Sistema de alarmas asistenciales para hospitales y residencias

En los hospitales y residencias geriátricas de hoy en día es necesario que tengan un sistema asistencial paciente-enfermera. Este sistema debe ser capaz de controlar y gestionar cada una de las alarmas que se puedan generar en el menor tiempo posible y con la mayor eficacia. Para ello se ha diseñado una solución completa llamada ConnectCare. La arquitectura modular del sistema y la utilización de comunicación IP permiten adaptar el sistema a cada situación proporcionando soluciones específicas a medida. Este sistema se compone de un software llamado Buslogic que gestiona las alarmas en un servidor y de unos dispositivos llamados Fonet Control TCP/IP que posee una doble función: por una parte, sirve como dispositivo intercomunicador telefónico y por otra parte, sirve como dispositivo de gestión de alarmas y control de otros dispositivos externos. Como dispositivo intercomunicador telefónico, se integra en la red telefónica como un terminal de extensión analógica permitiendo la intercomunicación entre el paciente y el personal sanitario. Se hará una breve descripción de la parte intercomunicadora pero no es el objeto de este proyecto. En cambio, en la parte de control se hará más hincapié del diseño y su funcionamiento ya que sí es el objeto de este proyecto. La placa de control permite la recepción de señales provenientes de dispositivos de llamadas cableados, como son pulsadores asistenciales tipo “pera” o tiradores de baño. También es posible recibir señales de alerta de dispositivos no estrictamente asistenciales como detectores de humo o detectores de presencia. Además, permite controlar las luces de las habitaciones de los residentes y actuar sobre otros dispositivos externos. A continuación se mostrará un presupuesto para tener una idea del coste que supone. El presupuesto se divide en dos partes, la primera corresponde en el diseño de la placa de control y la segunda corresponde a la fabricación en serie de la misma. Después hablaremos sobre las conclusiones que hemos sacado tras la realización de este proyecto y sobre las posibles mejoras, terminando con una demostración del funcionamiento del equipo en la vida real. ABSTRACT. Nowadays, in hospitals and nursing homes it is required to have a patient-nurse care system. This system must be able to control and manage each one of the alarms, in the shortest possible time and with maximum efficiency. For this, we have designed a complete solution called ConnectCare. The system architecture is modular and the communication is by IP protocol. This allows the system to adapt to each situation and providing specific solutions. This system is composed by a software, called Buslogic, which it manages the alarms in the PC server and a hardware, called Fonet Control TCP / IP, which it has a dual role: the first role, it is a telephone intercom device and second role, it is a system alarm manager and it can control some external devices. As telephone intercom device, it is integrated into the telephone network and also it is an analog extension terminal allowing intercommunication between the patient and the health personnel. A short description of this intercommunication system will be made, because it is not the subject of this project. Otherwise, the control system will be described with more emphasis on the design and operation point of view, because this is the subject of this project. The control board allows the reception of signals from wired devices, such as pushbutton handset or bathroom pullcord. It is also possible to receive warning signals of non nurse call devices such as smoke detectors or motion detectors. Moreover, it allows to control the lights of the patients’ rooms and to act on other external devices. Then, a budget will be showed. The budget is divided into two parts, the first one is related with the design of the control board and the second one corresponds to the serial production of it. Then, it is discussed the conclusions of this project and the possible improvements, ending with a demonstration of the equipment in real life.

Estudio del radón en viviendas mediante modelos de minería de datos basados en cubos OLAP

En esta tesis doctoral se estudian las variaciones de radón en el interior de dos viviendas similares de construcción nueva en Madrid, una de ellas ocupada y la otra no, que forman parte del mismo edificio residencial. La concentración de radón y los parámetros ambientales (presión, temperatura y humedad) se midieron durante ocho meses. La monitorización del gas radón se realizó mediante detectores de estado sólido. Simultáneamente, se adquirieron algunas variables atmosféricas de un modelo atmosférico. En el análisis de los datos, se utilizó principalmente el método de la Transformada Wavelet. Los resultados muestran que el nivel de radón es ligeramente más alto en la vivienda ocupada que en la otra. A partir del análisis desarrollado en este estudio, se encontró que había un patrón específico estacional en la concentración de radón interior. Además, se analizó también la influencia antropogénica. Se pudieron observar patrones periódicos muy similares en intervalos concretos sin importar si la vivienda está ocupada o no. Por otra parte, los datos se almacenaron en cubos OLAP. El análisis se realizó usando unos algoritmos de agrupamiento (clustering) y de asociación. El objetivo es descubrir las relaciones entre el radón y las condiciones externas como la presión, estabilidad, etc. Además, la metodología aplicada puede ser útil para estudios ambientales en donde se mida radón en espacios interiores. ABSTRACT The present thesis studies the indoor radon variations in two similar new dwellings, one of them occupied and the other unoccupied, from the same residential building in Madrid. Radon concentration and ambient parameters were measured during eight months. Solid state detectors were used for the radon monitoring. Simultaneously, several atmospheric variables were acquired from an atmospheric model. In the data analysis, the Wavelet Transform Method was mainly used. The results show that radon level is slightly higher in the unoccupied dwelling than in the other one. From the analysis developed in this study, it is found that a specific seasonal pattern exists in the indoor radon concentration. Besides, the anthropogenic influence is also analysed. Nearly periodical patterns could be observed in specific periods whether dwelling is occupied or not. Otherwise, data were stored in cubes OLAP. Analysis was carried out using clustering and association algorithms. The aim is to find out the relationships among radon and external conditions like pressure, stability, etc. Besides, the methodology could be useful to assess environmental studies, where indoor radon is measured.

Ca2+-independent inhibition of inositol trisphosphate receptors by calmodulin: Redistribution of calmodulin as a possible means of regulating Ca2+ mobilization

The interactions between calmodulin, inositol 1,4,5-trisphosphate (InsP3), and pure cerebellar InsP3 receptors were characterized by using a scintillation proximity assay. In the absence of Ca2+, 125I-labeled calmodulin reversibly bound to multiple sites on InsP3 receptors and Ca2+ increased the binding by 190% ± 10%; the half-maximal effect occurred when the Ca2+ concentration was 184 ± 14 nM. In the absence of Ca2+, calmodulin caused a reversible, concentration-dependent (IC50 = 3.1 ± 0.2 μM) inhibition of [3H]InsP3 binding by decreasing the affinity of the receptor for InsP3. This effect was similar at all Ca2+ concentrations, indicating that the site through which calmodulin inhibits InsP3 binding has similar affinities for calmodulin and Ca2+-calmodulin. Calmodulin (10 μM) inhibited the Ca2+ release from cerebellar microsomes evoked by submaximal, but not by maximal, concentrations of InsP3. Tonic inhibition of InsP3 receptors by the high concentrations of calmodulin within cerebellar Purkinje cells may account for their relative insensitivity to InsP3 and limit spontaneous activation of InsP3 receptors in the dendritic spines. Inhibition of InsP3 receptors by calmodulin at all cytosolic Ca2+ concentrations, together with the known redistribution of neuronal calmodulin evoked by protein kinases and Ca2+, suggests that calmodulin may also allow both feedback control of InsP3 receptors and integration of inputs from other signaling pathways.

How the owl resolves auditory coding ambiguity

The barn owl (Tyto alba) uses interaural time difference (ITD) cues to localize sounds in the horizontal plane. Low-order binaural auditory neurons with sharp frequency tuning act as narrow-band coincidence detectors; such neurons respond equally well to sounds with a particular ITD and its phase equivalents and are said to be phase ambiguous. Higher-order neurons with broad frequency tuning are unambiguously selective for single ITDs in response to broad-band sounds and show little or no response to phase equivalents. Selectivity for single ITDs is thought to arise from the convergence of parallel, narrow-band frequency channels that originate in the cochlea. ITD tuning to variable bandwidth stimuli was measured in higher-order neurons of the owl’s inferior colliculus to examine the rules that govern the relationship between frequency channel convergence and the resolution of phase ambiguity. Ambiguity decreased as stimulus bandwidth increased, reaching a minimum at 2–3 kHz. Two independent mechanisms appear to contribute to the elimination of ambiguity: one suppressive and one facilitative. The integration of information carried by parallel, distributed processing channels is a common theme of sensory processing that spans both modality and species boundaries. The principles underlying the resolution of phase ambiguity and frequency channel convergence in the owl may have implications for other sensory systems, such as electrolocation in electric fish and the computation of binocular disparity in the avian and mammalian visual systems.

GeneSplicer: a new computational method for splice site prediction

GeneSplicer is a new, flexible system for detecting splice sites in the genomic DNA of various eukaryotes. The system has been tested successfully using DNA from two reference organisms: the model plant Arabidopsis thaliana and human. It was compared to six programs representing the leading splice site detectors for each of these species: NetPlantGene, NetGene2, HSPL, NNSplice, GENIO and SpliceView. In each case GeneSplicer performed comparably to the best alternative, in terms of both accuracy and computational efficiency.

Mapping the universe in three dimensions

The determination of the three-dimensional layout of galaxies is critical to our understanding of the evolution of galaxies and the structures in which they lie, to our determination of the fundamental parameters of cosmology, and to our understanding of both the past and future histories of the universe at large. The mapping of the large scale structure in the universe via the determination of galaxy red shifts (Doppler shifts) is a rapidly growing industry thanks to technological developments in detectors and spectrometers at radio and optical wavelengths. First-order application of the red shift-distance relation (Hubble’s law) allows the analysis of the large-scale distribution of galaxies on scales of hundreds of megaparsecs. Locally, the large-scale structure is very complex but the overall topology is not yet clear. Comparison of the observed red shifts with ones expected on the basis of other distance estimates allows mapping of the gravitational field and the underlying total density distribution. The next decade holds great promise for our understanding of the character of large-scale structure and its origin.

Determination of the Hubble constant

Establishing accurate extragalactic distances has provided an immense challenge to astronomers since the 1920s. The situation has improved dramatically as better detectors have become available, and as several new, promising techniques have been developed. For the first time in the history of this difficult field, relative distances to galaxies are being compared on a case-by-case basis, and their quantitative agreement is being established. New instrumentation, the development of new techniques for measuring distances, and recent measurements with the Hubble Space telescope all have resulted in new distances to galaxies with precision at the ±5–20% level. The current statistical uncertainty in some methods for measuring H0 is now only a few percent; with systematic errors, the total uncertainty is approaching ±10%. Hence, the historical factor-of-two uncertainty in the value of the H0 is now behind us.