Adherence to cervical and breast cancer programs is crucial to improving screening performance

Introduction: Cervical and breast cancer are the most common malignancies among women worldwide. Effective screening can facilitate early detection and dramatically reduce mortality rates. The interface between those screening patients and patients most needing screening is complex, and women in remote areas of rural counties face additional barriers that limit the effectiveness of cancer prevention programs. This study compared various methods to improve compliance with mass screening for breast and cervical cancer among women in a remote, rural region of Brazil. Methods: In 2003, a mobile unit was used to perform 10 156 mammograms and Papanicolaou smear tests for women living in the Barretos County region of Sao Paulo state, Brazil (consisting of 19 neighbouring cities). To reach the women, the following community outreach strategies were used: distribution of flyers and pamphlets; media broadcasts (via radio and car loudspeakers); and community healthcare agents (CHCAs) making home visits. Results: The most useful intervention appeared to be the home visits by healthcare agents or CHCAs. These agents of the Family Health Programme of the Brazilian Ministry of Health reached an average of 45.6% of those screened, with radio advertisements reaching a further 11.9%. The great majority of the screened women were illiterate or had elementary level schooling (80.9%) and were of 'poor' or 'very poor' socioeconomic class (67.2%). Conclusions: Use of a mobile screening unit is a useful strategy in developing countries where local health systems have inadequate facilities for cancer screening in underserved populations. A multimodal approach to community outreach strategies, especially using CHCAs and radio advertisements, can improve the uptake of mass screening in low-income, low-educational background female populations.

O meu ponto de vista é um ponto de escuta. O poder do som nos filmes de Manoel de Oliveira

Tese de Doutoramento em Ciências da Comunicação - Especialidade em Comunicação Audiovisual

Simulació Escenogràfica per a Teatres

El programa Escenes és un generador d'escenografies virtuals per a teatres. Quan s'ha de dissenyar una escenografia per a una obra de teatre, cal tenir en compte molts moviments físics de material, focus, altaveus, etc., a més d'una despesa important en l'adquisició d'aquest material: l'atrezzo. El programa mira de fer més senzill aquest procés i d'aconseguir una aproximació més o menys realista del que es veurà a l'escenari abans de comprar el material, col·locar els objectes, fer la feina de canviar els focus de posició o col·locar filtres de colors.

The Design and Implementation of Loudspeaker Control Network Protocols

The networking and digitalization of audio equipment has created a need for control protocols. These protocols offer new services to customers and ensure that the equipment operates correctly. The control protocols used in the computer networks are not directly applicable since embedded systems have resource and cost limitations. In this master's thesis the design and implementation of new loudspeaker control network protocols are presented. The protocol stack was required to be reliable, have short response times, configure the network automatically and support the dynamic addition and removal of loudspeakers. The implemented protocol stack was also required to be as efficient and lightweight as possible because the network nodes are fairly simple and lack processing power. The protocol stack was thoroughly tested, validated and verified. The protocols were formally described using LOTOS (Language of Temporal Ordering Specifications) and verified using reachability analysis. A prototype of the loudspeaker network was built and used for testing the operation and the performance of the control protocols. The implemented control protocol stack met the design specifications and proved to be highly reliable and efficient.

On the determination of epsilon during discriminative GMM training

Discriminative training of Gaussian Mixture Models (GMMs) for speech or speaker recognition purposes is usually based on the gradient descent method, in which the iteration step-size, ε, uses to be defined experimentally. In this letter, we derive an equation to adaptively determine ε, by showing that the second-order Newton-Raphson iterative method to find roots of equations is equivalent to the gradient descent algorithm. © 2010 IEEE.

[Verification of normative values for the Swiss version of the Freiburg speech intelligibility test.]

BACKGROUND AND OBJECTIVE: In the Swiss version of the Freiburg speech intelligibility test five test words from the original German recording which are rarely used in Switzerland have been exchanged. Furthermore, differences in the transfer functions between headphone and loudspeaker presentation are not taken into account during calibration. New settings for the levels of the individual test words in the recommended recording and small changes in calibration procedures led us to make a verification of the currently used normative values.PATIENTS AND METHODS: Speech intelligibility was measured in 20 subjects with normal hearing using monosyllabic words and numbers via headphones and loudspeakers.RESULTS: On average, 50% speech intelligibility was reached at levels which were 7.5 dB lower under free-field conditions than for headphone presentation. The average difference between numbers and monosyllabic words was found to be 9.6 dB, which is considerably lower than the 14 dB of the current normative curves.CONCLUSIONS: There is a good agreement between our measurements and the normative values for tests using monosyllabic words and headphones, but not for numbers or free-field measurements.

Influence of loudspeaker directivity on the measurement uncertainty

One of the most significant aspects of a building’s acoustic behavior is the airborne sound insulation of the room façades, since this determines the protection of its inhabitants against environmental noise. For this reason, authorities in most countries have established in their acoustic regulations for buildings the minimum value of sound insulation that must be respected for façades. In order to verify compliance with legal requirements it is usual to perform acoustic measurements in the finished buildings and then compare the measurement results with the established limits. Since there is always a certain measurement uncertainty, this uncertainty must be calculated and taken into account in order to ensure compliance with specifications. The most commonly used method for measuring sound insulation on façades is the so-called Global Loudspeaker Method, specified in ISO 140-5:1998. This method uses a loudspeaker placed outside the building as a sound source. The loudspeaker directivity has a significant influence on the measurement results, and these results may change noticeably by choosing different loudspeakers, even though they all fulfill the directivity requirements of ISO 140-5. This work analyzes the influence of the loudspeaker directivity on the results of façade sound insulation measurement, and determines its contribution to measurement uncertainty. The theoretical analysis is experimentally validated by means of an intermediate precision test according to ISO 5725-3:1994, which compares the values of sound insulation obtained for a façade using various loudspeakers with different directivities

Procedimiento para la medición y verificación de la directividad y la cobertura de una fuente sobre un elemento de fachada de acuerdo a la norma ISO 140-5

El apartado <4.2 Altavoz> de la Norma Internacional UNE-EN ISO 140-5 [1] especifica que la directividad del altavoz usado en el ensayo debe asegurar en todas las bandas de frecuencias de interés, unas diferencias de nivel locales inferiores a 5dB (o a 10 dB para fachadas de dimensiones mayores a 5m), medidas en campo libre, sobre una superficie del mismo tamaño y orientación que la pared o elemento a ensayar. Este requisito debe verificarse en unas bandas de frecuencia de interés que sean como mínimo los tercios de octava desde 100Hz hasta 3150Hz, y preferiblemente desde 50Hz hasta 5kHz. Desde hace unos años, en el Laboratorio de sonido de la EUIT de Telecomunicación de la Universidad Politécnica de Madrid, los autores han implementado un método en el que, a partir de las medidas de directividad en cámara anecoica de la fuente sonora a ensayar, se calcula el campo sonoro directo sobre una superficie ficticia que representa un elemento de fachada en la misma disposición que se indica en la norma ICO 140-5 y con unas dimensiones según se requieran en el procedimiento. También se estima la dimensión horizontal máxima ΔXmax de una fachada rectangular en relación de aspecto fija que permite verificar la norma con los criterios de 5dB y 10dB de diferencias máximas de niveles directos en dicha fachada. En esta ponencia se detalla el procedimiento anterior. ABSTRACT. The Section "4.2 loudspeaker" of the UNE-EN ISO 140-5 International Standard: "Field measurements of airborne sound insulation of façade elements and façades", specifies that the directivity of the loudspeaker used in the test must ensure in all frequency bands of interest, local level differences less than 5dB (or 10dB for façade dimensions greater than 5m), measured in free field over an area of the same size and orientation as the wall or element to be tested. This requirement must be verified in the frequency bands of interest which are, at least, the third octave bands from 100Hz to 3150Hz, preferably from 50Hz to 5kHz. In recent years, in the Laboratory of Sound of the EUIT Telecomunicación (Universidad Politécnica de Madrid), the authors have implemented a method that, from directivity measurements of loudspeakers performed in the anechoic room, the direct sound field on a surface in the same layout as indicated in the ISO standard is calculated. It is also estimated the maximum horizontal dimension Δxmax of a rectangular façade for each aspect ratio which verify the standard criteria of either 5dB or 10dB for the maximum differences of direct levels in the façade. This paper details the procedure above introduced.

Influence of loudspeaker directivity on the measurement uncertainty of the acoustic testing of facades.

One of the most significant aspects of a building?s acoustic behavior is the airborne sound insulation of the room façades, since this determines the protection of its inhabitants against environmental noise. For this reason, authorities in most countries have established in their acoustic regulations for buildings the minimum value of sound insulation that must be respected for façades. In order to verify compliance with legal requirements it is usual to perform acoustic measurements in the finished buildings and then compare the measurement results with the established limits. Since there is always a certain measurement uncertainty, this uncertainty must be calculated and taken into account in order to ensure compliance with specifications. The most commonly used method for measuring sound insulation on façades is the so-called Global Loudspeaker Method, specified in ISO 140-5:1998. This method uses a loudspeaker placed outside the building as a sound source. The loudspeaker directivity has a significant influence on the measurement results, and these results may change noticeably by choosing different loudspeakers, even though they all fulfill the directivity requirements of ISO 140-5. This work analyzes the influence of the loudspeaker directivity on the results of façade sound insulation measurement, and determines its contribution to measurement uncertainty. The theoretical analysis is experimentally validated by means of an intermediate precision test according to ISO 5725-3:1994, which compares the values of sound insulation obtained for a façade using various loudspeakers with different directivities. Keywords: Uncertainty, Façade, Insulation

Sound of lasers (SOL) - An audiovisual approach to semiconductor laser dynamics

We present an educational software addressed to the students of optical communication courses, for a simple visualization of the basic dynamic processes of semiconductor lasers. The graphic interface allows the user to choose the laser and the modulation parameters and it plots the laser power output and instantaneous frequency versus time. Additionally, the optical frequency variations are numerically shifted into the audible frequency range in order to produce a sound wave from the computer loudspeakers. Using the proposed software, the student can simultaneously see and hear how the laser intensity and frequency change, depending on the modulation and device parameters.

Estudio acústico de la iglesia Santa María del Castillo

En el presente proyecto se ha realizado un estudio sobre las condiciones acústicas de la iglesia Santa María del Castillo, ubicada en la localidad de Campo Real, al sureste de Madrid. Se trata de una iglesia construida entre los siglos XIV y XVII en diferentes fases, rica en características arquitectónicas correspondientes a varios estilos, tales como el gótico, el renacentista y el barroco. Reconocida en 1981 por sus valores arquitectónicos como Monumento Histórico–Artístico. A partir de unas completas mediciones del interior de la iglesia, se ha realizado un modelo tridimensional del mismo como base para la simulación mediante el software de simulación acústica EASE versión 4.3. Para conseguir que este modelo se asemeje a la realidad, se han realizado medidas del ruido de fondo en el interior de la iglesia en diferentes condiciones ambientales. Además se han creado mediante el software los coeficientes de absorción correspondientes a cada material presente en el interior de la iglesia y se han tenido en cuenta las características de los altavoces utilizados en la megafonía del recinto. El modelo en 3D obtenido caracteriza completamente las condiciones acústicas de la iglesia Santa María del Castillo, y nos sirve para valorar cómo es el sonido en el interior de la misma. Para ello obtenemos valores de diferentes parámetros acústico realizando simulaciones. Parámetros como el tiempo de reverberación y el nivel de presión sonora nos dan una idea general de cómo es el campo sonoro en el interior del recinto. Otros parámetros como el ALCons y el STI nos dan información sobre la inteligibilidad de la palabra en el recinto en el que se está realizando el estudio. Finalmente basándonos en los resultados obtenidos de la simulación se sacan conclusiones sobre las características acústicas de este recinto. La iglesia estudiada no es un recinto apropiado para la palabra y/o la música, además el predominio del campo reverberante sobre el campo directo es claro, esto es debido a las dimensiones del recinto y la poca absorción de los diferentes materiales empleados en su construcción, que son bastante reflexivos al sonido. ABSTRACT The present project undertakes the acoustic study of the church Santa María del Castillo. The church is the main temple of Campo Real, in the south-east of Madrid. It was built over different phases between the 14th and the 17th centuries and therefore, the presence of several architectural styles makes the church of Campo Real an interesting aim for this study. The building was recognised as Historic-Artistic Monument for its architectural value in 1981. Complete measurements from inside of the church were taken to build a computational 3D model which has been used to perform acoustic simulations of the church with the software EASE (Version 4.3). Noise measurements have been taken inside the church at different ambient conditions and they have been used to improve the reliability of the computational model. Furthermore, the model has been provided with software generated absorption coefficients and the characteristics of the actual loudspeakers have been taken into account. The 3D model created characterises all the acoustic conditions of the church Santa María del Castillo and allows the study of the sound properties inside the temple. Parameters such as reverberation time and sound pressure level were calculated performing simulations so the sound field inside the building can be described. Other parameters such as the Articulation Loss of Consonants (ALCons) and the Speech Transmission Index (STI) were studied to derive information about intelligibility inside the church. Finally, based on the results obtained by the simulation, I expose my conclusions about the acoustic characteristics of the building. The main conclusion derived from the present study is that the temple is not an appropriate place for voice or music listening due to the dimensions and the characteristics of the materials used in the construction since they are highly reflective to sound. The reverberant field predominates over the whole audience area in comparison with the direct field.

Diseño de los sistemas de comunicación en plantas de exploración y producción de hidrocarburos

Las plantas industriales de exploración y producción de petróleo y gas disponen de numerosos sistemas de comunicación que permiten el correcto funcionamiento de los procesos que tienen lugar en ella así como la seguridad de la propia planta. Para el presente Proyecto Fin de Carrera se ha llevado a cabo el diseño del sistema de megafonía PAGA (Public Address and General Alarm) y del circuito cerrado de televisión (CCTV) en la unidad de procesos Hydrocrcaker encargada del craqueo de hidrógeno. Partiendo de los requisitos definidos por las especificaciones corporativas de los grupos petroleros para ambos sistemas, PAGA y CCTV, se han expuesto los principios teóricos sobre los que se fundamenta cada uno de ellos y las pautas a seguir para el diseño y demostración del buen funcionamiento a partir de software específico. Se ha empleado las siguientes herramientas software: EASE para la simulación acústica, PSpice para la simulación eléctrica de las etapas de amplificación en la megafonía; y JVSG para el diseño de CCTV. La sonorización tanto de las unidades como del resto de instalaciones interiores ha de garantizar la inteligibilidad de los mensajes transmitidos. La realización de una simulación acústica permite conocer cómo va a ser el comportamiento de la megafonía sin necesidad de instalar el sistema, lo cual es muy útil para este tipo de proyectos cuya ingeniería se realiza previamente a la construcción de la planta. Además se comprueba el correcto diseño de las etapas de amplificación basadas en líneas de alta impedancia o de tensión constante (100 V). El circuito cerrado de televisión (CCTV) garantiza la transmisión de señales visuales de todos los accesos a las instalaciones y unidades de la planta así como la visión en tiempo real del correcto funcionamiento de los procesos químicos llevados a cabo en la refinería. El sistema dispone de puestos de control remoto para el manejo y gestión de las cámaras desplegadas; y de un sistema de almacenamiento de las grabaciones en discos duros (RAID-5) a través de una red SAN (Storage Area Network). Se especifican las diferentes fases de un proyecto de ingeniería en el sector de E&P de hidrocarburos entre las que se destaca: propuesta y adquisición, reunión de arranque (KOM, Kick Off Meeting), estudio in situ (Site Survey), plan de proyecto, diseño y documentación, procedimientos de pruebas, instalación, puesta en marcha y aceptaciones del sistema. Se opta por utilizar terminología inglesa dado al ámbito global del sector. En la última parte del proyecto se presenta un presupuesto aproximado de los materiales empleados en el diseño de PAGA y CCTV. ABSTRACT. Integrated communications for Oil and Gas allows reducing risks, improving productivity, reducing costs, and countering threats to safety and security. Both PAGA system (Public Address and General Alarm) and Closed Circuit Television have been designed for this project in order to ensure a reliable security of an oil refinery. Based on the requirements defined by corporate specifications for both systems (PAGA and CCTV), theoretical principles have been presented as well as the guidelines for the design and demonstration of a reliable design. The following software has been used: EASE for acoustic simulation; PSpice for simulation of the megaphony amplification loops; and JVSG tool for CCTV design. Acoustic for both the units and the other indoor facilities must ensure intelligibility of the transmitted messages. An acoustic simulation allows us to know how will be the performance of the PAGA system without installing loudspeakers, which is very useful for this type of project whose engineering is performed prior to the construction of the plant. Furthermore, it has been verified the correct design of the amplifier stages based on high impedance lines or constant voltage (100 V). Closed circuit television (CCTV) ensures the transmission of visual signals of all access to facilities as well as real-time view of the proper functioning of chemical processes carried out at the refinery. The system has remote control stations for the handling and management of deployed cameras. It is also included a storage system of the recordings on hard drives (RAID - 5) through a SAN (Storage Area Network). Phases of an engineering project in Oil and Gas are defined in the current project. It includes: proposal and acquisition, kick-off meeting (KOM), Site Survey, project plan, design and documentation, testing procedures (SAT and FAT), installation, commissioning and acceptance of the systems. Finally, it has been presented an estimate budget of the materials used in the design of PAGA and CCTV.

Influence of loudspeaker directivity and measurement geometry on direct acoustic levels over façades for acoustic insulation tests with the International Standard ISO 140-5

The International Standard ISO 140-5 on field measurements of airborne sound insulation of façades establishes that the directivity of the measurement loudspeaker should be such that the variation in the local direct sound pressure level (ΔSPL) on the sample is ΔSPL < 5 dB (or ΔSPL < 10 dB for large façades). This condition is usually not very easy to accomplish nor is it easy to verify whether the loudspeaker produces such a uniform level. Direct sound pressure levels on the ISO standard façade essentially depend on the distance and directivity of the loudspeaker used. This paper presents a comprehensive analysis of the test geometry for measuring sound insulation and explains how the loudspeaker directivity, combined with distance, affects the acoustic level distribution on the façade. The first sections of the paper are focused on analysing the measurement geometry and its influence on the direct acoustic level variations on the façade. The most favourable and least favourable positions to minimise these direct acoustic level differences are found, and the angles covered by the façade in the reference system of the loudspeaker are also determined. Then, the maximum dimensions of the façade that meet the conditions of the ISO 140-5 standard are obtained for the ideal omnidirectional sound source and the piston radiating in an infinite baffle, which is chosen as the typical radiation pattern for loudspeakers. Finally, a complete study of the behaviour of different loudspeaker radiation models (such as those usually utilised in the ISO 140-5 measurements) is performed, comparing their radiation maps on the façade for searching their maximum dimensions and the most appropriate radiation configurations.

Web based interactive educational software introducing semiconductor laser dynamics: Sound Of Lasers (SOL)

In this work, educational software for intuitive understanding of the basic dynamic processes of semiconductor lasers is presented. The proposed tool is addressed to the students of optical communication courses, encouraging self consolidation of the subjects learned in lectures. The semiconductor laser model is based on the well known rate equations for the carrier density, photon density and optical phase. The direct modulation of the laser is considered with input parameters which can be selected by the user. Different options for the waveform, amplitude and frequency of thpoint. Simulation results are plotted for carrier density and output power versus time. Instantaneous frequency variations of the laser output are numerically shifted to the audible frequency range and sent to the computer loudspeakers. This results in an intuitive description of the “chirp” phenomenon due to amplitude-phase coupling, typical of directly modulated semiconductor lasers. In this way, the student can actually listen to the time resolved spectral content of the laser output. By changing the laser parameters and/or the modulation parameters,consequent variation of the laser output can be appreciated in intuitive manner. The proposed educational tool has been previously implemented by the same authors with locally executable software. In the present manuscript, we extend our previous work to a web based platform, offering improved distribution and allowing its use to the wide audience of the web.