Ultrasonic Verification is a new method for the monitoring large surface areas of CFRP by ultrasound with few sensors. The echo response of a transmitted pulse through the structure is compared with the response of an earlier obtained reference signal to calculate a fidelity parameter.
Objectives : To systematically review the literature regarding the reliability and validity of assessment methods available in primary care for bladder outlet obstruction or benign prostatic obstruction in men with lower urinary tract symptoms (LUTS). Design : Systematic review with best evidence synthesis. Setting : Primary care. Participants : Men with LUTS due to bladder outlet obstruction or benign prostatic obstruction. Review methods: PubMed, Ebsco/CINAHL and Embase databases were searched for studies on the validity and reliability of assessment methods for bladder outlet obstruction and benign prostatic obstruction in primary care. Methodological quality was assessed with the COSMIN checklist. Studies with poor methodology were excluded from the best evidence synthesis. Results : Of the 5644 studies identified, 61 were scored with the COSMIN checklist, 37 studies were included in the best evidence synthesis, 18 evaluated bladder outlet obstruction and 17 benign prostatic obstruction, 2 evaluated both. Overall, reliability was poorly evaluated. Transrectal and transabdominal ultrasound showed moderate to good validity to evaluate bladder outlet obstruction. Measured prostate volume with these ultrasound methods, to identify benign prostatic obstruction, showed moderate to good accuracy, supported by a moderate to high level of evidence. Uroflowmetry for bladder outlet obstruction showed poor to moderate diagnostic accuracy, depending on used cut-off values. Questionnaires were supported by high-quality evidence, although correlations and diagnostic accuracy were poor to moderate compared with criterion tests. Other methods were supported by low level evidence. Conclusion :Clinicians in primary care can incorporate transabdominal and transrectal ultrasound or uroflowmetry in the evaluation of men with LUTS but should not solely rely on these methods as the diagnostic accuracy is insufficient and reliability remains insufficiently researched. Low-to-moderate levels of evidence for most assessment methods were due to methodological shortcomings and inconsistency in the studies. This highlights the need for better study designs in this domain.
MULTIFILE
OBJECTIVE: Osteopenia is a common complication of juvenile idiopathic arthritis (JIA). In adults, low bone density and increased fracture risk are associated with low vitamin K status of bone. The vitamin K-dependent protein osteocalcin plays an important role in bone metabolism. Its activity depends upon post-translational carboxylation in which vitamin K is an essential co-factor. Hence, vitamin K deficiency leads to under-carboxylated (i.e., inactive) osteocalcin (ucOC). Little is known about the vitamin K status and bone health in children with juvenile idiopathic arthritis (JIA). We studied the vitamin K status of bone and its association with bone mass properties in children with JIA compared to healthy children.METHODS: We performed a cross sectional study in 55 children with JIA and 54 healthy controls between 6-18 years of age. Bone markers, ultrasound bone mass properties and vitamin K status of bone were determined.RESULTS: Overall, no differences in vitamin K status of bone were found between the study groups. Among children with JIA, a high ratio of ucOC/cOC indicating low vitamin K status was associated with low bone ultrasound parameters, whereas children with a high vitamin K status had markedly higher bone properties. This association was independent of physical activity, age, gender and BMI.CONCLUSION: These results suggest that vitamin K may be one of multiple risk factors for low bone mass in children with JIA, in addition to other recognized determinants of bone mass. The question remains whether JIA patients would benefit from increased dietary vitamin K intake.
MSEs have encountered limitations while pushing the limits of catheter tip sensors performance. The limitations summarized: - sensors are not immune to electrical signal noise, cross talk, and EM fields; - sensors are not immune to high magnetic fields, i.e. not suitable for MR imaging; - extending the amount of sensors on the catheter tip is limited due to cluttering of wires. A fundamentally different approach using integrated optics is chosen for developing a new generation catheter sensors. The complexity of the design and production problems represents a knowledge gap, that can be bridged in the proposed consortium. This project consists of four work packages, total duration two years, subdivided into four phases. A crucial deliverable of the project is presented at the end of phase IV (WP4), namely a demonstrator integrating pressure and temperature sensors (obtained from WP1) with a newly designed readout system. This system is modularly extendable for future catheter tip sensors. In WP1, pressure- and temperature sensors are developed using two design approaches. In WP2 the influence of downscaling an ultrasound MZI device is explored and the microfabrication process parameters are studied. An additional goal of WP2 is to find the most suitable method for measuring lactate concentration. Among the deliverables five manuscripts: manuscript 1 includes simulations and measurements of the developed pressure and temperature sensors, manuscript 2 answers the question: can a grated fiber be used for measuring pressure and temperature on a tip? Manuscript 3 answers the question: which method is most suitable for measuring lactate concentration on a tip? Manuscript 4 answers the question: does a US intensity detector fit on a catheter tip while obeying the LoR? Manuscript 5 describes the performance of the demonstrator (Phase IV), i.e. integration of T/P sensing with a modular read out system.
The application of sensors in water technology is a crucial step to provide broader, more efficient and circular systems. Among the different technologies used in this field, ultrasound-based systems are widely used, basically to generate energy peaks for cell lysis and particle separation. In this work, we propose the adaptation of an ultrasound system to monitor the concentration of solid particles in wastewater treatment plants settlers as well as to indicate sludge level (real time). A similar sensor was developed and tested in another project which operated successfully at solids concentration up to 1% in UASB reactors. Such measurements are nowadays obtained via time-consuming physical (solids) analysis, which can compromise the efficiency of the settlers and the quality of the effluent. The present project proposes an improved version of the sensor, which will combine solids concentration monitoring and sludge level detection. The defined targets have the intention to make a sensor with a much broader range of applications, been suitable not only for UASB reactors but also to settler and aerobic tanks. The project is a cooperation between the Water Technology lectoraat of NHL Stenden University of Applied Sciences, two SME’s - YNOVIO B.V. and Lamp-ion B.V. - and the INCT group (Brazil). If proven feasible, the concept can generate a big business market to the involved Dutch partners as well as favor the automation of WWTP in the Netherlands, Brazil and around the world.
The ongoing debate over the use of fossil fuels, particularly diesel, in engines due to concerns about global climate change has prompted the exploration of alternative propulsion methods and fuels. Despite various proposed alternatives, diesel engines continue to play a vital role in the global market [1]. This discussion has spurred innovations aimed at enhancing the performance and sustainability of diesel engines, including the utilization of biodiesel mixtures, synthetic fuels, and water-in-diesel emulsions (W/D emulsions) [2-5]. Scientific evidence indicates that the presence of water in water-diesel emulsions can improve engine performance and reduce emissions, such as particulate matter and NOx [6,7]. This performance enhancement is attributed to the phenomenon of micro-explosion, or secondary atomization, caused by the differing boiling points of water and diesel [8]. The rapid temperature increase during fuel injection leads to the explosive vaporization of dispersed water droplets, breaking up the diesel emulsion into smaller droplets and resulting in a shorter combustion time. Various processes, including membrane emulsification, ultrasound emulsification, and high shear stirring, are employed to create these emulsions, often necessitating the use of surfactants for stability [9]. This research proposes a two-fold approach: firstly, the use of Electrohydrodynamic Atomization (EHDA, or electrospray) to create stable water-diesel emulsions. Secondly, the employment of magnetic fields in treating both diesel and water-diesel emulsions. EHDA is already used in several applications, such as drug encapsulation, bioencapsulation, thin film coatings and is also known for its ability to form stable emulsions. [10-13]. For the second approach, it has been shown that nanobubbles can be formed [17] and stabilized due to the electric charging action of magnetic fields [18]. We hypothesize that the charged bubbles can further stabilize the diesel-water emulsion and also enhance the explosive evaporation due to the additional Coulomb forces in play.
