Gquest: Modeling patient questionnaires and administering them through a mobile platform application

Background

The use of surveys is becoming popular in the health care industry for acquiring information useful to the accomplishment of several studies. Besides their exploitation on a large scale for conducting epidemiological studies, surveys are being increasingly carried out on a narrower perspective through the administration of questionnaires aimed at assessing the quality of life perceived by patients or their clinical status during mid- or long-term treatments. This is useful for managing resources or optimizing and individualizing treatments.

Objectives

This paper describes Gquest, a platform for modeling, generating and administering questionnaires through mobile devices such as smartphones or tablets. Gquest was motivated by the need of administering questionnaires during home treatments, albeit its applicability is rather general. The main requirement was to have a very simple, clean and easy to use platform able to support (a) physicians in the design and delivery of questionnaires and (b) outpatients in sending self-recorded outcomes to the clinical staff.

Methods

Gquest has two basic components. The first one is a model devised for representing questionnaires which is extremely flexible. It allows the generation of questions and answers of different types, supports adaptivity in the dialog with the user and enforces simple consistency rules for checking his input. The second component is an application able to run instances of those questionnaires. It downloads questionnaires over the air in terms of XML files from a server and stores them locally into the mobile repository. Questionnaires become then available to the user, who in our case is a patient or one of his relatives. The user can select which one to fill-in, according to his needs and/or the specific treatment protocol. The selected questionnaire may be filled-in all at once or be completed in subsequent steps over time since any input provided is persisted on a local database. Finally, when a questionnaire is closed all the answers are transparently synchronized to a server for further evaluation or statistical purposes.

Results

The platform has been exploited and tested in two medical domains where questionnaires have very different purposes; a quality of life pilot survey involving patients with atrial fibrillation within the EU-funded project MobiGuide, and an investigation of the users’ needs during the requirements elicitation phase of a telemedicine project for the safe discharge of fragile patients.

Conclusions

Gquest proved to be a suitable tool for dealing with a wide variety of question types and has been positively accepted by the patients enrolled in the pilot study.     

Augment low-field intra-operative MRI with preoperative MRI using a hybrid non-rigid registration method

Background

Preoperatively acquired diffusion tensor image (DTI) and blood oxygen level dependent (BOLD) have been proved to be effective in providing more anatomical and functional information; however, the brain deformation induced by brain shift and tumor resection severely impairs the correspondence between the image space and the patient space in image-guided neurosurgery.

Method

To address the brain deformation, we developed a hybrid non-rigid registration method to register high-field preoperative MRI with low-field intra-operative MRI in order to recover the deformation induced by brain shift and tumor resection. The registered DTI and BOLD are fused with low-field intra-operative MRI for image-guided neurosurgery.

Results

The proposed hybrid registration method was evaluated by comparing the landmarks predicted by the hybrid registration method with the landmarks identified in the low-field intra-operative MRI for 10 patients. The prediction error of the hybrid method is 1.92 ± 0.54 mm, and the compensation accuracy is 74.3 ± 5.0%. Compared to the landmarks far from the resection region, those near the resection region demonstrated a higher compensation accuracy (P-value = .003) although these landmarks had larger initial displacements.

Conclusions

The proposed hybrid registration method is able to bring preoperatively acquired BOLD and DTI into the operating room and compensate for the deformation to augment low-field intra-operative MRI with rich anatomical and functional information.     

黄色透明热固性丙烯酸树脂的合成与性能研究

采用丙烯酸酯类和铬金属络合染料先配位后聚合的方法,合成了一种黄色热固性丙烯酸树脂,并用红外光谱表征其结构,然后用该树脂配漆并对金银丝进行了涂布处理。研究了该树脂与染料的结合方式以及该树脂配漆涂布后的性能。实验和检测的结果表明该树脂与染料的结合方式不同于传统的热固性树脂,且配漆后表现较好的柔韧性、摩擦牢度和皂洗牢度等,达到工业生产要求标准。     

CO2 effect on activity and stability of NOx storage reduction catalysts

A catalyst for NO_x storage/reduction was prepared to improve the activity of Ba–Pt/γ-Al₂O₃ by replacing Ba with a mixture of Ba and Mg. The catalyst was prepared by impregnating Pt and then co-impregnating Ba and Mg (Mg:Ba molar ratio = 1) on commercial γ-Al₂O₃. The tests have been carried out in the presence of CO₂ at temperatures between 200 and 400 °C in order to understand the role of both the feed and various alkaline-earth metals. The storage capacity of the two catalysts was different like the mechanism in the reduction process.     

Inhibition of lipid peroxidation in UVA‐treated skin fibroblasts by luteolin and its glucosides

Ultraviolet A (UVA) radiation causes oxidative damage to human skin cells. This damage may be reduced or prevented using plant compounds as photoprotectants. To investigate the relationship between chemical structure and UVA‐protective activity, three structurally related flavonoids, namely luteolin, luteolin‐7‐O‐glucoside (both present in artichoke) and luteolin‐4'‐O‐glucoside (present in wild carrot), were studied. Human skin fibroblasts exposed to UVA (250 and 500 kJ/m²) were treated with each flavonoid (30 µM) for 18 h prior to irradiation. The extent of lipid peroxidation in the cellular extracts was assessed as lipid peroxides and malondialdehyde (MDA). Luteolin and luteolin‐7‐O‐glucoside both prevented a significant increase in lipid peroxides at 250 kJ/m², but at 500 kJ/m² their effectiveness was clearly attenuated. Contrastingly, luteolin‐4'‐O‐glucoside was pro‐oxidant at both radiation doses. Measurements of MDA levels highlighted that luteolin was clearly more effective than the two glucosides at both 250 and 500 kJ/m². Overall, these results show clear differences between the three flavonoids and suggest that the B ring 3',4'‐dihydroxy group, lacking in luteolin‐4'‐O‐glucoside, may be particularly important. Flavonoid: transition metal ion chelation studies confirmed the influence of the 3',4'‐dihydroxy group, which is also relevant to the quenching of singlet oxygen. These features as well as the greater lipophilic nature of luteolin together explain the superior activity of this flavonoid which may be potentially useful as a supplement in photoprotective skin preparations.     

Event-driven,pattern-based methodology for cost-effective development of standardized personal health devices

Experiences applying standards in personal health devices (PHDs) show an inherent trade-off between interoperability and costs (in terms of processing load and development time). Therefore, reducing hardware and software costs as well as time-to-market is crucial for standards adoption. The ISO/IEEE11073 PHD family of standards (also referred to as X73PHD) provides interoperable communication between PHDs and aggregators. Nevertheless, the responsibility of achieving inexpensive implementations of X73PHD in limited resource microcontrollers falls directly on the developer. Hence, the authors previously presented a methodology based on patterns to implement X73-compliant PHDs into devices with low-voltage low-power constraints. That version was based on multitasking, which required additional features and resources. This paper therefore presents an event-driven evolution of the patterns-based methodology for cost-effective development of standardized PHDs. The results of comparing between the two versions showed that the mean values of decrease in memory consumption and cycles of latency are 11.59% and 45.95%, respectively. In addition, several enhancements in terms of cost-effectiveness and development time can be derived from the new version of the methodology. Therefore, the new approach could help in producing cost-effective X73-compliant PHDs, which in turn could foster the adoption of standards.     

Preparation of DNA-encapsulated polyethersulfone hollow microspheres for organic compounds and heavy metal ions removal

DNA-encapsulated polyethersulfone (PES) hollow microspheres are fabricated by means of a liquid-liquid phase separation technique; the hollow microspheres are then used to remove environmental pollutant organic compounds and heavy metal ions. The amounts of DNA encapsulated in the microspheres are dependent on the PES concentration, the DNA concentration used to prepare the particles, and the diameter of the syringe needle. The hollow microspheres can be used to remove harmful organic compounds including ethidium bromide (EB), acridine orange (AO) and endocrine disruptors. With the increase of the DNA amount encapsulated into the hollow microspheres, the removal ratios of these compounds increased. Additionally, the DNA-encapsulated PES hollow microspheres can selectively accumulate and remove heavy metal ions such as Ag⁺, Cu²⁺ and Zn²⁺ These results suggested that the DNA-encapsulated PES hollow microspheres have a potential to be used in environmental applications.     

磁性塑料卷材的研制与应用

磁性塑料卷材由ＣＰＥ树脂、助剂以及磁粉、经塑炼、压延成型的一种柔性薄 强磁性材料。为使大量磁粉（约９０Ｗｔ％－９２Ｗｔ％）能均匀分散在少量树脂（约６Ｗｔ％－７Ｗｔ％）中，必须对磁粉的分散性及其颗粒形状等方面进行研究。     

Effect of chromium aging on the structural and thermal properties of chromium polyacrylate

The effects of aging time of Cr(III) solutions on the structural, thermal, magnetic, and morphological properties of chromium polyacrylate complexes were studied. Chromium retention was found to increase with longer aging periods. IR spectra revealed the formation of polychelate structures with noticeable changes on aging. The interaction of multivalent, polynuclear Cr(III) species with the polymer backbone resulted in a decrease in thermal stability for the complexes prepared from olated chromium solutions. © 2005 Wiley Periodicals, Inc. J Appl Polym Sci 98: 490–493, 2005     

矿浆中金属离子对硅线石与石英浮选分离的影响

系统研究了Fe^3 和Al^3 等金属离子对硅线石和石英可浮性的影响，结果表明：采用油酸钠为捕收剂，Fe^3 和Al^3 在中性或弱碱性介质中对石英浮选有很强活化作用，从而使硅线石和石英浮选分离困难，柠檬酸对金属离子活化石英有很强抑制作用，而对硅线石抑制作用较弱，是浮选分离硅线石和石英较好的的选择性抑制剂，Auger电子能谱仪测试表明：柠檬酸在硅线石表面作用前后Al峰的化学位移为-0.1eV，化学作用很弱，而在Fe^3 和Al^3 离子活化的石英表面，加入柠檬酸前有明显Al Auger电子能峰，加入后，石英表面Al Auger电子能峰消失，表明柠檬酸加入促使吸附在石英表面Al^3 离子溶解，使石英表面阴离子捕收剂吸附活性点降低。