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Multi-phase management is crucial for performance and durability of electrochemical cells such as batteries and fuel cells. In this paper we present a generic framework for describing the two-dimensional spatiotemporal evolution of gaseous, liquid and solid phases, as well as their interdependence with interfacial (electro-)chemistry and microstructure in a continuum description. The modeling domain consists of up to seven layers (current collectors, channels, electrodes, separator/membrane), each of which can consist of an arbitrary number of bulk phases (gas, liquid, solid) and connecting interfaces (two-phase or multi-phase boundaries). Bulk and interfacial chemistry is described using global or elementary kinetic reactions. Multi-phase management is coupled to chemistry and to mass and charge transport within bulk phases. The functionality and flexibility of this framework is demonstrated using four application areas in the context of post-lithium-ion batteries and fuel cells, that is, lithium-sulfur (Li-S) cells, lithium-oxygen (Li-O) cells, solid oxide fuel cells (SOFC) and polymer electrolyte membrane fuel cells (PEFC). The results are compared to models available in literature and properties of the generic framework are discussed.
In this paper, a complete passive transponder device has been discussed which is meant to monitor leakage in silicone breast implants. The passive tag operates in the HF frequency range of 13.56MHz using RFID ISO 15693 standard. The complete system consists of the transponder, reader and a PC. This paper focusses on the development of such a state of the art passive RFID transponder to monitor the wellness of the silicone breast implants periodically in order to detect leakage in the same. Keyword: RFID (Radio frequency identification device), EM (Electromagnetic) field, Passive Transponder, Silicone breast implants.
Since cabling is very complex and often causes reliability problems in aircrafts new approaches which base on wireless technologies are highly desired. In this paper an innovative communication system is proposed that uses the essential elements of the airframe for data transfer. The communication is based on the wireless standard for Digital Video Broadcasting (DVB) and enables high data rates, which are required for the in-flight entertainment system as an example of use.
Today's network landscape consists of many different network technologies, a wide range of end-devices with a large scale of capabilities and power, and an immense quantity of information and data represented in different formats. Research on 3D imaging, virtual reality and holographic techniques will result in new user interfaces (UI) for mobile devices and will increase their diversity and variety. In this paper software architecture has been proposed to establish device and content format independent communication, implemented in Language Learning Game (LLG).
Die Erfindung betrifft ein Behältnis (1) für ein flüssiges Medium (3), insbesondere Blutbeutel, mit einer flexiblen Außenwandung (5) und einer mit dem Behältnis (1) verbundenen Vorrichtung (13) zur Erfassung und/oder Speicherung von Daten. Erfindungsgemäß ist die Vorrichtung (13) zur Erfassung und/oder Speicherung von Daten innerhalb der flexiblen Außenwandung (5) angeordnet, wobei Positionierungsmittel (15) vorgesehen sind, welche die Vorrichtung (13) zur Erfassung und/oder Speicherung von Daten bei mit dem flüssigen Medium (3) gefüllten Behältnis (1) schwimmend im flüssigen Medium (3) halten, und wobei die Vorrichtung (13) oder die Vorrichtung (13) und die Positionierungsmittel (15) so ausgebildet sind, dass die jeweils verdrängte Masse von flüssigem Medium (3) im Wesentlichen gleich der Masse der Vorrichtung (13) oder der Masse der Vorrichtung (13) und der Positionierungsmittel (15) ist.
Die Erfindung betrifft ein Behältnis (1) für ein flüssiges Medium (3), insbesondere Blutbeutel, mit einer flexiblen Außenwandung (5) und einer mit dem Behältnis (1) verbundenen Vorrichtung (13) zur Erfassung und/oder Speicherung von Daten. Erfindungsgemäß ist die Vorrichtung (13) zur Erfassung und/oder Speicherung von Daten innerhalb der flexiblen Außenwandung (5) angeordnet, wobei Positionierungsmittel (15) vorgesehen sind, welche die Vorrichtung (13) zur Erfassung und/oder Speicherung von Daten bei mit dem flüssigen Medium (3) gefüllten Behältnis (1) schwimmend im flüssigen Medium (3) halten, und wobei die Vorrichtung (13) oder die Vorrichtung (13) und die Positionierungsmittel (15) so ausgebildet sind, dass die jeweils verdrängte Masse von flüssigem Medium (3) im Wesentlichen gleich der Masse der Vorrichtung (13) oder der Masse der Vorrichtung (13) und der Positionierungsmittel (15) ist.
The following paper presents the results of a feasibility study about Bluetooth Low Energy (BLE) based wireless sensors. The development of industrial wireless sensors leads to important demands for the wireless technologies like a low energy consumption and a resource saving simple protocol stack. Bluetooth Low Energy (BLE) is a rather new wireless standard which will completely fulfill these fundamental requirements. A self-designed BLE sensor system has been used to explore the common applicability of BLE for wireless sensor systems. The evaluation results of various analyses with the BLE sensor system are now presented in this paper.
Currently, QRS width and bundle branch block morphology are used as electrocardiographic guideline criterias to selectheart failure (HF) patients with interventricular desynchronization in sinus rhythm (SR) for cardiac resynchronisationtherapy (CRT). Nevertheless, up to 30% of these patients do not benefit from implantation of CRT systems. Esophagealleft ventricular electrogram (LVE) enables semi-invasive measurement of interventricular conduction delays (IVCD)even in patients with atrial fibrillation (AF). To routinely apply this method, a programmer based semi-invasiveautomatic quantification of IVCD should to be developed. Our aims were todefine interventricular conduction delaysby analyzing fractionated left ventricular (LV) deflections in the esophageal left ventricular electrogram of HF patientsin SR or AF.
In 66 HF patients (49 male,17 female, age 65 ± 10 years) a 5F TOslim electrode (Osypka AG, Germany) was perorallyapplied. Using BARD EP Lab, cardiac desynchronization was quantified as interval IVCD between onset of QRS insurface ECG and the investigator-determined onset of the left ventricular deflection in LVE. IVCD was compared withthe intervals between QRS onset and the first maximum (IVCDm1) and between QRS onset and the second maximum(IVCDm2) of the LV complex.
QRS of 173 ± 26 ms was linked with empirical IVCD of 75 ± 25 ms, at mean. First and second LV maximum could beascertained beyond doubt in all patients. Significant correlations of the p<0,01 level were found between IVCD and theIVCDm1 of 96 ± 28 ms as well as between IVCD and the IVCDm2 of 147 ± 31 ms, at mean. To standardize automatic measurement of interventricular conduction delays with respect to patients with fractionatedLV complexes, the first maximum of the LV deflection should be utilized to qualify the IVCD of HF patients with sinusrhythm and atrial fibrillation.
There is an increasing demand by an ever-growing number of mobile customers for transfer of rich media content. This requires very high bandwidth which either cannot be provided by the current cellular systems or puts pressure on the wireless networks, affecting customer service quality. This study introduces COARSE – a novel cluster-based quality-oriented adaptive radio resource allocation scheme, which dynamically and adaptively manages the radio resources in a cluster-based two-hop multi-cellular network, having a frequency reuse of one. COARSE is a cross-layer approach across physical layer, link layer and the application layer. COARSE gathers data delivery-related information from both physical and link layers and uses it to adjust bandwidth resources among the video streaming end-users. Extensive analysis and simulations show that COARSE enables a controlled trade-off between the physical layer data rate per user and the number of users communicating using a given resource. Significantly, COARSE provides 25–75% improvement in the computed user-perceived video quality compared with that obtained from an equivalent single-hop network.
In sicherheitskritschen Systemen darf kein Stück Code im Produktionsbetrieb ablaufen, ohne vorher intensive Tests durchlaufen zu haben. Aber auch zur Qualitätssicherung muss Software getestet werden. Um die Codeüberdeckung zu prüfen, sind zusätzliche Prüf-Instruktionen im Quellcode erforderlich. Auf kleinen Systemen mit wenig RAM kann sich der Entwickler dann etwas einfallen lassen, damit das funktioniert.
The invention relates to a container (1) for a liquid medium (3), in particular a blood bag, comprising a flexible outer wall (5) and a device (13) connected to the container (1) for acquiring and/or storing data. According to the invention, the device (13) for acquiring and/or storing data is arranged within the flexible outer wall (5), wherein positioning means (15) are provided which hold the device (13) for acquiring and/or storing data in a floating manner in the liquid medium when the container (1) is filled with said liquid medium (3), and wherein the device (13) or the device (13) and the positioning means (15) are designed such that the mass of liquid medium (3) which is displaced in each case is essentially equal to the mass of the device (13) or to the mass of the device (13) and the positioning means (15).
This paper analyzes the applicability of existing communication technology on the Smart Grid. In particular it evaluates how networks, e.g. Peer-to-Peer (P2P) and decentralized Virtual Private Network (VPN) can help set up an agent-based system. It is expected that applications on Smart Grid devices will become more powerful and be able to operate without a central control instance. We analyze which requirements agents and Smart Grid devices place on communication systems and validate promising approaches. The main focus is to create a logical overlay network that provides direct communication between network nodes. We provide a comparison of different approaches of P2P networks and mesh-VPNs. Finally the advantages of mesh-VPN for agent-based systems are worked out.
Seit den ersten Projekten der 90er Jahre arbeiten Hochschulen daran, geeignete Servicestrukturen für E-Learning zu etablieren, die die erforderliche technische, didaktische und organisatorische Unterstützung hochschulweit zur Verfügung stellen. Ging es zunächst darum, Services überhaupt dauerhaft zu sichern, steht heute die Frage des „wie“ im Vordergrund. Dabei wird am Bereich E-Learning ein eigentlich viel allgemeineres Problem deutlich: Die bisher überwiegende Organisation der Hochschule nach funktionellen Einheiten stößt an ihre Grenzen. Wir schlagen eine stärker prozessorientierte Sichtweise vor, analog zu Entwicklungen bei der Organisation von Unternehmen.
Experiences with a telecare platform integration of ZigBee sensors into a middleware platform
(2012)
Capture threshold (CT) for transesophageal left atrial (LA) pacing (TLAP) and transesophageal left ventricular (LV) pacing (TLVP) with conventional cylindrical electrodes (CE) are higher than TLAP feeling threshold (FT). Purpose of the study was to evaluate focused TLAP CT and FT for supraventricular tachycardia (SVT) initiation and focused TLVP CT for cardiac resynchronisation therapy (CRT) simulation.
Methods: SVT initiation in patients (P) with palpitations (n=49, age 47 ± 17 years) was analysed during spontaneous rhythm and during focused bipolar TLAP with atrial constant current stimulus output, distal CE and three or seven 6 mm hemispherical electrodes (HE) (TO, Osypka AG, Rheinfelden, Germany). CRT simulation in heart failure P (n=75, age 62 ± 11 years) was evaluated by focused bipolar TLAP and/or TLVP with ventricular constant voltage stimulus output and different pacing mode.
Results: Focused electrical pacing field between CE and HE (n=28) allowed low threshold TLAP with 8.0 ± 2.6 mA CT at 9.9 ms stimulus duration (SD) which was lower than 9.2 ± 4.5 mA FT at 9.9 ms SD. Focused electrical pacing field between HE and HE (n=21) allowed low threshold TLAP with 8.1 ± 2.2 mA CT at 9.9 ms SD which was lower than 9.8 ± 5.0 mA FT at 9.9 ms SD. SVT initiation by programmed AAI TLAP was possible in 23 P and not possible in 26 P. CRT simulation was evaluated with TLAP and TLVP with VAT, D00 and V00 pacing mode and 95.5 ± 10.9 V TLVP CT at 4.0 ms SD.
Conclusions: Programmed focused AAI TLAP allowed initiation of SVT with very low CT and high FT and focused electrical pacing field between CE-HE and HE-HE.CRT simulation with focused TLAP and/or TLVP with VAT, D00 and V00 pacing mode may be a useful technique to detect responders to CRT.
Geleitwort
(2012)
Responder-rate in cardiac resynchronization therapy (CRT) of patients in sinus rhythm (SR) or atrial fibrillation (AF) mainly depends on accurat selection, optimal position of the left ventricular electrode and individualization of hemodynamical parameters of the implanted biventricular pacing system during follow-up. High resolution esophageal left heart electrocardiography offers a quick and semi-invasive approach to the electrical activity of left atrium and left ventricle. It was used in 62 heart failure patients in sinus rhythm and 11 in atrial fibrillation after implantation of CRT systems to compare the semi-invasive interventricular conduction delay (IVCDE) with QRS width. In all of the patients, guideline decision for CRT was linked with IVCDE of about 40ms and up. From logical point of view, IVCDE provides the minimal target interval for the left ventricular electrode placement in order to exclude non-responders. Esophageal measurement of interatrial conduction intervals in VDD and DDD pacing was utilized to individualize the AV delay and to exclude adverse hemodynamic effects.
The Humboldt digital library (HDL) represents an innovative system to access the works and legacy of Alexander von Humboldt in a digital form on the Internet (www.avhumboldt.net). It contributes to the key question about how to present interconnected data in an appropriate form using information technologies. The HDL has been created as a dynamic digital library with the capability of connecting multilingual and multimedia data from diverse online archives. Humboldt’s volumes have become available, but beyond that any relevant information related to the observations of Humboldt, even outside the works can become immediately accessible. This makes it possible to recognize natural changes and compare Humboldt’s descriptions with recent situations. The technology we have developed addresses the issues of sustainability and makes it possible to detect changes in the environment since the time of Humboldt’s observations.
Remote measurement of the physiology, so-called biotelemetry, is a key technology in the modern veterinary medicine. The usage of wireless implants has less impact on the behavior of animals than manual measurement methods and cause less disturbance than wired devices. But, common biotelemetry still uses proprietary communication and power concepts focused on small systems with one animal. Therefore, the University of Applied Sciences Offenburg is developing a low-cost RFID system called muTrans1, which is able to measure ECG, pressure, temperature, oxygen saturation and activity. The muTrans uses an own RFID sensor transponder and standardized commercial components and combines them to a scalable RFID system able to build-up RFID sensor networks with a nearly unlimited size.
Cardiac resynchronization therapy (CRT) with biventricular (BV) pacing is an established therapy in approximately two-thirds of symptomatic heart failure (HF) patients (P) with left bundle branch block (LBBB). The aim of this study was to evaluate left atrial (LA) conduction delay (LACD) and left ventricular (LV) conduction delay (LVCD) using pre-implantational transesophageal electrocardiography (ECG) in sinus rhythm (SR) CRT responder (R) and non-responder (NR).
Methods: SR HF P (n=52, age 63.6±10.4 years; 6 females, 46 males) with New York Heart Association (NYHA) class 3.0±0.2, 24.4±7.1 % LV ejection fraction and 171.2±37.6 ms QRS duration (QRSD) were measured by bipolar filtered transesophageal LA and LV ECG recording with hemispherical electrodes (HE) TO catheter (Osypka AG, Rheinfelden, Germany). LACD was measured between onset of P-wave in the surface ECG and onset of LA deflection in the LA ECG. LVCD was measured between onset of QRS in the surface ECG and onset of LV deflection in the LV ECG.
Results: There were 78.8 % SR CRT R (n=41) with 171.2±36.9 ms QRSD, 73.3±25.7 ms LACD, 80.0±24.0 ms LVCD and 2.3±0.5 QRSD-LVCD-ratio. SR CRT R QRSD correlated with LACD (r=0.688, P<0.001) and LVCD (r=0.699, P<0.001). There were 21.2 % SR CRT NR (n=11) with 153.4±22.4 ms QRSD (P=0.133), 69.8±24.8 ms LACD (n=6, P=0.767), 54.2±31.0 ms LVCD (P<0.0046) and 3.9±2.5 QRSD-LVCD-ratio (P<0.001). SR CRT NR QRSD not corre-lated with IACD (r=-0.218, P=0.678) and IVCD (r=0.042, P=0.903). During a 22.8±21.3 month CRT follow-up, the CRT R NYHA class improved from 3.1±0.3 to 1.9±0.3 (P<0.001). In CRT NR, NYHA class not improved (2.9±0.4 to 2.9±0.2, P=1) during 11.2±9.8 months BV pacing.
Conclusions: Transesophageal LA and LV ECG with HE can be utilized to analyse LACD and LVCD in HF P. Pre-implantational LVCD and QRSD-LVCD-ratio may be additional useful parameters to improve P selection for SR CRT.
In the field of smart metering it can be observed that standardized protocol, like Wireless M-Bus or ZigBee, enjoy a rapidly increasing popularity. For the protocol implementations, however, up to now, mostly legacy engineering processes and technologies are used, and modern approaches such as model driven design processes or open software platform are disregarded. Therefore, within the WiMBex project, it shall be demonstrated that it is possible to develop a commercial class Wireless M-Bus implementation following state-of-the art design process and using TinyOS as an open source platform. This contribution describes the overall approach of the project, as well as the state and the first experiences of the current work in progress.
The study from Mehrazin et al. in HJNM 2011; 14(3): 243-50 on the neuropsychology, morphological computerized tomography (CT) and functional neuroimaging with 99mTc-labelled ethylene cystein-ate dimer single-photon emission tomography (SPET) in mild trau-matic brain injury (MTBI) is an interesting new approach to a disease condition which is often neglected or denied. Related to the above, we may note that the French composer Maurice Ravel (1875-1937), who suffered from Pick ́s disease with primary progressive apha-sia, had a taxi accident in 1932, with a mild concussion, perhaps an MTBI. Apart from the dysphasia and beginning apraxia, which Rav-el had already 5 years prior to the taxi accident, these symptoms exacerbated-the dysphasia became a progressive aphasia-and he developed additional severe deficits in concentration and atten-tion after the accident. It has also been suspected that this accident may have triggered Ravel ́s agraphia the unability to write down any new composition beyond the date of the taxi accident, a condi-tion that Ravel himself described as unacceptable and which made him feel very sad as his mind was full of ideas. Due to the deterio-ration of his health, which can also be seen in his appearance on late photographs, Ravel consulted the famous neurosurgeon Prof. Clovis Vincent. Vincent, who suspected a hydrocephalus, opened Ravel ́s skull on December 19, 1937, showing a normal brain. Soon after surgery Ravel died. In conclusion, a SPET/CT approach com-bined with a brain perfusion analysis using statistical parametric mapping might be the recommendable approach today for mild traumatic brain injury.
New frontiers of supraventricular tachycardia and atrial flutter evaluation and catheter ablation
(2012)
Radiofrequency catheter ablation (RFCA) has revolutionized treatment for tachyarrhythmias and has become first-line therapy for some tachycardias. Although developed in the 1980s and widely applied in the 1990s, the technique is still in development. Transesophageal atrial pacing (TAP) can used for initiation and termination of supraventricular tachycardia (SVT).
Methods: The paroxysmal SVT include a wide spectrum of disorders including, in descending order of frequency, atrial flutter, atrioventricular (AV) nodal reentry, Wolff-Parkinson-White syndrome, and atrial tachycardia. While not life-threatening in most cases, they may cause important symptoms, such as palpitations, chest discomfort, breathlessness, anxiety, and syncope, which significantly impair quality of life. Medical therapy has variable efficacy, and most patients are not rendered free of symptoms. Research over the past several decades has revealed fundamental mechanisms involved in the initiation and maintenance of all of these arrhythmias. Knowledge of mechanisms has in turn led to highly effective surgical and catheter-based treatments. The supraventricular arrhythmias and their treatment are described in this report. SVT initiation was analysed with programmed TAP in 49 patients with palpitations (age 47 ± 17 years, 24 females, 25 males).
Results: In comparison to antiarrhythmic drug therapy the radiofrequency catheter ablation in patients suffering from atrial flutter, atrioventricular nodal reentry, atrioventricular reentry and atrial tachycardia is the better choice in most cases. TAP SVT initiation was possible in 23 patients before RFCA. Atrial cycle length of SVT was 320 ± 59 ms. We initiated AV nodal reentrant tachycardia (AVNRT, n=15), atrial tachycardia (AT, n=6) and AV reentrant tachycardia with Kent pathway conduction (AVRT, n=2) before RFCA.
Conclusions: Radiofrequency catheter ablation is a successful and safe method to cure most patients with paroxysmal supraventricular tachycardias. TAP allowed initiation and termination of SVT especially in outpatients.
About 20% of those heart failure patients receiving cardiac resynchronization therapy (CRT) are in atrial fibrillation (AF). Current guidelines apply for patients in sinus rhythm only. Recent studies have shown again, that successful resynchronization is closely linked to a pre-existent ventricular desynchronization. In those studies, the interventricular conduction delay (IVCD) was determined prior to device implantation by ultrasound in patients with sinus rhythm (SR)only. In patients with AF this method ́s use is limited.
To implement left-heart electrogram (LHE) into standard programmers and to simplify IVCD measurement in heart failure patients with AF, LHE was recorded in 11 AF patients with heart failure by Biotronik ICS3000 programmer via a15Hz Butterworth high-pass filter. Therefore, TOslim esophageal electrode (Dr. Osypka GmbH, Rheinfelden, Germany) was perorally applied and fixed in position of maximal left ventricular defection. IVCD was measured between onset of QRS in surface ECG and left ventricular defection (LV) in LHE. In addition, intra-left ventricular conduction delay (ILVCD) was measured as duration of LV in LHE.
In all of the 11 AF patients, desynchronization was quantifiable by LHE. Mean QRS of 162 ± 27ms (120-206ms) was linked with IVCD of 62ms ± 27ms (37-98ms) and ILVCD of 110 ± 20ms (80-144ms), at mean. Correlation between IVCD and QRS was 0.39 (n. s.) with IVCD/QRS ratio of 0.38 ± 0.11 (0.22-0.81).
A 15Hz high-pass filtered LHE feature of the Biotronik ICS3000 programmer is feasible to quantify ventricular dyssynchrony in heart failure patients with AF in order to clearly indicate implantation of CRT systems. As relations between QRS duration, IVCD and ILVCD considerably differ interindividually, the predictive values of IVCD, ILVCD and IVCD/QRS ratio for individual CRT response or non-response shall be identified in follow-up studies.
Cardiac resynchronization therapy (CRT) with biventricular pacing is an established therapy for heart failure (HF) patients (P) with ventricular desynchronization and reduced left ventricular (LV) ejection fraction. The aim of this study was to evaluate electrical right atrial (RA), left atrial (LA), right ventricular (RV) and LV conduction delay with novel telemetric signal averaging electrocardiography (SAECG) in implantable cardioverter defibrillator (ICD) P to better select P for CRT and to improve hemodynamics in cardiac pacing.
Methods: ICD-P (n=8, age 70.8 ± 9.0 years; 2 females, 6 males) with VVI-ICD (n=4), DDD-ICD (n=3) and CRT-ICD (n=1) (Medtronic, Inc., Minneapolis, MN, USA) were analysed with telemetric ECG recording by Medronic programmer 2090, ECG cable 2090AB, PCSU1000 oscilloscope with Pc-Lab2000 software (Velleman®) and novel National Intruments LabView SAECG software.
Results: Electrical RA conduction delay (RACD) was measured between onset and offset of RA deflection in the RAECG. Interatrial conduction delay (IACD) was measured between onset of RA deflection and onset of far-field LA deflection in the RAECG. Interventricular conduction delay (IVCD) was measured between onset of RV deflection in the RVECG and onset of LV deflection in the LVECG. Telemetric SAECG recording was possible in all ICD-P with a mean of 11.7 ± 4.4 SAECG heart beats, 97.6 ± 33.7 ms QRS duration, 81.5 ± 44.6 ms RACD, 62.8 ± 28.4 ms RV conduction delay, 143.7 ± 71.4 ms right cardiac AV delay, 41.5 ms LA conduction delay, 101.6 ms LV conduction delay, 176.8 ms left cardiac AV delay, 53.6 ms IACD and 93 ms IVCD.
Conclusions: Determination of RA, LA, RV and LV conduction delay, IACD, IVCD, right and left cardiac AV delay by telemetric SAECG recording using LabView SAECG technique may be useful parameters of atrial and ventricular desynchronization to improve P selection for CRT and hemodynamics in cardiac pacing.
During the last ten years the development of wireless sensing applications has become more and more attractive. A major reason for this trend is the large quantity of available wireless technologies. The progressing demand on wireless technologies is mainly driven through development from the industrial wireless sensors market. Especially requirements like low energy consumption, a resource saving simple protocol stack and short timing delays between different states of the wireless transceivers are very important for wireless sensors. Bluetooth Low Energy (BLE) is a rather new wireless standard in addition to the traditional Bluetooth standard (Basis rate and enhanced data rate, BR/EDR) [1]. The BLE will completely fulfill these fundamental requirements. First BLE transceiver chips and modules are available and have been tested and implemented in products. In this paper the performance analysis results of a BLE sensor system which is based on the TI transceiver CC2540F [5] will be presented. The results can be taken for further important investigations like lifetime calculations or BLE simulation models.
Cardiac resynchronization therapy with biventricular pacing is an established therapy for heart failure patients with electrical left ventricular desynchronization. The aim of this study was to evaluate left atrial conduction delay, intra left atrial conduction delay, left ventricular conduction delay and intra left ventricular conduction delay in heart failure patients using novel signal averaging transesophageal left heart ECG software.
Methods: 8 heart failure patients with dilated cardiomyopathy (DCM), age 68 ± 9 years, New York Heart Association (NYHA) class 2.9 ± 0.2, 24.8 ± 6.7 % left ventricular ejection fraction, 188.8 ± 15.5 ms QRS duration and 8 heart failure patients with ischaemic cardiomyopathy (ICM), age 67 ± 8 years, NYHA class 2.9 ± 0.3, 32.5 ± 7.4 % left ventricular ejection fraction and 167.6 ± 19.4 ms QRS duration were analysed with transesophageal and transthoracic ECG by Bard LabDuo EP system and novel National Intruments LabView signal averaging ECG software.
Results: The electrical left atrial conduction delay was 71.3 ± 17.6 ms in ICM versus 72.3 ± 12.4 ms in DCM, intra left atrial conduction delay 66.8 ± 8.6 ms in ICM versus 63.4 ± 10.9 ms in DCM and left cardiac AV delay 180.5 ± 32.6 ms in ICM versus 152.4 ± 30.4 ms in DCM. The electrical left ventricular conduction delay was 40.9 ± 7.5 ms in ICM versus 42.6 ± 17 ms in DCM and intra left ventricular conduction delay 105.6 ± 19.3 ms in ICM versus 128.3 ± 24.1 ms in DCM.
Conclusions: Left heart signal averaging ECG can be utilized to analyse left atrial conduction delay, intra left atrial conduction delay, left ventricular conduction delay and intra left ventricular conduction delay to improve patient selection for cardiac resynchronization therapy.
ECG simulators, available on the market, imitate the electric activity of the heart in a simplified manner. Thus, they are suitable for education purposes but not really for testing algorithms to recognize complex arrhythmias needed for pacemakers and implantable defibrillators. Especially certain discrimination between various morphologies of atrial and ventricular fibrillation needs simulators providing native electrograms of different patients’ heart rhythm events. This explains the necessity to develop an ECG simulator providing high-resolution native intracardiac and surface electrograms of in-vivo rhythm events. In this paper we demonstrate an approach for an ECG simulator based on a consumer multichannel soundcard and a corresponding software application for a laptop computer. This Live-ECG Simulator is able to handle invasive electrogram recordings from electrophysiological studies and send the data to a modified external soundcard for subsequent digital to analog conversion. The hardware is completed with an electronic circuit providing level adjustment to adapt the output amplitude to the input conditions of several cardiac implants.
This paper describes the magmaOffenburg 3D simulation team trying to qualify for RoboCup 2012. While last year’s TDP focused on the tool set created for 3D simulation and the support for heterogeneous robot models, this year we focus on the different ways how robot behavior can be defined in the magmaOffenburg framework and how those behaviors can be improved by learning.
The suffix-free-prefix-free hash function construction and its indifferentiability security analysis
(2012)
In this paper, we observe that in the seminal work on indifferentiability analysis of iterated hash functions by Coron et al. and in subsequent works, the initial value (IV) of hash functions is fixed. In addition, these indifferentiability results do not depend on the Merkle–Damgård (MD) strengthening in the padding functionality of the hash functions. We propose a generic n-bit-iterated hash function framework based on an n-bit compression function called suffix-free-prefix-free (SFPF) that works for arbitrary IVs and does not possess MD strengthening. We formally prove that SFPF is indifferentiable from a random oracle (RO) when the compression function is viewed as a fixed input-length random oracle (FIL-RO). We show that some hash function constructions proposed in the literature fit in the SFPF framework while others that do not fit in this framework are not indifferentiable from a RO. We also show that the SFPF hash function framework with the provision of MD strengthening generalizes any n-bit-iterated hash function based on an n-bit compression function and with an n-bit chaining value that is proven indifferentiable from a RO.
Es sollte in dieser Schrift untersucht werden, inwieweit bei Änderungen im Bereich der Planung, Durchführung und Auswertung von klinischen Arzneimittelprüfungen die Bewertung mit wissenschaftlichen oder politischen Begründungen erfolgt und inwieweit wissenschaftliche Regeln für politische Zwecke genutzt werden.
Die immer weitreichenderen Anwendungen des Smart Metering und des Smart Grid stellen immer höhere Anforderungen an Kommunikationstechnologien, die die Zielkonflikte aus Echtzeitfähige, Stabilität, Kosten und Energieeffizienz möglichst anwendungsoptimiert und auf einem immer höheren Niveau lösen. Insbesondere im Bereich der so genannten Primärkommunikation zwischen einem Sensor- oder Aktorknoten und einem Datensammler mit Gatewayfunktionalität konnten in den vergangenen Jahren wesentliche Fortschritte erzielt werden. Zu nennen sind hierbei insbesondere die Aktivitäten der ZigBee Alliance rund um den offenen Spezifikationsprozess des ZigBee Smart Energy Profiles (SEP) und der OMS-Gruppe beim ZVEI, die auf dem Wireless M-Bus nach EN13757-4 aufbauen, der sich seinerseits lebhaft und zielgerichtet weiter entwickelt. Der Beitrag diskutiert die vorhandenen Einschränkungen und die verfügbaren Lösungsansätze. Er illustriert diese anhand einiger öffentlich geförderter Projekte, an denen das Team des Autors beteiligt ist.