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Chronic insomnia is defined by difficulties in falling asleep, maintaining sleep, and early morning awakening, and is coupled with daytime consequences such as fatigue, attention deficits, and mood instability. These symptoms persist over a period of at least 3 months (Diagnostic and Statistical Manual 5 criteria). Chronic insomnia can be a symptom of many medical, neurological, and mental disorders. As a disorder, it incurs substantial health-care and occupational costs, and poses substantial risks for the development of cardiovascular and mental disorders, including cognitive deficits. Family and twin studies confirm that chronic insomnia can have a genetic component (heritability coefficients between 42% and 57%), whereas the investigation of autonomous and central nervous system parameters has identified hyperarousal as a final common pathway of the pathophysiology, implicating an imbalance of sleep–wake regulation consisting of either overactivity of the arousal systems, hypoactivity of the sleep-inducing systems, or both. Insomnia treatments include benzodiazepines, benzodiazepine-receptor agonists, and cognitive behavioural therapy. Treatments currently under investigation include transcranial magnetic or electrical brain stimulation, and novel methods to deliver psychological interventions.
A laser-operated, angle-tunable transducer was employed to excite selectively elastic waves guided along the apex of a solid wedge. The propagation of wedge waves at anisotropic monocrystalline silicon edges with different symmetry properties was studied by optical detection. The reduced symmetry in crystals, as compared to isotropic media, causes a number of new features, such as the existence of supersonic leaky wedge waves, tilted spatial pulse profiles, and other peculiarities of their localization. Experimental and theoretical results are presented for three different types of symmetry configurations: the wedge symmetric about its midplane, the wedge symmetric about the plane normal to its apex line, and the wedge symmetric about one of its faces. The experiments include accurate measurements of the phase velocity and the wave field distribution, providing information on localization and coupling of wedge waves with other waves. Theoretically, the wedge waves were treated by the Laguerre function method, extended to modes that are not localized at the tip of the wedge. This approach allowed an accurate description of the observed localized and leaky wedge waves in anisotropic wedges.
The lifetime and performance of solid-oxide fuel cells (SOFC) and electrolyzer cells (SOEC) can be significantly degraded by oxidation of nickel within the electrode and support structures. This paper documents a detailed computational model describing nickel oxide (NiO) formation as a growing film layer on top of the nickel phase in Ni/YSZ composite electrodes. The model assumes that the oxidation rate is controlled by transport of ions across the film (Wagner's theory). The computational model, which is implemented in a two-dimensional continuum framework, facilitates the investigation of alternative chemical reaction and transport mechanisms. Model predictions agree well with a literature experimental measurement of oxidation-layer growth. In addition to providing insight in interpreting experimental observations, the model provides a quantitative predictive capability for improving electrode design and controlling operating conditions.
Digital networked communications are the key to all Internet-of-Things applications, especially to smart metering systems and the smart grid. In order to ensure a safe operation of systems and the privacy of users, the transport layer security (TLS) protocol, a mature and well standardized solution for secure communications, may be used. We implemented the TLS protocol in its latest version in a way suitable for embedded and resource-constrained systems. This paper outlines the challenges and opportunities of deploying TLS in smart metering and smart grid applications and presents performance results of our TLS implementation. Our analysis shows that given an appropriate implementation and configuration, deploying TLS in constrained smart metering systems is possible with acceptable overhead.
Die Hersteller von Cochlea-Implantat (CI)-Systemen sehen für klinische Audiologen die Möglichkeit vor, die Mikrofonleistung der meisten aktuellen CI-Sprachprozessoren mittels anschließbarer Monitorkopfhörer zu prüfen. Nähere Angaben dazu, nach welchem Prozedere diese Prüfung stattfinden soll, z. B. welche Stimuli mit welchen Pegeln verwendet werden sollen, sind nach Wissen der Autoren seitens der CI-Hersteller nicht verfügbar. Auf der Basis dieser subjektiven Prüfung entscheidet dann der Audiologe, ob der betreffende Sprachprozessor an den Hersteller eingeschickt wird oder nicht. Wir haben eine Messbox entwickelt, mit der die Mikrofonleistung aller abhörbaren CI-Sprachprozessoren der Hersteller Advanced Bionics, Cochlear und MED-EL objektiv geprüft werden kann. Die Box wurde im 3-D-Druckverfahren hergestellt. Der zu prüfende Sprachprozessor wird in die Messbox eingehängt und über einen verbauten Lautsprecher mit definierten Prüfsignalen (Sinustönen unterschiedlicher Frequenz) beschallt. Das Signal des Mikronfons bzw. der Mikrofone wird über das in der Audio-/Abhörbuchse des Prozessors eingesteckte Kabel der Monitorkopfhörer herausgeführt und mit einer Shifting and Scaling-Schaltung in einen Spannungsbereich transformiert, der für die A/D-Wandlung mit einem Mikrokontroller (ATmega1280 verbaut auf einem Arduino Mega) geeignet ist. Derselbe Mikrokontroller übernimmt über einen eigens gebauten D/AWandler die Ausgabe der Prüfsignale über den Lautsprecher. Signalaufnahme und –wiedergabe erfolgt jeweils mit einer Samplingrate von 38,5 kHz. Der frequenzspezifische Effektivwert des abgegriffenen Mikrofonsignals wird mit einem Referenzwert verglichen. Die (frequenzspezifischen) Referenzwerte wurden mit einem neuwertigen Sprachprozessor gleichen Typs ermittelt und im Speicher des Mikrokontrollers abgelegt. Das Ergebnis wird nach Abschluss der Messung grafisch auf einem Touchscreen ausgegeben. Derzeit läuft eine erste Datenerhebung mit in der Klinik subjektiv auffällig gewordenen CI-Sprachprozessoren, die anschließend in der Messbox untersucht werden. Längerfristiges Ziel ist es, die hit und false alarm Raten der subjektiven Prüfung zu ermitteln.
Cardiac contractility modulation (CCM) is a device-based therapy for the treatment of systolic left ventricular chronic heart failure. Unlike other device-based therapies for heart failure, CCM delivers non-excitatory pacing signals to the myocardium. This leads to an extension of the action potential and to an improved contractility of the heart. The modeling and simulation was done with the electromagnetic simulation software CST. Three CCM electrodes were inserted into the Offenburg heart rhythm model and subsequently simulated the electric field propagation in CCM therapy.
In addition, simulations of CCM have been performed with electrodes from other device-based therapies, such as cardiac resynchronization therapy (CRT) and implantable cardioverter / defibrillator (ICD) therapy. At the same distance to the simulation electrode, the electric field is slightly stronger in CCM therapy than in CCM therapy with additionally implanted CRT or ICD electrodes. In addition, there is a change in the electric field propagation at the electrodes of the CRT and the shock electrode of the ICD.
By simulating several different therapy procedures on the heart, it is possible to check how they affect their behavior during normal operation. CCM heart rhythm model simulation allows the evaluation the individual electrical pacing and sensing field during CCM.
Abstract: Electric field of biventricular (BV) pacing, left ventricular (LV) electrode position and electrical interventricular desynchronization are important parameters for successful cardiac resynchronization therapy (CRT) in patients with heart failure, sinus rhythm and reduced LV ejection fraction. The aim of the study was to evaluate electric pacing field of transesophageal left atrial (LA) pacing and BV pacing with 3D heart rhythm simulation. Bipolar right atrial (RA), right ventricular (RV), LV electrodes and multipolar hemispherical esophageal LA electrodes were modeled with CST (Computer Simulation Technology, Darmstadt). Electric pacing field were simulated with bipolar RA and RV pacing with Solid S (Biotronik) electrode, bipolar LV pacing with Attain 4194 (Medtronic) electrode and bipolar LA pacing with TO8 (Osypka) esophageal electrode. 3D heart rhythm model with esophagus allowed electric pacing field simulation of 4-chamber pacing with bipolar intracardiac RA, RV, LV pacing and bipolar transesophageal LA pacing. The pacing amplitudes were 3V RA pacing amplitude, 50V LA pacing amplitude, 1.5V RV pacing amplitude and 3V LV pacing amplitude with 0.5ms pacing pulse duration. The atrioventricular delay between RA pacing and BV pacing was 140ms atrioventricular pacing delay and simultaneous RV and LV pacing. Electric pacing fields were simulated during the different pacing modes AAI, VVI, DDD and DDD0V. The intracardiac far-field pacing potentials were evaluated with intracardiac electrodes and a distance of 1mm from the electrodes with RA electrode 1.104V, RV electrode 0.703V and LV electrode 1.32V. The transesophageal far-field pacing potential was evaluated with transesophageal electrode and a distance of 10mm from the elelctrode with LA electrode 6.076V. Heart rhythm model simulation with esophagus allows evaluation of electric pacing fields in AAI, VVI, DDD, DDD0V and DDD0D pacing modes. Electric pacing field of RA, RV and LV pacing in combination with LA pacing may additional useful pacing mode in CRT non-responders.
Energy management in distribution grids is one of the key challenges that needs to be overcome to increase the share of fluctuating renewable energies. Current control systems for energy management mainly demonstrate centralized- or decentralized-hierarchical control structures. Very few systems manifest a fully decentralized multiagent-based control structure. Multiagent-based control systems promise to be an advantageous approach for the future distributed energy supply system because no central control entity is necessary, which eases parameterization in case of grid topology changes, and the agents are more stable against failures and changes of control topologies. Research is necessary to prove these benefits. In this study, we introduce a design of a multiagent-based voltage control system for low-voltage grids. In detail we introduce cooperative decision-making processes and software solutions that allow the agents to perceive and control their environment, the agent-discovery and localization in different types of communication networks, agent-to-agent communication, and the integration of the multiagent system in existing grid-control infrastructures. Furthermore, the study proposes how different existing technologies can be combined into an applicable multiagent-based voltage control system: the Java/OSGi-based OpenMUC framework allows a generic field–device interaction; peer-to-peer discovery and session establishment functionalities are combined with the agent communication defined by the Foundation for Intelligent Physical Agents (FIPA). The ripple control-signal technology is applied as a fallback communication between the agent and a central grid-control center.
Pulmonary vein isolation (PVI) is a common therapy in atrial fibrillation (AF). The cryoballoon was invented to isolate the pulmonary vein in one step and in a shorter time than a point-by-point radiofrequency (RF) ablation. The aim of the study was to model two cryoballoon catheters, one RF catheter and to integrate them into a heart rhythm model for the static and dynamic simulation of PVI by cryoablation and RF ablation in AF. The modeling and simulation were carried out using the electromagnetic and thermal simulation software CST (CST, Darmstadt). Two cryoballons and one RF ablation catheter were modeled based on the technical manuals of the manufacturers Medtronic and Osypka. The PVI especially the isolation of the left inferior pulmonary vein using a cryoballoon catheter was performed with a -50 °C heatsource and an exponential signal. The temperature at the balloon surface was -50 °C after 20 s ablation time, -24 °C from the balloon 0,5 mm in the myocardium, at a distance of 1 mm -3 °C, at 2 mm 18 °C and at a distance of 3mm 29 °C. PVI with RF energy was simulated with an applied power of 5 W at 420 kHz at the distal 8 mm ablation electrode. The temperature at the tip electrode was 110 °C after 15 s ablation time, 75 °C from the balloon at 0,5 mm in the myocardium, at a distance of 1 mm 58 °C, at 2 mm 45 °C and at a distance of 3 mm 38 °C. Virtual heart rhythm and catheter models as well as the simulation of the temperature allow the simulation of PVI in AF by cryo ablation and RF ablation. The 3D simulation of the temperature profile may be used to optimize RF and cryo ablation.
The high frequency (HF) catheter ablation is the gold standard for the therapy of many cardiac tachyarrhythmias, such as atrioventricular node re-entry tachycardia (AVNRT), atrioventricular re-entry tachycardia (AVRT) or atrial flutter (AFL). The aim of the study was to simulate the HF ablation of AVNRT, AVRT, AFL and its heat propagation in reference to the supplied power with different electrode material and electrode size. The modeling and simulation were performed with the thermal and electromagnetic simulation software CST® (Computer Simulation Technology, Darmstadt). The modeling and simulation were carried out using ablation catheters with 4 mm tip electrode and 8 mm tip electrode with different electrode materials. Both electrode types were made of platinum and gold respectively. For the measurement of the heat propagation in the heart tissue, the catheters were integrated in the Offenburg heart rhythm model. The HF ablation procedures were performed with the 4 mm platinum tip electrode, with an application duration of 45 seconds and a power output of 40 watts. The HF ablation of the atrioventricular node slow pathway produced a maximum temperature of 66.33 °C. The Kent bundle HF ablation in the left atrium achieved a maximum temperature of 67.14 °C. The HF ablation of the right atrial isthmus resulted 65.96 °C. The 8 mm distal platinum tip electrode and a power output of 60 watts reached 72.85 °C. The 8 mm distal gold tip electrode and a power output of 60 watt reached 64.66 °C, due to the improved thermal conductivity of gold. Virtual heart and ablation electrode models allow the static and dynamic simulation of HF ablation with different electrode material and electrode size. The 3D simulation of the temperature profile may be used to optimize the AVNRT, AVRT and AFL HF ablation.
The increasing number of transistors being clocked at high frequencies of modern microprocessors lead to an increasing power consumption, which calls for an active dynamic thermal management. In a research project a system environment has been developed, which includes thermal modeling of the microprocessor in the board system, a software environment to control the characteristics of the system’s timing behavior, and a modified Linux scheduler, which is enhanced with a prediction controller. Measurement results are shown for this development for a Freescale i.MX6Q quad-core microprocessor.
This paper presents new measurements of a bronze cast from the right hand of the famous Italian violin virtuoso Nicolò Paganini (1782-1840). These are compared to anthropometric standard values. In addition, detailed dorsal and palmar views of the cast are shown. With a middle finger length of 75 mm, the palm width is 60 mm and the hand length 152 mm, which is significantly below the 5% percentile of today's standard values. Also the finger length index (0.55), the ratio of finger length to palm length (0.98) and the ratio of finger length to palm width (1.25) are significantly above normal limits. Hence, Paganini had abnormal hand measurements with a very small palm and relatively "long" fingers. This remarkable constellation, among others, could have been advantageous for his amazing skills as a violinist.
Um Simulationen schnell und kostengünstig sowie ergebnisträchtig durchzuführen, bedarf es einer sorgfältigen Vorbereitung. Der Artikel befaßt sich mit dem automatischen Ablauf einer Simulationstudie zum Materilafluß und erläutert die im Ablauf notwendigen Beiträge der Anwender. In den Einzelheiten wird über die automatische Vorgehensweise und Anwendung der Standard-Simulationsmodelle (SSM) sowie spezieller Simulationsmodule (SimDBC) berichtet. Entscheidend für eine breitere Anwendung von Simulationswerkzeugen ist die einfache Handhabung und leicht verständliche Definition der zu untersuchenden Szenarien.
Lithium–sulfur (Li/S) cells are promising candidates for a next generation of safe and cost-effective high energy density batteries for mobile and stationary applications. At present, most Li/S cells still suffer from relatively poor cyclability, capacity loss under moderate current densities and self-discharge. Furthermore, the underlying chemical mechanisms of the general discharge/charge behavior as well as Li/S-specific phenomena like the polysulfide shuttle are not yet fully understood. Here we present a thermodynamically consistent, fully reversible continuum model of a Li/S cell with simplified four-step electrochemistry, including a simple description of the polysulfide shuttle effect. The model is parameterized using experimental discharge curves obtained from literature and reproduces behavior at various current densities with fairly high accuracy. While being instructively simple, the presented model can still reproduce distinct macroscopic Li/S-cell features caused by the shuttle effect, e.g., seemingly infinite charging at low charge current densities, and suboptimal coulombic efficiency. The irreversible transport of active material from the cathode to the anode results in a voltage drop and capacity loss during cycling, which can also be observed experimentally.
The characteristic features and applications of linear and nonlinear guided elastic waves propagating along surfaces (2D) and wedges (1D) are discussed. Laser-based excitation, detection, or contact-free analysis of these guided waves with pump–probe methods are reviewed. Determination of material parameters by broadband surface acoustic waves (SAWs) and other applications in nondestructive evaluation (NDE) are considered. The realization of nonlinear SAWs in the form of solitary waves and as shock waves, used for the determination of the fracture strength, is described. The unique properties of dispersion-free wedge waves (WWs) propagating along homogeneous wedges and of dispersive wedge waves observed in the presence of wedge modifications such as tip truncation or coatings are outlined. Theoretical and experimental results on nonlinear wedge waves in isotropic and anisotropic solids are presented.
Cardiac resynchronization therapy with atrioventricular and interventricular delay optimized biventricular pacing is an established therapy for symptomatic heart failure patients with prolongation of QRS duration, left bundle branch block and reduced left ventricular ejection fraction. The aim of the investigation was to evaluate right atrial, right ventricular and left ventricular electrical signals of implantable electronic cardiac devices with and without signal averaging technique with novel LabVIEW software. Electrical interatrial conduction delay and inter-ventricular conduction delay may be useful parameters to evaluate electrical atrial and ventricular desynchronization in heart failure patients.
In this paper we present a model of the discharge of a lithium–oxygen battery with aqueous electrolyte. Lithium–oxygen batteries (Li–O2) have recently received great attention due to their large theoretical specific energy. Advantages of the aqueous design include the stability of the electrolyte, the long experience with gas diffusion electrodes (GDEs), and the solubility of the reaction product lithium hydroxide. However, competitive specific energies can only be obtained if the product is allowed to precipitate. Here we present a dynamic one-dimensional model of a Li–O2 battery including a GDE and precipitation of lithium hydroxide. The model is parameterized using experimental data from the literature. We demonstrate that GDEs remove power limitations due to slow oxygen transport in solutions and that lithium hydroxide tends to precipitate on the anode side. We discuss the system architecture to engineer where nucleation and growth predominantly occurs and to optimize for discharge capacity.
Compact solid discharge products enable energy storage devices with high gravimetric and volumetric energy densities, but solid deposits on active surfaces can disturb charge transport and induce mechanical stress. In this Letter, we develop a nanoscale continuum model for the growth of Li2O2 crystals in lithium–oxygen batteries with organic electrolytes, based on a theory of electrochemical nonequilibrium thermodynamics originally applied to Li-ion batteries. As in the case of lithium insertion in phase-separating LiFePO4 nanoparticles, the theory predicts a transition from complex to uniform morphologies of Li2O2 with increasing current. Discrete particle growth at low discharge rates becomes suppressed at high rates, resulting in a film of electronically insulating Li2O2 that limits cell performance. We predict that the transition between these surface growth modes occurs at current densities close to the exchange current density of the cathode reaction, consistent with experimental observations.
Transcatheter aortic valve implantation is a therapy for patients with reduced left ventricular ejection fraction and symptomatic aortic stenosis. The aim of the study was to compare the pre-and post- transcatheter aortic valve implantation procedures to determine the QRS and QT ventricular conduction times as a potential predictor of permanent pacemaker therapy requirement after transcatheter aortic valve implantation. QRS and QT ventricular conduction times were prolonged after transcatheter aortic valve implantation in heart failure patients with permanent dual chamber pacemaker therapy after transcatheter aortic valve implantation. QRS and QT ventricular conduction times may be useful parameters to evaluate the risk of post-procedural ventricular conduction block and permanent pacemaker therapy in transcatheter aortic valve implantation.
Cardiac resynchronization therapy (CRT) is an established therapy for heart failure patients and improves quality of life in patients with sinus rhythm, reduced left ventricular ejection fraction (LVEF), left bundle branch block and wide QRS duration. Since approximately sixty percent of heart failure patients have a normal QRS duration they do not benefit or respond to the CRT. Cardiac contractility modulation (CCM) releases nonexcitatoy impulses during the absolute refractory period in order to enhance the strength of the left ventricular contraction. The aim of the investigation was to evaluate differences in cardiac index between optimized and nonoptimized CRT and CCM devices versus standard values. Impedance cardiography, a noninvasive method was used to measure cardiac index (CI), a useful parameter which describes the blood volume during one minutes heart pumps related to the body surface. CRT patients indicate an increase of 39.74 percent and CCM patients an improvement of 21.89 percent more cardiac index with an optimized device.
Nickel cobalt aluminum oxide (NCA) based lithium-ion battery electrodes exhibit a distinct asymmetry in discharge/charge behavior towards high bulk stoichiometry (low state of charge). We show that basic electrochemical relationships, that is, the Nernst equation and the Butler-Volmer equation, are able to reproduce this behavior when a two-step reaction mechanism is assumed. The two-step mechanism consists of (1) lithium-ion adsorption from the electrolyte onto the active material particle surface under electron transfer, and (2) intercalation of surface-adsorbed lithium atoms into the bulk material. The asymmetry of experimental half-cell data of an NCA electrode cycled at 0.1 C-rate can be quantitatively reproduced with this simple model. The model parameters show two alternative solutions, predicting either a saturated (highly-covered) or a depleted surface for high bulk lithiation.
Impedance of the Surface Double Layer of LSCF/CGO Composite Cathodes: An Elementary Kinetic Model
(2014)
Im vorliegenden Beitrag wird beschrieben, wie bereits entworfene Zustandsregler für proportional geregelte Systeme ohne Rechentotzeit auf einfache Art und Weise für Systeme mit Reglerintegratoren bzw. mit Rechentotzeit erweitert werden können. Das Ziel ist hierbei, den Aufwand zur Ermittlung der Reglermatrix zu reduzieren. Hierbei soll die bereits vorhandene, optimierte Regelkreisdynamik so wenig wie möglich verändert werden, wodurch bei Mehrgrößensystemen hinzukommende Freiheitsgrade sinnvoll festgelegt werden. Die Betrachtungen erfolgen für lineare zeitdiskrete Systeme und werden anhand eines Beispiels aus der elektrischen Antriebstechnik veranschaulicht.
The interaural time difference (ITD) is an important cue for the localization of sounds. ITD changes as little as 10 μs can be detected by the human auditory system. By provision of one ear with a cochlear implant (CI) ITD are altered due to the partial replacement of the peripheral auditory system. A hearing aid (HA), in contrast, does not replace but adds a processing delay component to the peripheral auditory system extending ITD. The aim of the present study was to quantify interaural stimulation timing between these different modalities to estimate the need for central auditory temporal compensation in single sided deaf CI users or bimodal CI/HA users. For this purpose, wave V latencies of auditory brainstem responses evoked either acoustically (ABR) or electrically via the CI (EABR) have been measured. The sum of delays consisting of CI signal processing measured in the MED-EL OPUS2 audio processor and EABR wave V latencies evoked on different intracochlear sites allowed an estimation of the entire CI channel-specific delay for MED-EL MAESTRO CI systems. We compared these values with ABR wave V latencies measured in the contralateral normal hearing or HA provided ear in different frequency bands. The results showed that EABR wave V latencies were consistently shorter than those evoked acoustically in the unaided normal hearing ear. Thus, artificial delays within the audio processor can be implemented to adjust interaural stimulation timing. The currently implemented group delays in the MED-EL CI system turned out to be reasonably similar to those of the unaided ear. For adjustment of CI and contralateral HA, in contrast, an adjustable additional across-frequency delay in the range of 1–11 ms implemented in the CI would be required. Especially for bimodal CI/HA users the adjustment of interaural stimulation timing may induce improved binaural hearing, reduced need for central auditory temporal compensation and increased acceptance of the CI/HA provision.
Im Rahmen der Cochleaimplantat (CI)-Versorgung werden sowohl intraoperativ als auch postoperativ verschiedene elektrische und elektrophysiologische Diagnostikverfahren eingesetzt, bei denen elektrische Messgrößen vom CI erfasst und elektrophysiologische Messungen bei CI-Patienten durchgeführt werden. Zu den elektrophysiologischen Diagnostikverfahren zählen die Messung der elektrisch evozierten Summenaktionspotenziale des Hörnervs, die Registrierung der elektrisch evozierten auditorischen Hirnstammpotenziale und die Erfassung der elektrisch evozierten auditorischen kortikalen Potenziale. Diese Potenziale widerspiegeln die Erregung des Hörnervs und die Reizverarbeitung in verschiedenen Stationen der aufsteigenden Hörbahn bei intracochleärer elektrischer Stimulation mittels eines CI. Bei den aktuellen CI sind die Beurteilung der Elektrodenlage sowie die Prüfung der Ankopplung des Implantats an den Hörnerv wichtige Anwendungsgebiete der elektrophysiologischen Diagnostikverfahren. Ein weiteres bedeutendes Einsatzfeld stellt die Prüfung der Reizverarbeitung in der Hörbahn dar. Das Hauptanwendungsgebiet dieser Verfahren bildet jedoch die Unterstützung der Anpassung der CI-Sprachprozessoren bei Säuglingen und Kleinkindern auf der Basis elektrophysiologischer Schwellen.
Background: R-wave synchronised atrial pacing is an effective temporary pacing
therapy in infants with postoperative junctional ectopic tachycardia. In the technique
currently used, adverse short or long intervals between atrial pacing and ventricular
sensing (AP–VS) may be observed during routine clinical practice.
Objectives: The aim of the study was to analyse outcomes of R-wave synchronised
atrial pacing and the relationship between maximum tracking rates and AP–VS
intervals.
Methods: Calculated AP–VS intervals were compared with those predicted by experienced
pediatric cardiologist.
Results: A maximum tracking rate (MTR) set 10 bpm higher than the heart rate (HR)
may result in undesirable short AP–VS intervals (minimum 83 ms). A MTR set 20 bpm
above the HR is the hemodynamically better choice (minimum 96 ms). Effects of either
setting on the AP–VS interval could not be predicted by experienced observers. In our
newly proposed technique the AP–VS interval approaches 95 ms for HR > 210 bpm
and 130 ms for HR < 130 bpm. The progression is linear and decreases strictly
(− 0.4 ms/bpm) between the two extreme levels.
Conclusions: Adjusting the AP–VS interval in the currently used technique is complex
and may imply unfavorable pacemaker settings. A new pacemaker design is advisable
to allow direct control of the AP–VS interval.
MITK-OpenIGTLink for combining open-source toolkits in real-time computer-assisted interventions
(2016)
PURPOSE:
Due to rapid developments in the research areas of medical imaging, medical image processing and robotics, computer-assisted interventions (CAI) are becoming an integral part of modern patient care. From a software engineering point of view, these systems are highly complex and research can benefit greatly from reusing software components. This is supported by a number of open-source toolkits for medical imaging and CAI such as the medical imaging interaction toolkit (MITK), the public software library for ultrasound imaging research (PLUS) and 3D Slicer. An independent inter-toolkit communication such as the open image-guided therapy link (OpenIGTLink) can be used to combine the advantages of these toolkits and enable an easier realization of a clinical CAI workflow.
METHODS:
MITK-OpenIGTLink is presented as a network interface within MITK that allows easy to use, asynchronous two-way messaging between MITK and clinical devices or other toolkits. Performance and interoperability tests with MITK-OpenIGTLink were carried out considering the whole CAI workflow from data acquisition over processing to visualization.
RESULTS:
We present how MITK-OpenIGTLink can be applied in different usage scenarios. In performance tests, tracking data were transmitted with a frame rate of up to 1000 Hz and a latency of 2.81 ms. Transmission of images with typical ultrasound (US) and greyscale high-definition (HD) resolutions of [Formula: see text] and [Formula: see text] is possible at up to 512 and 128 Hz, respectively.
CONCLUSION:
With the integration of OpenIGTLink into MITK, this protocol is now supported by all established open-source toolkits in the field. This eases interoperability between MITK and toolkits such as PLUS or 3D Slicer and facilitates cross-toolkit research collaborations. MITK and its submodule MITK-OpenIGTLink are provided open source under a BSD-style licence ( http://mitk.org )
Modeling and Simulation the Influence of Solid Carbon Formation on SOFC Performance and Degradation
(2013)
Cardiac resynchronization therapy is an established therapy for heart failure patients. The aim of the study was to evaluate electrical left cardiac atrioventricular delay and interventricular desynchronization in sinus rhythm cardiac resynchronization therapy responder and non-responder. Cardiac electrical desynchronization were measured by surface ECG and focused transesophageal bipolar left atrial and left ventricular ECG before implantation of cardiac resynchronization therapy defibrillators. Preoperative electrical cardiac desynchronization was 195.7 ± 46.7 ms left cardiac atrioventricular delay and 74.8 ± 24.5 ms interventricular delay in cardiac resynchronization therapy responder. Cardiac resynchronization therapy responder New York Heart Association class improved during long term biventricular pacing. Transesophageal left cardiac atrioventricular delay and interventricular delay may be additional useful parameters to improve patient selection for cardiac resynchronization therapy.
Die Namen Cormack und Hounsfield sind für den Radiologen zu einem wichtigen Synonym für die Computertomographie (CT) geworden. Der mathematische Wegbereiter für die CT, Johann Radon, kommt in der radiologischen Diskussion und den historischen Rückblicken hingegen oft zu Unrecht zu kurz. Die folgende Kurzübersicht möchte daher dem interessierten Leser die wichtigsten historischen Eckdaten zu dem in vielerlei Hinsicht bewegenden Leben und Wirken dieses großen Mathematikers näherbringen.
This is a commentary note on the situation of functional neuroimaging in psychiatry. With this we would like to encourage psychiatrists and the journal editors of psychiatric and related journals to at least rethink the role of functional neuroimaging in this discipline and use these imaging techniques in their various aspects of clinical diagnosis and therapy regimens,respectively.