Inveterate dabbler in business, travel, gadgets & life

Starting the next stage of my mega bike ride

Zurich RouteTomorrow I’m reluctantly moving on from my lovely apartment in Les Gets towards Zurich so that I can meet my big brother & nephew next weekend for a 70th birthday bash (and I’ve heard a whisper it’s his wife’s birthday too 🙂 )

I’m fully recovered from the ride here and the excellent Thierry has fitted the bike with new chain, rear gear cassette and brake pads. The dreaded rear pannier’s have been despatched home with my neighbour, as I’ve been assured by Sally after speaking to Pete that a tent isn’t necessary 🙂

I’ve spent the last few days trying to sort out my Etrex 20 with maps and in a moment of sheer stupidity lost my OSX application library – which interestingly broke all my Chrome extensions in a very nasty way, the dangers of using an offline backup service. 🙁

NB: All that follows is for Mac OSX users.

What I’ve learnt about Garmin maps is that you can fill your Garmin Etrex up with highly detailed Open Street Maps, essentially for free by visiting Velomap and downloading the desired country(s). Installing Garmin Basecamo & Garmin MapInstall. Unzipping the maps using The Unarchiver, setting the destination to the Application Library/Garmin /Maps folder (be careful here!).

Then using Mapinstall pop them into the Garmin. I now have all of France, Germany, Switzerland, Germany, Austria, Slovakia, Croatia, Serbia, Hungary & Romania installed on my recently purchased 4GB micro SD (€8 from GITEM in Morzine).

To work out the routes I’ve been using Bikemap to create a track. A tip here if you want to modify someones existing track, download the gpx file to the desktop, create a new track in Bikemap and upload the gpx file, then you can edit it. To make the track into a route I used the cool JavaWa tools. I then used Basecamp to stuff the route into the Etrex. Tomorrow is the test 🙂

However, that’s only the backup sorted :-). What I really will use is the iPhone and the Gaia app, I’ve uploaded the tracks to the iPhone via email. Then used the neat Gaia utility to auto download the relevant Open Street Map tiles to the iPhone that cover the tracks, so in theory it all works offline.

Apologies to anyone tracking me but my SFR MiFi unit has used all it’s 2GB of data so I’m off air until I can reach a SIM shop in Switzerland…

 

 

 

Instrument bar for an Altus bar bag.

One of the annoyances on the ride down to Les Gets from Cambridge was that at every cafe stop (of which there were many)  I had to struggle to disengage the GPS & iPhone from their handlebar mounts plus the iPhone couldn’t be used in landscape mode due to there been no space left on the handlebars.

So on the way I was thinking of schemes to overcome the problem. If  somehow I could attach the GPS & iPhone to my Altura Dryline Bar Bag then with one click of the Klickfix quick release I could remove the Altura bar bag, GPS & iPhone in one swift easy movement and head straight to the cafe with all my valuables.

Obviously any system shouldn’t affect the bag water proofing, map case use or ease of access to the bag for taking quick shots with my camera.

Altura bar bag with iPhone & GPS mount
Altura bar bag with iPhone & GPS mount

As all good design the answer was cheap & simple 🙂 Take an old aluminium broom handle from the scrap bin. Hacksaw it to the right length, then crunch the ends into a flat using a vice, bend to right angles (very slowly & carefully). Put a hole in each end then attach to the sides of the Altura lid using penny washers and M4 bolts.

The map case slides underneath allowing space for The Bikeline books, even better the broom handle bar keeps the map case  firmly in place.

The Topeak iPhone 5 case fits perfectly and can be used in landscape or portrait mode and as a bonus can have the power cable in place with the auxiliary battery pack in the Altura bar bag. (Use an IKEA plastic bag clip to hold the cable in place and seal the iPhone in anything but the worst conditions.). The Garmin handlebar mount fits on well.

Now to give it the 2000 mile test and to work out how to fix the Silva wind gauge……

Urine analysis with @uchek

Screenshot_30_05_2013_10_16Very interesting email I received on one of my favourite topics. If you measure what is going in it strikes me what is coming out is equally important.
After all doctors used to taste your urine 🙂 It’s interesting how the FDA are getting drawn into the debate. Basically if you interept the dipstick manually it’s OK once you use a camera & computer it becomes a medical device! see here.
———————–email from uchek——————

After our US and India app releases, it has been an interested time! 
– Lots of downloads of the uChek app on iPhone in USA and India
– ALL our friends on the Android platform and in non-US, non-India geographies writing to ask “When will we get it?
(btw Answer: SOON!
We’re be sending an update on release in different geographies, and of course, the much anticipated Android app)
Also interesting development: uChek is a FDA registered device and we have been in discussions with the regulator about the classification of the product. Much commentary about this on the web. Like here.
We seem to be somehow in the center of a wider debate about innovation and regulation.
Another thing we’ve noticed – nobody on facebook wants to talk about urine using their real name 🙂 
So we’ll use this email to talk about urinalysis, and what information the results of a urine test may contain …
A simple 10 parameter dipstick (less than 20 cents) can be a powerful diagnostic tool. This is precise the type of test strip we read using the uChek app, through the iPhone’s camera. 
Such a standard urine test strip may comprise up to 10 different chemical pads or reagents which react and hence change color when immersed in, and then removed from, a urine sample. The readings can be obtained between 60 and 120 seconds of dipping. Each parameter has to be read at a specific time after the start of the reaction, as per the manufacturer’s instructions. There are many manufacturers and many types of strips. Information about concentration measurements of parameters like glucose, urobilinogen, pH, ketone, occult blood, protein, bilirubin, nitrite, leukocyte, and specific gravity in urine may be obtained in this way.

The absence or relative concentration of different parameters may provide inputs for healthcare professionals for diagnosis, and management of upto 25 medical conditions.


Glucose:

Glucose is not normally present in the urine.
Once the level of glucose in the blood reaches a renal threshhold, the kidneys begin to excrete it into the urine in an attempt to decrease the blood concentration. So high blood concentrations lead to glucosuria, as does conditions that may reduce this renal threshold.

  • Diabetes
  • Liver disease
  • Medications such as tetracycline, lithium, penicillin, cephalosporins
  • Pregnancy


Bilirubin:

Produced as a by-product during the degradation of RBC in the liver and normally excreted in the bile. Once in the intestine it is excreted in the faeces (as stercobilin) or by the kidneys (as urobilinogen).
Presence of bilirubin in the urine may therefore indicate:

  • liver disease
  • biliary tract infection
  • pancreatic causes of obstructive jaundice

Ketones:

Not normally found in the urine, ketones are produced during fat metabolism.
Presence of ketones may indicate:

  • diabetes
  • alcoholism
  • eclampsia
  • a state of starvation
  • pregnancy

Specific Gravity:

The specific gravity (SG) of urine signifies the concentration of dissolved solutes and reflects the effectiveness of the renal tubules to concentrate it ( when the body needs to conserve fluid). If there were no solutes present the urines SG would be 1.000, the same as pure water.
The SG of urine is around 1.010 but can vary greatly:

Decreased SG may be due to:

  • Excessive fluid intake (oral or IV fluids)
  • Renal failure
  • Acute golmerulonephritis, pyelonephritis, acute tubular necrosis
  • Diabetes insipidus

Increased SG may be due to:

  • Dehydration due to poor fluid intake, vomiting or diarrhoea
  • Heart failure
  • Liver failure
  • Inappropriate antidiuretic hormone secretion

It also reflects a high solute concentration which may be from glucose (diabetes or IV glucose) or protein.


Blood:

Classified as microscopic or macroscopic haematoria. Microscopic means that the blood is not visible with the naked eye.
Blood may be present in the urine following trauma, smoking, infection, renal calculi or strenuous exercise.

It may also be present with:

  • Urinary tract infections.
  • Damage to the glomerulas or tumours which erode the urinary tract.
  • Acute tubular necrosis.
  • Traumatic catheterization.
  • Damage caused by the passage of kidney stones.
  • Contamination from the vagina during menstruation

The presence of myoglobin (myoglobinuria) after muscle injury will also cause the reagent strip to indicate blood.


pH:

Measures the hydrogen ion concentration of the urine.
It is important that a fresh sample be used as urine becomes more alkaline over time as bacteria convert urea to ammonia (which is very alkaline).
Urine is normally acidic but its normal pH ranges from 4.5 to 8.

Low pH (acidic):

  • Foods such as acidic fruits (cranberries) can lower the pH, as can high a high protein diet.
  • As urine generally reflects the blood pH, metabolic or respiratory acidosis can make it more acidic.
  • Other causes of acidic urine include diabetes, diarrhoea and starvation.

High pH (alkaline):

  • Low carb or vegetarian diet
  • May be associated with renal calculi.
  • Respiratory or metabolic alkalosis
  • Urinary tract infection

Protein:

This is measuring the amount of albumin in the urine. Normally there should be no detectable quantities.
Elevated protein levels are known as proteinuria. Albumin is one of the smaller protiens, and if the kidneys begin to dysfuncion it may show an early sign of kidney disease.

Other conditions which may lead to protein in the urine include:

  • Injury to the urinary tract, bladder or urethra
  • Inflammation, malignancies.
  • Multiple myeloma

Urobilinogen:

Normally present in the urine in small quantity. Less than 1% of urobilinogen is passed by the kidneys the remainder is excreted in the faeces or transported back to the liver and converted into bile.

Raised levels may be due to:

  • Cirrhosis
  • Hepatitis
  • Hepatic necrosis
  • Haemolytic and pernicious anaemia
  • Malaria

Nitrites:

Nitrites are formed by the breakdown of urinary nitrates. This us usually caused by Gram-negative and some Gram-positive bacteria.
So the presence of nitrites suggests bacterial infection such as E.coli, Staphylococcus and Klebsiella.
Commonly found during a urinary tract infection.


Leukocytes:

Detects white cells in the urine (pyuria) which is associated with urinary tract infection.


Source: ImpactedNurse


Urinalysis may be useful in investigations and management of the following conditions. 

1. Urinary tract infections
2. Cirrhosis of the liver
3. Hepatitis 
4. Hemolytic anemia
5. Malaria
6. Pre-eclampsia
7.Metabolic acidosis and alkalosis
8. Respiratory acidosis and alkalosis
9. Diabetse mellitus
10. Diarrhoea
11. Starvation
12. Renal calculi
13. Diabetes ketoacidosis
14. Biliary tract infections
15. Obstructive jaundice
16. Pregnancy
17. Alcoholism
18. Dehydration
19. Heart failure
20. Diabetes Insipidus
21. Nephropathy – Diabetic and Hypertensive
22. Multiple Myeloma
23. Menstruation
24. Vomitting 
25. Cancers of the urinary tract, kidney, bladder

Addional information on this topic may be obtained from the sources below.

—————end email uchek——————–