Accuracy of FreeStyle Libre flash glucose monitoring in patients with type 2 diabetes who migrated from highlands to plains

BACKGROUND The FreeStyle Libre flash glucose monitoring(FGM)system entered the Chinese market in 2017 to complement the self-monitoring of blood glucose.Due to its increased usage in clinics,the number of studies investigating its accuracy has increased.However,its accuracy has not been investigated in highland populations in China.AIM To evaluate measurements recorded using the FreeStyle Libre FGM system compared with capillary blood glucose measured using the enzyme electrode method in patients with type 2 diabetes(T2D)who had migrated within 3 mo from highlands to plains.METHODS Overall,68 patients with T2D,selected from those who had recently migrated from highlands to plains(within 3 mo),were hospitalized at the Department of Endocrinology from August to October 2017 and underwent continuous glucose monitoring(CGM)with the FreeStyle Libre FGM system for 14 d.Throughout the study period,fingertip capillary blood glucose was measured daily using the enzyme electrode method(Super GL,China),and blood glucose levels were read from the scanning probe during fasting and 2 h after all three meals.Moreover,the time interval between reading the data from the scanning probe and collecting fingertip capillary blood was controlled to<5 min.The accuracy of the FGM system was evaluated according to the CGM guidelines.Subsequently,the factors influencing the mean absolute relative difference(MARD)of this system were analyzed by a multiple linear regression method.RESULTS Pearson’s correlation analysis showed that the fingertip and scanned glucose levels were positively correlated(R=0.86,P=0.00).The aggregated MARD of scanned glucose was 14.28±13.40%.Parker's error analysis showed that 99.30%of the data pairs were located in areas A and B.According to the probe wear time of the FreeStyle Libre FGM system,MARD_(1 d) and MARD_(2-14 d) were 16.55%and 14.35%,respectively(t=1.23,P=0.22).Multiple stepwise regression analysis showed that MARD did not correlate with blood glucose when the largest amplitude of glycemic excursion(LAGE)was<5.80 mmol/L but negatively correlated with blood glucose when the LAGE was≥5.80 mmol/L.CONCLUSION The FreeStyle Libre FGM system has good accuracy in patients with T2D who had recently migrated from highlands to plains.This system might be ideal for avoiding the effects of high hematocrit on blood glucose monitoring in populations that recently migrated to plains.MARD is mainly influenced by glucose levels and fluctuations,and the accuracy of the system is higher when the blood glucose fluctuation is small.In case of higher blood glucose level fluctuations,deviation in the scanned glucose levels is the highest at extremely low blood glucose levels.

Application and prospects of spatial information technology in CO_(2)sequestration monitoring

This paper systematically reviews the current applications of various spatial information technologies in CO_(2)sequestration monitoring,analyzes the challenges faced by spatial information technologies in CO_(2)sequestration monitoring,and prospects the development of spatial information technologies in CO_(2)sequestration monitoring.Currently,the spatial information technologies applied in CO_(2)sequestration monitoring mainly include five categories:eddy covariance method,remote sensing technology,geographic information system,Internet of Things technology,and global navigation satellite system.These technologies are involved in three aspects:monitoring data acquisition,positioning and data transmission,and data management and decision support.Challenges faced by the spatial information technologies in CO_(2)sequestration monitoring include:selecting spatial information technologies that match different monitoring purposes,different platforms,and different monitoring sites;establishing effective data storage and computing capabilities to cope with the broad sources and large volumes of monitoring data;and promoting collaborative operations by interacting and validating spatial information technologies with mature monitoring technologies.In the future,it is necessary to establish methods and standards for designing spatial information technology monitoring schemes,develop collaborative application methods for cross-scale monitoring technologies,integrate spatial information technologies with artificial intelligence and high-performance computing technologies,and accelerate the application of spatial information technologies in carbon sequestration projects in China.

Potential of eNose Technology for Monitoring Biological CO_(2) Conversion Processes

Electronic nose(eNose) is a modern bioelectronic sensor for monitoring biological processes that convert CO_(2) into valueadded products, such as products formed during photosynthesis and microbial fermentation. eNose technology uses an array of sensors to detect and quantify gases, including CO_(2), in the air. This study briefly introduces the concept of eNose technology and potential applications thereof in monitoring CO_(2) conversion processes. It also provides background information on biological CO_(2) conversion processes. Furthermore, the working principles of eNose technology vis-à-vis gas detection are discussed along with its advantages and limitations versus traditional monitoring methods. This study also provides case studies that have used this technology for monitoring biological CO_(2) conversion processes. eNose-predicted measurements were observed to be completely aligned with biological parameters for R~2 values of 0.864, 0.808, 0.802, and 0.948. We test eNose technology in a variety of biological settings, such as algae farms or bioreactors, to determine its effectiveness in monitoring CO_(2) conversion processes. We also explore the potential benefits of employing this technology vis-à-vis monitoring biological CO_(2) conversion processes, such as increased reaction efficiency and reduced costs versus traditional monitoring methods. Moreover, future directions and challenges of using this technology in CO_(2) capture and conversion have been discussed. Overall, we believe this study would contribute to developing new and innovative methods for monitoring biological CO_(2) conversion processes and mitigating climate change.

Calibration of CO and CO2 Monitors Used in Periodic Inspection of Vehicles at Fixed Stations for Environmental Control

Global efforts for environmental cleanliness through the control of gaseous emissions from vehicles are gaining momentum and attracting increasing attention. Calibration plays a crucial role in these efforts by ensuring the quantitative assessment of emissions for informed decisions on environmental treatments. This paper describes a method for the calibration of CO/CO2 monitors used for periodic inspections of vehicles in cites. The calibration was performed in the selected ranges: 900 - 12,000 µmol/mol for CO and 2000 - 20,000 µmol/mol for CO2. The traceability of the measurement results to the SI units was ensured by using certified reference materials from CO/N2 and CO2/N2 primary gas mixtures. The method performance was evaluated by assessing its linearity, accuracy, precision, bias, and uncertainty of the calibration results. The calibration data exhibited a strong linear trend with R² values close to 1, indicating an excellent fit between the measured values and the calibration lines. Precision, expressed as relative standard deviation (%RSD), ranged from 0.48 to 4.56% for CO and from 0.97 to 3.53% for CO2, staying well below the 5% threshold for reporting results at a 95% confidence level. Accuracy measured as percent recovery, was consistently high (≥ 99.1%) for CO and ranged from 84.90% to 101.54% across the calibration range for CO2. In addition, the method exhibited minimal bias for both CO and CO2 calibrations and thus provided a reliable and accurate approach for calibrating CO/CO2 monitors used in vehicle inspections. Thus, it ensures the effectiveness of exhaust emission control for better environment.

Monitoring Technologies for Marine Carbon Sequestration in Zhanjiang

Marine carbon sequestration is an important component of carbon dioxide capture, utilization and storage(CCUS) technology. It is crucial for achieving carbon peaking and carbon neutralization in China. However, CO_(2) leakage may lead to seabed geological disasters and threaten the safety of marine engineering. Therefore, it is of great significance to study the safety monitoring technology of marine carbon sequestration.Zhanjiang is industrially developed and rich in carbon sources. Owing to the good physical properties and reservoirs and trap characteristics,Zhanjiang has huge storage potential. This paper explores the disaster mechanism associated with CO_(2) leakage in marine carbon sequestration areas. Based on the analysis of the development of Zhanjiang industry and relevant domestic monitoring technologies, several suggestions for safety monitoring of marine carbon sequestration are proposed: application of offshore aquaculture platforms, expansion and application of ocean observation networks, carbon sequestration safety monitoring and sensing system. Intended to build a comprehensive and multi-level safety monitoring system for marine carbon sequestration, the outcome of this study provides assistance for the development of marine carbon sequestration in China's offshore areas.

小儿麻醉诱导中无通气间期SpO_2安全阈值的研究小儿麻醉诱导中无通气间期SpO2安全阈值的研究

１５２例ＡＳＡⅠ级行择期整形手术的小儿，根据年龄分成三组：Ⅰ组为３个月～１岁的婴儿（ｎ＝３９）；Ⅱ组为１～３岁的幼儿（ｎ＝４１）；Ⅲ组为３～１２岁的小儿（ｎ＝７２）。每组小儿再随机分成Ａ亚组和Ｂ亚组。监测ＳｐＯ２、血压、心率和ＰＥＴＣＯ２。预氧时间为２ｍｉｎ。在麻醉诱导后的无通气期，Ａ亚组和Ｂ亚组分别在ＳｐＯ２降至９０％和９５％时给氧。结果证实，小儿ＳｐＯ２降至９５％和９０％所需的无通气时间在三组间均具有明显差别。给氧后，Ａ亚组全部小儿的ＳｐＯ２降至９０％以下；而Ｂ亚组仅有２例（２．７％）小儿的ＳｐＯ２降至９０％以下。给氧后ＳｐＯ２降至的最低值在三组间及每组的Ａ亚组和Ｂ亚组间均有明显差别。因此小儿无通气间期ＳｐＯ２的安全阈值应建立在９５％。直线回归分析发现，无通气期ＳｐＯ２降至９５％所需时间与小儿年龄、体重和身高具有明显相关性。１５２例ＡＳＡⅠ级行择期整形手术的小儿，根据年龄分成三组：Ⅰ组为３个月～１岁的婴儿（ｎ＝３９）；Ⅱ组为１～３岁的幼儿（ｎ＝４１）；Ⅲ组为３～１２岁的小儿（ｎ＝７２）。每组小儿再随机分成Ａ亚组和Ｂ亚组。监测ＳｐＯ２、血压、心率和ＰＥＴＣＯ２。预氧时间为２ｍｉｎ。在麻醉诱导后的无通气期，?

Geophysical monitoring technology for CO_2 sequestration

Geophysical techniques play key roles in the measuring, monitoring, and verifying the safety of CO2 sequestration and in identifying the efficiency of CO2-enhanced oil recovery. Although geophysical monitoring techniques for CO2 sequestration have grown out of conventional oil and gas geophysical exploration techniques, it takes a long time to conduct geophysical monitoring, and there are many barriers and challenges. In this paper, with the initial objective of performing CO2 sequestration, we studied the geophysical tasks associated with evaluating geological storage sites and monitoring CO2 sequestration. Based on our review of the scope of geophysical monitoring techniques and our experience in domestic and international carbon capture and sequestration projects, we analyzed the inherent difficulties and our experiences in geophysical monitoring techniques, especially, with respect to 4D seismic acquisition, processing, and interpretation.

Seismic dynamic monitoring in CO_2 flooding based on characterization of frequency-dependent velocity factor

The phase velocity of seismic waves varies with the propagation frequency, and thus frequency-dependent phenomena appear when CO2 gas is injected into a reservoir. By dynamically considering these phenomena with reservoir conditions it is thus feasible to extract the frequency-dependent velocity factor with the aim of monitoring changes in the reservoir both before and after CO2 injection. In the paper, we derive a quantitative expression for the frequency-dependent factor based on the Robinson seismic convolution model. In addition, an inversion equation with a frequency-dependent velocity factor is constructed, and a procedure is implemented using the following four processing steps： decomposition of the spectrum by generalized S transform, wavelet extraction of cross-well seismic traces, spectrum equalization processing, and an extraction method for frequency-dependent velocity factor based on the damped least-square algorithm. An attenuation layered model is then established based on changes in the Q value of the viscoelastic medium, and spectra of migration profiles from forward modeling are obtained and analyzed. Frequency-dependent factors are extracted and compared, and the effectiveness of the method is then verified using a synthetic data. The frequency-dependent velocity factor is finally applied to target processing and oil displacement monitoring based on real seismic data obtained before and after CO2 injection in the G89 well block within Shengli oilfield. Profiles and slices of the frequency-dependent factor determine its ability to indicate differences in CO2 flooding, and the predicting results are highly consistent with those of practical investigations within the well block.

Rapid operando gas monitor for commercial lithium ion batteries: Gas evolution and relation with electrode materials

Internal gases caused by side reactions are crucial signals for evaluating health and safety states of Li-ion batteries(LIBs)while it is still a great challenge to timely realize accurate monitoring.To address the issues of implanting various gas sensors into commercial batteries,here a novel method is developed to fast operando monitoring gas evolution via equipping non-dispersive infrared multi-gases sensors into a sealed tank,where real commercial batteries with one open end could be settled for operating.The generated CO_(2)concentration is strongly linked with both voltage and temperature,while the concentrations of CH_(4) and C_(2)H_(4) are solely dependent on temperature.As a typical trace gas,evolution behaviors of CO_(2)have been related to 0_(2) generation from LiNi_(o.5)Mn_(0.3)CoO_(2)0_(2) positive electrode,implying stable CO_(2)release below a critical voltage of 4.5 V.By tracking CO_(2)concentration,an increased amount of Li_(2)CO_(3) was monitored on the surface of graphite negative electrode during discharge process at dfferent temperatures and cutoff voltages,which contributes to the component variation of solid electrolyte interfaces.Such operando techniques promise a plaform for well understanding the interaction of side reactions linked with gas evolution between positive and negative electrodes in commercial LIBs.

High-precision and wide-range real-time neutron flux monitor system through multipoint linear calibration

The neutron flux monitor(NFM)system is an important diagnostic subsystem introduced by large nuclear fusion devices such as international thermonuclear experimental reactor(ITER),Japan torus-60,tokamak fusion test reactor,and HL-2 A.Neutron fluxes can provide real-time parameters for nuclear fusion,including neutron source intensity and fusion power.Corresponding to different nuclear reaction periods,neutron fluxes span over seven decades,thereby requiring electronic devices to operate in counting and Campbelling modes simultaneously.Therefore,it is crucial to design a real-time NFM system to encompass such a wide dynamic range.In this study,a high-precision NFM system with a wide measurement range of neutron flux is implemented using realtime multipoint linear calibration.It can automatically switch between counting and Campbelling modes with variations in the neutron flux.We established a testing platform to verify the feasibility of the NFM system,which can output the simulated neutron signal using an arbitrary waveform generator.Meanwhile,the accurate calibration interval of the Campbelling mode is defined well.Based on the above-mentioned design,the system satisfies the requirements,offering a dynamic range of 10~8 cps,temporal resolution of 1 ms,and maximal relative error of 4%measured at the signal-to-noise ratio of 15.8 dB.Additionally,the NFM system is verified in a field experiment involving HL-2 A,and the measured neutron flux is consistent with the results.

Reversion Mutation in Dark Variants of Luminous Bacteria and Its Application in Gene Toxicant Monitoring

The luminous intensity of dark variant (S1) separated from photobacterium phosph oreum (A2) was 1/10 000 less than that of wild type. Ethidium bromide (EB) (0.6 mg/L), Mytomycin C (MC, 0.05 mg/L), 2 amino fluorene (2 AF, 1.0 mg/L) all cou ld strongly induce reversion mutation for S1 within 24 h and increase reversion ratio significantly. The results of experiments indicated that these revertants had stable genetic characteristic and the mutation may take place at gene levels . The mutagenesis to S1 caused by EB, MC and 2 AF was detected and it may be us ed as a new rapid, simple and sensitive method for gene toxicant monitoring.

Continuous glucose monitoring defined time-in-range is associated with sudomotor dysfunction in type 2 diabetes

BACKGROUND Time in range(TIR),as a novel metric for glycemic control,has robust relevance with diabetic complications.Diabetic peripheral neuropathy(DPN)is characterized by sudomotor dysfunction.AIM To explore the relationship between TIR obtained from continuous glucose monitoring(CGM)and sudomotor function detected by SUDOSCAN in subjects with type 2 diabetes.METHODS The research enrolled 466 inpatients with type 2 diabetes.All subjects underwent 3-d CGM and SUDOSCAN.SUDOSCAN was assessed with electrochemical skin conductance in hands(HESC)and feet(FESC).Average feet ESC<60μS was defined as sudomotor dysfunction(+),otherwise it was sudomotor dysfunction(-).TIR refers to the percentage of time when blood glucose is between 3.9-10 mmol/L during 1 d period.RESULTS Among the enrolled subjects,135(28.97%)presented with sudomotor dysfunction.Patients with sudomotor dysfunction(+)showed a decreased level of TIR(P<0.001).Compared to the lowest tertile of TIR,the middle and the highest tertiles of TIR was associated with an obviously lower prevalence of sudomotor dysfunction(20.51%and 21.94%vs 44.52%)(P<0.001).In addition,with the increase of TIR,HESC and FESC increased(P<0.001).Regression analysis demonstrated that TIR was inversely and independently linked with the prevalence of sudomotor dysfunction after adjusting for confounding values(odds ratio=0.979,95%CI:0.971-0.987,P<0.001).CONCLUSION The tight glycemic control assessed by TIR is of vitally protective value for sudomotor dysfunction in type 2 diabetes mellitus.

Fire monitoring in coal mines using wireless underground sensor network and interval type-2 fuzzy logic controller

From the view of underground coal mining safety system, it is extremely important to continuous monitoring of coal mines for the prompt detection of fires or related problems inspite of its uncertainty and imprecise characteristics. Therefore, evaluation and inferring the data perfectly to prevent fire related accidental risk in underground coal mining (UMC) system are very necessary. In the present article, we have proposed a novel type-2 fuzzy logic system (T2FLS) for the prediction of fire intensity and its risk assessment for risk reduction in an underground coal mine. Recently, for the observation of underground coal mines, wireless underground sensor network (WUSN) are being concerned frequently. To implement this technique IT2FLS, main functional components are sensor nodes which are installed in coal mines to accumulate different imprecise environmental data like, temperature, relative humidity, different gas concentrations etc. and these are sent to a base station which is connected to the ground observation system through network. In the present context, a WUSN based fire monitoring system is developed using fuzzy logic approach to enhance the consistency in decision making system to improve the risk chances of fire during coal mining. We have taken Mamdani IT2FLS as fuzzy model on coal mine monitoring data to consider real-time decision making (DM). It is predicted from the simulated results that the recommended system is highly acceptable and amenable in the case of fire hazard safety with compared to the wired and off-line monitoring system for UMC. Legitimacy of the suggested model is prepared using statistical analysis and multiple linear regression analysis.

Monitoring and simulation of water,heat,and CO_2 fluxes in terrestrial ecosystems based on the APEIS-FLUX system

The Integrated Environmental Monitoring (IEM) project, part of the Asia-Pacific Environmental Innovation Strategy (APEIS) project, developed an integrated environmental monitoring system that can be used to detect, monitor, and assess environmental disasters, degradation, and their impacts in the Asia-Pacific region. The system primarily employs data from the moderate resolution imaging spectrometer (MODIS) sensor on the Earth Observation System-(EOS-) Terra/Aqua satellite, as well as those from ground observations at five sites in different ecological systems in China. From the preliminary data analysis on both annual and daily variations of water, heat and CO2 fluxes, we can confirm that this system basically has been working well. The results show that both latent flux and CO2 flux are much greater in the crop field than those in the grassland and the saline desert, whereas the sensible heat flux shows the opposite trend. Different data products from MODIS have very different correspondence, e.g. MODIS-derived land surface temperature has a close correlation with measured ones, but LAI and NPP are quite different from ground measurements, which suggests that the algorithms used to process MODIS data need to be revised by using the local dataset. We are now using the APEIS-FLUX data to develop an integrated model, which can simulate the regional water, heat, and carbon fluxes. Finally, we are expected to use this model to develop more precise high-order MODIS products in Asia-Pacific region.

Implementation of remote monitoring system for prediction of tool wear and failure using ART2

Remote monitoring of tools for prediction of tool wear in cutting processes was considered, and a method of implementation of a remote-monitoring system previously developed was proposed. Sensor signals were received and tool wear was predicted in the local system using an ART2 algorithm, while the monitoring result was transferred to the remote system via intemet. The monitoring system was installed at an on-site machine tool for monitoring three kinds of tools cutting titanium alloys, and the tool wear was evaluated on the basis of vigilances, similarities between vibration signals received and the normal patterns previously trained. A number of experiments were carried out to evaluate the performance of the proposed system, and the results show that the wears of finishing-cut tools are successfully detected when the moving average vigilance becomes lower than the critical vigilance, thus the appropriate tool replacement time is notified before the breakage.

Multilayered PdTe_(2)/thin Si heterostructures as self-powered flexible photodetectors with heart rate monitoring ability

Two-dimensional layered material/semiconductor heterostructures have emerged as a category of fascinating architectures for developing highly efficient and low-cost photodetection devices.Herein,we present the construction of a highly efficient flexible light detector operating in the visible-near infrared wavelength regime by integrating a PdTe2 multilayer on a thin Si film.A representative device achieves a good photoresponse performance at zero bias including a sizeable current on/off ratio exceeding 105,a decent responsivity of~343 mA/W,a respectable specific detectivity of~2.56×10^(12)Jones,and a rapid response time of 4.5/379μs,under 730 nm light irradiation.The detector also displays an outstanding long-term air stability and operational durability.In addition,thanks to the excellent flexibility,the device can retain its prominent photodetection performance at various bending radii of curvature and upon hundreds of bending tests.Furthermore,the large responsivity and rapid response speed endow the photodetector with the ability to accurately probe heart rate,suggesting a possible application in the area of flexible and wearable health monitoring.

Parsimonious Model for Blood Glucose Level Monitoring in Type 2 Diabetes patients

To establish the parsimonious model for blood glucose monitoring in patients with type 2 diabetes receiving oral hypoglycemic agent treatment. One hundred and fifty-nine adult Chinese type 2 diabetes patients were randomized to receive rapid-acting or sustained-release gliclazide therapy for 12 weeks.

Progress on Monitoring Methods of Atmospheric Greenhouse Gases

There are many types of methods for monitoring atmospheric greenhouse gases,and the differences between the methods have introduced many uncertainties for the accurate monitoring of atmospheric greenhouse gases.In this paper,the monitoring methods of 7 long-lived greenhouse gases(LLGHG),including carbon dioxide(CO_(2)),methane(CH_(4)),nitrous oxide(N_(2)O),hydrofluorocarbons(HFCs),perfluorocarbons(PFCs),sulfur hexafluoride(SF_(6))and nitrogen trifluoride(NF_(3)),which are regulated and controlled in the Kyoto Protocol and the Doha Amendment,were summarized,and the principle,characteristics and application research progress of each method were systematically studied.Besides,their application scope was analyzed,and the domestication research of relevant instruments was analyzed and prospected.At present,the monitoring methods of atmospheric greenhouse gases are developing towards automation and multi-component simultaneous rapid detection,and are accelerating its integration with new technologies such as big data and satellite remote sensing monitoring;top-down and bottom-up methods are used to provide strong data support for carbon peaking and carbon neutral management decisions in various countries.

METAL ION SUBSTIUTION OF Cd_5Zn_2－METALLOTHIONEINEIN WITR CUPROUS ION MONITORED BY￣1HNMR

Rat Liver Cd5Zn2-metallothionein isoforms were titrated with cuprous ion and monitored by 1H NMR Initial replacement occurred in β-domain followed by α-domain.MT exhibited well-defined structure under 10 mole equivalents cuprous ion.