TETRA radio performance evaluated via the software package TETRASIM

TETRA (TErrestrial Trunked RAdio) is a digital mobile radio standard for voice and data transmission. It aims at satisfying the growing request of applications and facilities coming from professional users and emergency services. The system has been standardized by ETSI (European Telecommunications Standards Institute) and is provided with an European harmonized frequency band. The first TETRA networks appeared on the market in 1997. This paper reports TETRA radio performance evaluated via a simulation software package, named TETRASIM, entirely developed at CSELT according to TETRA specifications. The simulation results have been obtained for some of the traffic and control channels specified by the standard, in terms of BER (Bit Error Rate) and MER (Message Erasure Rate). As far as the simulated receiver scheme is concerned, the characteristics of the equivalent low-pass filters and the adopted synchronization technique are reported. The simulated demodulator uses a differential detection scheme with soft decision outputs in the case of coded channels. Performance analyses and results comparison are provided by taking into account the effects of signal-to-noise ratio, co-channel interference, adjacent channel interference, propagation models defined in the standard and mobile unit speed. The simulation results reported in this work have been included in the ETR (ETSI Technical Report) “TETRA Designers’ Guide Part 2: Radio and Traffic Performance”. This revised version was published online in June 2006 with corrections to the Cover Date.     

Visual acuity, lens flexure, and residual astigmatism of keratoconic eyes as a function of back optic zone radius of rigid lenses.

The purpose of this study was to determine whether the visual acuity of keratoconic eyes was affected by alteration of back optic zone radii (BOZRs) of rigid gas permeable lenses (RGP) contact lenses. Visual acuity, spherical and sphero-cylindrical over-refraction and keratometry of the front surface of the RGP lenses of nine keratoconic eyes were measured. The BOZR of the five lenses varied from steeper to flatter than that habitually worn by the subjects. The steepest lenses produced significantly greater lens flexure and residual astigmatism (P < 0.002) and worse high and low contrast visual acuity with the spherical over-refraction (P < 0.05). There was no statistical difference in visual acuity across the range of BOZR when a sphero-cylindrical over-refraction was applied. Thus reduced visual acuity in keratoconus with steep lenses is likely due to uncorrected residual astigmatism from a combination of several possible sources.     

Comparison of an objective method of measuring bulbar redness to the use of traditional grading scales.

PURPOSE: The primary objective was to compare measures of bulbar redness objectively using a photometric method with standard grading methods. Measures of redness were made on 24 participants wearing a silicone hydrogel contact lens in one eye for overnight wear. This report compares hyperaemia after 1 week of daily wear (baseline) with redness measured after 6 months of overnight wear. METHOD: A new method of objectively measuring bulbar conjunctival redness was performed using the Spectrascan650 Photometer by Photo Research under fixed illumination. Photometric measures in CIEu(*) chromaticity values involve the measurement of chromaticity, a physical analogue of redness, greenness and blueness in the image. This method was validated in Part 1 of the study using repeated measurements on the photographic CCLRU scale. In Part 2 of the study, the photographic grading scale (CCLRU) from 0 (none) to 100 (extreme) was used to make the comparison. RESULTS: Part 1 indicated that the photometer provides a repeatable and reliable measure of bulbar redness (CCC=0.989). A moderately strong and significant correlation was found between the CIEu(*) chromaticity values and the analogue data (R=0.795, p=0.000) at each measurement session (from baseline to 1 day, 1 week, and 1, 3 and 6 months of overnight wear). CONCLUSIONS: This new standardized and objective method of measuring bulbar redness has great potential to replace subjective grading scales, especially with multi-centre studies, where variability between investigators occurs. This method may also detect smaller changes between visits or between eyes.     

Fitting an MSD (Mini Scleral Design) rigid contact lens in advanced keratoconus with INTACS

Keratoconus is a bilateral degenerative disease characterized by a non-inflammatory, progressive central corneal ectasia (typically asymmetric) and decreased vision. In its early stages it may be managed with spectacles and soft contact lenses but more commonly it is managed with rigid contact lenses. In advanced stages, when contact lenses can no longer be fit, have become intolerable, or corneal damage is severe, a penetrating keratoplasty is commonly performed. Alternative surgical techniques, such as the use of intra-stromal corneal ring segments (INTACS) have been developed to try and improve the fit of rigid contact lenses in keratoconic patients and avoid penetrating keratoplasties. This case report follows through the fitting of rigid contact lenses in an advanced keratoconic cornea after an INTACS procedure and discusses clinical findings, treatment options, and the use of mini-scleral and scleral lens designs as they relate to the challenges encountered in managing such a patient. Mini-scleral and scleral lenses are relatively easy to fit, and can be of benefit to many patients, including advanced keratoconic patients, post-INTAC patients and post-penetrating keratoplasty patients.     

Tear turnover rate is reduced in patients with symptomatic dry eye.

PURPOSE: Tear turnover rate (TTR) is defined as the percent decrease of fluorescein concentration in the tears per minute after the instillation of fluorescein. The purpose of this study was to examine differences in TTR in a sample with symptoms of dry eye and an asymptomatic control sample using the Fluorotron Master Fluorophotometer. METHODS: TTR was measured using the OcuMetrics Fluorotron Master. It measures the decay of the fluorescence of high molecular weight fluorescein FITC Dextran instilled into the tear film. Twenty participants (post-menopausal women) were enrolled in the study (10 asymptomatic (age 64.7 +/- 6.99) and 10 symptomatic (age 61.5 +/- 7.98)). Participants were grouped according to either a positive (symptomatic) or negative (asymptomatic) McMonnies Dry Eye Questionnaire, i.e., an indication of self-reported ocular dryness and the use of rewetting/lubricating drops (questions 4 and 5). TTR was measured in the afternoon only. Measurements were made on the right eye with a controlled blink rate (15 blinks/min), for up to 30 min, post-insertion of 2 microl of 2% FITC Dextran (MW 9500). The scan data were used to construct a graph of log fluorescein concentration (ng/ml) as a function of time and the TTR calculated (%/ min = (1- ln (slope)) x 100). RESULTS: There was a significant difference in the TTR between symptomatic and asymptomatic subjects. Mean TTR (symptomatic) was 4.89 +/-2.74%/min (range, 2.04-11.81) and mean TTR (asymptomatic) was 11.85 +/- 3.31%/min (range, 5.76-16.45) (P < 0.0001). CONCLUSIONS: Fluorophotometry may be used to demonstrate differences in the tear turnover rate in this post-menopausal group of women, with patients experiencing symptoms of dry eye having a lower TTR than the normals.