. OBJECTIVE: To investigate the efficacy and safety of tDCS in the treatment of chronic subjective tinnitus. METHODS: In a randomized, parallel, double-blind, sham-controlled study, the efficacy and safety of cathodal tDCS to the auditory cortex with anode over the prefrontal cortex was investigated in five sessions over five consecutive days. Tinnitus was assessed after the last session on day 5, and at follow-up visits 1 and 3 months post stimulation using the Tinnitus Handicap Inventory (THI, primary outcome measure), Subjective Tinnitus Severity Scale, Hospital Anxiety and Depression scale, Visual Analogue Scale, and Clinical Global Impression scale. RESULTS: 42 patients were investigated, 21 received tDCS and 21 sham stimulation. There were no beneficial effects of tDCS on tinnitus as assessed by primary and secondary outcome measures. Effect size assessed with Cohen's d amounted to 0.08 (95% CI: -0.52 to 0.69) at 1 month and 0.18 (95% CI: -0.43 to 0.78) at 3 months for the THI. CONCLUSION: tDCS of the auditory and prefrontal cortices is safe, but does not improve tinnitus. Different tDCS protocols might be beneficial.

Current Sheet Regulation of Solar Near-Relativistic Electron Injection Histories

We present a sample of three large near-relativistic (>50 keV) electron events observed in 2001 by both the ACE and the Ulysses spacecraft, when Ulysses was at high-northern latitudes (>60°) and close to 2 AU. Despite the large latitudinal distance between the two spacecraft, electrons injected near the Sun reached both heliospheric locations. All three events were associated with large solar flares, strong decametric type II radio bursts and accompanied by wide (>212°) and fast (>1400 km s-1) coronal mass ejections (CMEs). We use advanced interplanetary transport simulations and make use of the directional intensities observed in situ by the spacecraft to infer the electron injection profile close to the Sun and the interplanetary transport conditions at both low and high latitudes. For the three selected events, we find similar interplanetary transport conditions at different heliolatitudes for a given event, with values of the mean free path ranging from 0.04 AU to 0.27 AU. We find differences in the injection profiles inferred for each spacecraft. We investigate the role that sector boundaries of the heliospheric current sheet (HCS) have on determining the characteristics of the electron injection profiles. Extended injection profiles, associated with coronal shocks, are found if the magnetic footpoints of the spacecraft lay in the same magnetic sector as the associated flare, while intermittent sparse injection episodes appear when the spacecraft footpoints are in the opposite sector or a wrap in the HCS bounded the CME structure.