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1.
PeerJ ; 12: e17361, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38737741

RESUMEN

Phytoplankton are the world's largest oxygen producers found in oceans, seas and large water bodies, which play crucial roles in the marine food chain. Unbalanced biogeochemical features like salinity, pH, minerals, etc., can retard their growth. With advancements in better hardware, the usage of Artificial Intelligence techniques is rapidly increasing for creating an intelligent decision-making system. Therefore, we attempt to overcome this gap by using supervised regressions on reanalysis data targeting global phytoplankton levels in global waters. The presented experiment proposes the applications of different supervised machine learning regression techniques such as random forest, extra trees, bagging and histogram-based gradient boosting regressor on reanalysis data obtained from the Copernicus Global Ocean Biogeochemistry Hindcast dataset. Results obtained from the experiment have predicted the phytoplankton levels with a coefficient of determination score (R2) of up to 0.96. After further validation with larger datasets, the model can be deployed in a production environment in an attempt to complement in-situ measurement efforts.


Asunto(s)
Aprendizaje Automático , Fitoplancton , Tecnología de Sensores Remotos , Tecnología de Sensores Remotos/métodos , Tecnología de Sensores Remotos/instrumentación , Océanos y Mares , Monitoreo del Ambiente/métodos , Aprendizaje Automático Supervisado
2.
Transl Vis Sci Technol ; 13(5): 18, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38776108

RESUMEN

Purpose: We aimed to design, develop, and evaluate an internet of things-enabled patch (IoT patch) for real-time remote monitoring of adherence (or patch wear time) during patch treatment in child participants in clinical trials. This study provides healthcare providers with a tool for objective, real-time, and remote assessment of adherence and for making required adjustments to treatment plans. Methods: The IoT patch had two temperature microsensors and a wireless chip. One sensor was placed closer to the skin than the other, resulting in a temperature difference depending on whether the patch was worn. When the patch was worn, it measured temperatures every 30 seconds and transmitted temperature data to a cloud server via a mobile application every 15 seconds. The patch was evaluated via 2 experiments with 30 healthy adults and 40 children with amblyopia. Results: Excellent monitoring accuracy was observed in both adults (mean delay of recorded time data, 0.4 minutes) and children (mean, 0.5 minutes). The difference between manually recorded and objectively recorded patch wear times showed good agreement in both groups. Experiment 1 showed accurate monitoring over a wide range of temperatures (from 0 to 30°C). Experiment 2 showed no significant differences in wearability (ease-of-use and comfort scores) between the IoT and conventional patches. Conclusions: The IoT patch offers an accurate, real-time, and remote system to monitor adherence to patch treatment. The patch is comfortable and easy to use. The utilization of an IoT patch may increase adherence to patch treatment based on accurate monitoring. Translational Relevance: Results show that the IoT patch can enable real-time adherence monitoring in clinical trials, improving treatment precision, and patient compliance to enhance outcomes.


Asunto(s)
Internet de las Cosas , Tecnología Inalámbrica , Humanos , Femenino , Masculino , Adulto , Niño , Tecnología Inalámbrica/instrumentación , Cooperación del Paciente , Diseño de Equipo/métodos , Preescolar , Adulto Joven , Dispositivos Electrónicos Vestibles , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos
3.
PeerJ ; 12: e17319, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38699179

RESUMEN

In this study, multisensor remote sensing datasets were used to characterize the land use and land covers (LULC) flooded by Hurricane Willa which made landfall on October 24, 2018. The landscape characterization was done using an unsupervised K-means algorithm of a cloud-free Sentinel-2 MultiSpectral Instrument (MSI) image, acquired during the dry season before Hurricane Willa. A flood map was derived using the histogram thresholding technique over a Synthetic Aperture Radar (SAR) Sentinel-1 C-band and combined with a flood map derived from a Sentinel-2 MSI image. Both, the Sentinel-1 and Sentinel-2 images were obtained after Willa landfall. While the LULC map reached an accuracy of 92%, validated using data collected during field surveys, the flood map achieved 90% overall accuracy, validated using locations extracted from social network data, that were manually georeferenced. The agriculture class was the dominant land use (about 2,624 km2), followed by deciduous forest (1,591 km2) and sub-perennial forest (1,317 km2). About 1,608 km2 represents the permanent wetlands (mangrove, salt marsh, lagoon and estuaries, and littoral classes), but only 489 km2 of this area belongs to aquatic surfaces (lagoons and estuaries). The flooded area was 1,225 km2, with the agricultural class as the most impacted (735 km2). Our analysis detected the saltmarsh class occupied 541 km2in the LULC map, and around 328 km2 were flooded during Hurricane Willa. Since the water flow receded relatively quickly, obtaining representative imagery to assess the flood event was a challenge. Still, the high overall accuracies obtained in this study allow us to assume that the outputs are reliable and can be used in the implementation of effective strategies for the protection, restoration, and management of wetlands. In addition, they will improve the capacity of local governments and residents of Marismas Nacionales to make informed decisions for the protection of vulnerable areas to the different threats derived from climate change.


Asunto(s)
Tormentas Ciclónicas , Inundaciones , Tecnología de Sensores Remotos , Inundaciones/estadística & datos numéricos , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos , Monitoreo del Ambiente/métodos , Humanos , Algoritmos
4.
Philos Trans R Soc Lond B Biol Sci ; 379(1904): 20230101, 2024 Jun 24.
Artículo en Inglés | MEDLINE | ID: mdl-38705179

RESUMEN

Insects are the most diverse group of animals on Earth, yet our knowledge of their diversity, ecology and population trends remains abysmally poor. Four major technological approaches are coming to fruition for use in insect monitoring and ecological research-molecular methods, computer vision, autonomous acoustic monitoring and radar-based remote sensing-each of which has seen major advances over the past years. Together, they have the potential to revolutionize insect ecology, and to make all-taxa, fine-grained insect monitoring feasible across the globe. So far, advances within and among technologies have largely taken place in isolation, and parallel efforts among projects have led to redundancy and a methodological sprawl; yet, given the commonalities in their goals and approaches, increased collaboration among projects and integration across technologies could provide unprecedented improvements in taxonomic and spatio-temporal resolution and coverage. This theme issue showcases recent developments and state-of-the-art applications of these technologies, and outlines the way forward regarding data processing, cost-effectiveness, meaningful trend analysis, technological integration and open data requirements. Together, these papers set the stage for the future of automated insect monitoring. This article is part of the theme issue 'Towards a toolkit for global insect biodiversity monitoring'.


Asunto(s)
Biodiversidad , Insectos , Insectos/fisiología , Animales , Tecnología de Sensores Remotos/métodos , Tecnología de Sensores Remotos/instrumentación , Monitoreo Biológico/métodos
5.
Philos Trans R Soc Lond B Biol Sci ; 379(1904): 20230113, 2024 Jun 24.
Artículo en Inglés | MEDLINE | ID: mdl-38705181

RESUMEN

In the current biodiversity crisis, populations of many species have alarmingly declined, and insects are no exception to this general trend. Biodiversity monitoring has become an essential asset to detect biodiversity change but remains patchy and challenging for organisms that are small, inconspicuous or make (nocturnal) long-distance movements. Radars are powerful remote-sensing tools that can provide detailed information on intensity, timing, altitude and spatial scale of aerial movements and might therefore be particularly suited for monitoring aerial insects and their movements. Importantly, they can contribute to several essential biodiversity variables (EBVs) within a harmonized observation system. We review existing research using small-scale biological and weather surveillance radars for insect monitoring and outline how the derived measures and quantities can contribute to the EBVs 'species population', 'species traits', 'community composition' and 'ecosystem function'. Furthermore, we synthesize how ongoing and future methodological, analytical and technological advancements will greatly expand the use of radar for insect biodiversity monitoring and beyond. Owing to their long-term and regional-to-large-scale deployment, radar-based approaches can be a powerful asset in the biodiversity monitoring toolbox whose potential has yet to be fully tapped. This article is part of the theme issue 'Towards a toolkit for global insect biodiversity monitoring'.


Asunto(s)
Biodiversidad , Insectos , Radar , Insectos/fisiología , Animales , Tecnología de Sensores Remotos/métodos , Tecnología de Sensores Remotos/instrumentación , Monitoreo Biológico/métodos , Vuelo Animal
6.
EBioMedicine ; 103: 105104, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38582030

RESUMEN

BACKGROUND: There is an urgent need for objective and sensitive measures to quantify clinical disease progression and gauge the response to treatment in clinical trials for amyotrophic lateral sclerosis (ALS). Here, we evaluate the ability of an accelerometer-derived outcome to detect differential clinical disease progression and assess its longitudinal associations with overall survival in patients with ALS. METHODS: Patients with ALS wore an accelerometer on the hip for 3-7 days, every 2-3 months during a multi-year observation period. An accelerometer-derived outcome, the Vertical Movement Index (VMI), was calculated, together with predicted disease progression rates, and jointly analysed with overall survival. The clinical utility of VMI was evaluated using comparisons to patient-reported functionality, while the impact of various monitoring schemes on empirical power was explored through simulations. FINDINGS: In total, 97 patients (70.1% male) wore the accelerometer for 1995 days, for a total of 27,701 h. The VMI was highly discriminatory for predicted disease progression rates, revealing faster rates of decline in patients with a worse predicted prognosis compared to those with a better predicted prognosis (p < 0.0001). The VMI was strongly associated with the hazard for death (HR 0.20, 95% CI: 0.09-0.44, p < 0.0001), where a decrease of 0.19-0.41 unit was associated with reduced ambulatory status. Recommendations for future studies using accelerometery are provided. INTERPRETATION: The results serve as motivation to incorporate accelerometer-derived outcomes in clinical trials, which is essential for further validation of these markers to meaningful endpoints. FUNDING: Stichting ALS Nederland (TRICALS-Reactive-II).


Asunto(s)
Esclerosis Amiotrófica Lateral , Progresión de la Enfermedad , Dispositivos Electrónicos Vestibles , Humanos , Esclerosis Amiotrófica Lateral/mortalidad , Esclerosis Amiotrófica Lateral/diagnóstico , Esclerosis Amiotrófica Lateral/fisiopatología , Masculino , Femenino , Persona de Mediana Edad , Estudios Prospectivos , Anciano , Acelerometría/instrumentación , Pronóstico , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos , Adulto
8.
ESC Heart Fail ; 11(3): 1443-1451, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38356328

RESUMEN

AIMS: Remote dielectric sensing (ReDS) represents a contemporary non-invasive technique reliant on electromagnetic energy to quantify pulmonary congestion. Its prognostic significance within the context of heart failure (HF) patients remains elusive. This study aimed to assess the prognostic implications of residual pulmonary congestion, as gauged by the ReDS system, among patients admitted due to congestive HF. METHODS AND RESULTS: We enrolled hospitalized HF patients who underwent ReDS assessments upon admission and discharge in a blinded manner, independent of attending physicians. We evaluated the prognostic impact of the ReDS ratio between admission and discharge on the primary outcome, which encompassed all-cause mortality and HF-related re-hospitalizations. A cohort of 133 patients (median age 78 [72, 84] years, 78 male [59%]) was included. Over a median observation period of 363 days post-index discharge, an escalated ReDS group (ReDS ratio > 100%), determined through statistical calculation, emerged as an independent predictor of the primary outcome, exhibiting an adjusted hazard ratio of 4.37 (95% confidence interval 1.13-16.81, P = 0.032). The cumulative incidence of the primary outcome was notably higher in the increased ReDS group compared with the decreased ReDS group (50.1% vs. 8.5%, P = 0.034). CONCLUSIONS: Elevated ReDS ratios detected during the index hospitalization could serve as a promising prognostic indicator in HF patients admitted for treatment. The clinical ramifications of ReDS-guided HF management warrant validation in subsequent studies.


Asunto(s)
Insuficiencia Cardíaca , Edema Pulmonar , Humanos , Masculino , Femenino , Insuficiencia Cardíaca/fisiopatología , Insuficiencia Cardíaca/diagnóstico , Anciano , Pronóstico , Anciano de 80 o más Años , Edema Pulmonar/fisiopatología , Edema Pulmonar/diagnóstico , Edema Pulmonar/etiología , Tecnología de Sensores Remotos/métodos , Tecnología de Sensores Remotos/instrumentación , Estudios de Seguimiento , Hospitalización , Estudios Retrospectivos , Tasa de Supervivencia/tendencias
9.
Artículo en Inglés | MEDLINE | ID: mdl-38083043

RESUMEN

In the recent years, Active Assisted Living (AAL) technologies used for autonomous tracking and activity recognition have started to play major roles in geriatric care. From fall detection to remotely monitoring behavioral patterns, vital functions and collection of air quality data, AAL has become pervasive in the modern era of independent living for the elderly section of the population. However, even with the current rate of progress, data access and data reliability has become a major hurdle especially when such data is intended to be used in new age modelling approaches such as those using machine learning. This paper presents a comprehensive data ecosystem comprising remote monitoring AAL sensors along with extensive focus on cloud native system architecture, secured and confidential access to data with easy data sharing. Results from a validation study illustrate the feasibility of using this system for remote healthcare surveillance. The proposed system shows great promise in multiple fields from various AAL studies to development of data driven policies by local governments in promoting healthy lifestyles for the elderly alongside a common data repository that can be beneficial to other research communities worldwide.Clinical Relevance- This study creates a cloud-based smart home data ecosystem, which can achieve the remote healthcare monitoring for aging population, enabling them to live more independently and decreasing hospital admission rates.


Asunto(s)
Envejecimiento , Atención a la Salud , Monitoreo Ambulatorio , Tecnología de Sensores Remotos , Anciano , Humanos , Nube Computacional , Vida Independiente , Monitoreo Ambulatorio/instrumentación , Monitoreo Ambulatorio/métodos , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos , Reproducibilidad de los Resultados
10.
Artículo en Inglés | MEDLINE | ID: mdl-38083053

RESUMEN

Lower extremity strength (LES) is essential to support activities in daily living. To extend healthy life expectancy of elderly people, early detection of LES weakness is important. In this study, we challenge to develop a method for LES assessment in daily living via an in-shoe motion sensor (IMS). To construct the estimation model, we collected data from 62 subjects. We used the outcome of the five-times-sit-to-stand test to represent the performance of LES as the target variable. Predictors were constructed from the subjects' foot motions measured by the IMS during straight path walking. We used the leave-one-subject-out least absolute shrinkage and selection operator algorithm to select features and construct respective models for the males and females. As a result, the models achieved fair and a good intra-class correlation coefficient agreement between the true and estimation values, with mean absolute errors of 2.14 and 1.21 s (variation of 23.6 and 16.0%), respectively. To validate the models, we separately collected data from 45 subjects. The models successfully predicted 100% and 90% of the male and female subjects' data, respectively, which suggests the robustness of the constructed estimation models. The results suggested that LES can be identified more effectively in daily living by wearing an IMS, and the use of an IMS has the potential for future frailty and fall risk assessment applications.


Asunto(s)
Extremidad Inferior , Fuerza Muscular , Tecnología de Sensores Remotos , Zapatos , Anciano , Femenino , Humanos , Masculino , Pie , Movimiento (Física) , Caminata , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos
11.
Nature ; 620(7973): 386-392, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37495692

RESUMEN

Transient molecules in the gastrointestinal tract such as nitric oxide and hydrogen sulfide are key signals and mediators of inflammation. Owing to their highly reactive nature and extremely short lifetime in the body, these molecules are difficult to detect. Here we develop a miniaturized device that integrates genetically engineered probiotic biosensors with a custom-designed photodetector and readout chip to track these molecules in the gastrointestinal tract. Leveraging the molecular specificity of living sensors1, we genetically encoded bacteria to respond to inflammation-associated molecules by producing luminescence. Low-power electronic readout circuits2 integrated into the device convert the light emitted by the encapsulated bacteria to a wireless signal. We demonstrate in vivo biosensor monitoring in the gastrointestinal tract of small and large animal models and the integration of all components into a sub-1.4 cm3 form factor that is compatible with ingestion and capable of supporting wireless communication. With this device, diseases such as inflammatory bowel disease could be diagnosed earlier than is currently possible, and disease progression could be more accurately tracked. The wireless detection of short-lived, disease-associated molecules with our device could also support timely communication between patients and caregivers, as well as remote personalized care.


Asunto(s)
Biomarcadores , Técnicas Biosensibles , Sulfuro de Hidrógeno , Inflamación , Óxido Nítrico , Animales , Biomarcadores/análisis , Biomarcadores/metabolismo , Técnicas Biosensibles/instrumentación , Técnicas Biosensibles/métodos , Enfermedades Inflamatorias del Intestino/diagnóstico , Enfermedades Inflamatorias del Intestino/metabolismo , Modelos Animales , Tracto Gastrointestinal/metabolismo , Tracto Gastrointestinal/microbiología , Cápsulas/administración & dosificación , Probióticos/metabolismo , Bacterias/metabolismo , Luminiscencia , Progresión de la Enfermedad , Inflamación/diagnóstico , Inflamación/metabolismo , Óxido Nítrico/análisis , Óxido Nítrico/metabolismo , Sulfuro de Hidrógeno/análisis , Sulfuro de Hidrógeno/metabolismo , Tecnología Inalámbrica/instrumentación , Administración Oral , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos , Factores de Tiempo , Humanos , Tamaño Corporal
12.
IEEE J Biomed Health Inform ; 27(8): 3710-3720, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37018728

RESUMEN

Peripheral blood oxygen saturation (SpO 2) is an essential indicator of respiratory functionality and received increasing attention during the COVID-19 pandemic. Clinical findings show that COVID-19 patients can have significantly low SpO 2 before any obvious symptoms. Measuring an individual's SpO 2 without having to come into contact with the person can lower the risk of cross contamination and blood circulation problems. The prevalence of smartphones has motivated researchers to investigate methods for monitoring SpO 2 using smartphone cameras. Most prior schemes involving smartphones are contact-based: They require using a fingertip to cover the phone's camera and the nearby light source to capture reemitted light from the illuminated tissue. In this paper, we propose the first convolutional neural network based noncontact SpO 2 estimation scheme using smartphone cameras. The scheme analyzes the videos of an individual's hand for physiological sensing, which is convenient and comfortable for users and can protect their privacy and allow for keeping face masks on. We design explainable neural network architectures inspired by the optophysiological models for SpO 2 measurement and demonstrate the explainability by visualizing the weights for channel combination. Our proposed models outperform the state-of-the-art model that is designed for contact-based SpO 2 measurement, showing the potential of the proposed method to contribute to public health. We also analyze the impact of skin type and the side of a hand on SpO 2 estimation performance.


Asunto(s)
Redes Neurales de la Computación , Oximetría , Oxígeno , Tecnología de Sensores Remotos , Teléfono Inteligente , Humanos , COVID-19/sangre , Oximetría/instrumentación , Oximetría/métodos , Oxígeno/sangre , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos , Grabación en Video , Mano , Prueba de Estudio Conceptual , Pigmentación de la Piel , Aprendizaje Profundo , Conjuntos de Datos como Asunto , Sensibilidad y Especificidad , Teorema de Bayes
13.
Science ; 377(6608): 859-864, 2022 08 19.
Artículo en Inglés | MEDLINE | ID: mdl-35981034

RESUMEN

Recent advances in flexible and stretchable electronics have led to a surge of electronic skin (e-skin)-based health monitoring platforms. Conventional wireless e-skins rely on rigid integrated circuit chips that compromise the overall flexibility and consume considerable power. Chip-less wireless e-skins based on inductor-capacitor resonators are limited to mechanical sensors with low sensitivities. We report a chip-less wireless e-skin based on surface acoustic wave sensors made of freestanding ultrathin single-crystalline piezoelectric gallium nitride membranes. Surface acoustic wave-based e-skin offers highly sensitive, low-power, and long-term sensing of strain, ultraviolet light, and ion concentrations in sweat. We demonstrate weeklong monitoring of pulse. These results present routes to inexpensive and versatile low-power, high-sensitivity platforms for wireless health monitoring devices.


Asunto(s)
Monitoreo Fisiológico , Tecnología de Sensores Remotos , Dispositivos Electrónicos Vestibles , Humanos , Monitoreo Fisiológico/instrumentación , Pulso Arterial , Tecnología de Sensores Remotos/instrumentación , Semiconductores , Sudor/química
14.
Integr Comp Biol ; 62(4): 1131-1143, 2022 10 29.
Artículo en Inglés | MEDLINE | ID: mdl-35869966

RESUMEN

Dens are a crucial component of the life history of most shallow water octopuses. However, den usage dynamics have only been explored in a few species over relatively short durations, and Octopus rubescens denning behavior has never been explored in situ. We built four underwater camera traps to observe the behavior of O. rubescens in and around their dens. To distinguish individuals, octopuses were captured and given a unique identifiable visible implant elastomer tag on the dorsal side of their mantle. After being tagged and photographed, each octopus was released back to its original capture site within its original den bottle. The site is unique in that octopuses reside almost exclusively in discarded bottles, therefore aiding in locating and monitoring dens. Motion-activated cameras were suspended in a metal field-of-view above bottle dens of released octopuses to observe den-associated behaviors. Cameras were regularly retrieved and replaced to allow continuous monitoring of den locations in 71 h intervals for over a month. We found that O. rubescenswas primarily active during the day and had frequent interactions with conspecifics (other members within the species). We also found that rockfish and red rock crabs tended to frequent den locations more often when octopuses were not present, while kelp greenling both visited dens more frequently and stayed longer when octopuses were present. Our results, demonstrate the utility of motion-activated camera traps for behavioral and ecological studies of nearshore mobile organisms.


Asunto(s)
Octopodiformes , Tecnología de Sensores Remotos , Grabación en Video , Animales , Conducta Animal , Grabación en Video/instrumentación , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos
15.
Science ; 376(6596): 917-918, 2022 05 27.
Artículo en Inglés | MEDLINE | ID: mdl-35617399
16.
Int Heart J ; 63(1): 73-76, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35095079

RESUMEN

Remote dielectric sensing (ReDS) is a recently introduced non-invasive electromagnetic-based device used to quantify lung fluid levels. Nevertheless, its inter-rater and intra-rater reliability remain uncertain. In 10 healthy volunteers, ReDS values were measured three times successively by the officially trained expert examiner to validate intra-rater reliability. Similar measures were performed by a total of three examiners to validate inter-rater reliability. Intra-class correlation (ICC) was applied to validate each reliability. Ten healthy volunteers [median 34 (32, 40) years old, 10 men, body mass index 23.0 (21.2, 23.9) ] were included. Median ReDS value was 28% (25%, 31%). For the intra-rater reliability, ICC (1, 1) and ICC (1, 3) were 0.966 and 0.988, respectively (P < 0.001). For the inter-rater reliability, ICC (2, 1) and ICC (2, 3) were 0.683 and 0.866, respectively (P < 0.001). Given almost perfect intra-rater reliability, an examiner does not need to repeat ReDS measurement. Given substantial inter-rater reliability, ReDS measurements had better be measured by multiple examiners if possible.


Asunto(s)
Agua Pulmonar Extravascular , Pulmón , Tecnología de Sensores Remotos/instrumentación , Adulto , Estudios de Cohortes , Humanos , Masculino , Variaciones Dependientes del Observador , Prueba de Estudio Conceptual , Valores de Referencia , Reproducibilidad de los Resultados
17.
Circ Arrhythm Electrophysiol ; 15(2): e010304, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-35089799

RESUMEN

BACKGROUND: Whether the amount of atrial fibrillation (AF) patients experience conveys important prognostic information beyond that provided by the diagnosis of AF is uncertain. The study objective was to assess the dose-response relationship between device-detected AF burden and subsequent cardiovascular outcomes. METHODS: Among patients with paroxysmal AF who underwent cardiac implantable electronic device implantation (2010-2016), Merlin.net remote-monitoring data were linked to Medicare claims to assess the magnitude and strength of the associations between device-based AF burden (defined as a daily percentage of time spent in AF or maximal AF episode duration ascertained at baseline over 30 days) and key cardiovascular outcomes. RESULTS: Among 39 710 patients (mean age 77.1±8.7 years, 60.7% male, and a mean CHA2DS2-VASc score 4.9±1.3), all-cause mortality at 1-year increased with baseline AF burden: 8.54% with AF burden 0%, 8.9% with AF burden 0% to 5%, and 10.9% with AF burden 5% to 98% (P<0.001) There was also a dose-response relationship between increasing AF burden and all-cause or cardiovascular hospitalization and ischemic stroke. Updating AF burden data every 30 days did not alter the AF burden-prognostic relationships determined from the use of baseline data alone. Results were also consistent when 3-year outcomes were considered and after accounting for the use of oral anticoagulants. CONCLUSIONS: In paroxysmal AF, there is a clinically relevant dose-response relationship between increasing AF burden and rates of adverse outcomes at 1- and 3-years, including increasing risks of cardiovascular hospitalization, ischemic stroke, and mortality.


Asunto(s)
Fibrilación Atrial/diagnóstico , Desfibriladores Implantables , Frecuencia Cardíaca , Marcapaso Artificial , Tecnología de Sensores Remotos/instrumentación , Potenciales de Acción , Anciano , Anciano de 80 o más Años , Fibrilación Atrial/mortalidad , Fibrilación Atrial/fisiopatología , Terapia de Resincronización Cardíaca , Bases de Datos Factuales , Progresión de la Enfermedad , Femenino , Hospitalización , Humanos , Accidente Cerebrovascular Isquémico/diagnóstico , Accidente Cerebrovascular Isquémico/mortalidad , Masculino , Valor Predictivo de las Pruebas , Pronóstico , Medición de Riesgo , Factores de Riesgo , Factores de Tiempo , Estados Unidos/epidemiología
18.
Comput Math Methods Med ; 2022: 1090131, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35082909

RESUMEN

In this paper, we have reviewed and presented a critical overview of "energy-efficient and reliable routing solutions" in the field of wireless body area networks (WBANs). In addition, we have theoretically analysed the importance of energy efficiency and reliability and how it affects the stability and lifetime of WBANs. WBAN is a type of wireless sensor network (WSN) that is unique, wherever energy-efficient operations are one of the prime challenges, because each sensor node operates on battery, and where an excessive amount of communication consumes more energy than perceiving. Moreover, timely and reliable data delivery is essential in all WBAN applications. Moreover, the most frequent types of energy-efficient routing protocols include crosslayer, thermal-aware, cluster-based, quality-of-service, and postural movement-based routing protocols. According to the literature review, clustering-based routing algorithms are the best choice for WBAhinwidth, and low memory WBAN, in terms of more computational overhead and complexity. Thus, the routing techniques used in WBAN should be capable of energy-efficient communication at desired reliability to ensure the improved stability period and network lifetime. Therefore, we have highlighted and critically analysed various performance issues of the existing "energy-efficient and reliable routing solutions" for WBANs. Furthermore, we identified and compiled a tabular representation of the reviewed solutions based on the most appropriate strategy and performance parameters for WBAN. Finally, concerning to reliability and energy efficiency in WBANs, we outlined a number of issues and challenges that needs further consideration while devising new solutions for clustered-based WBANs.


Asunto(s)
Tecnología de Sensores Remotos/instrumentación , Tecnología Inalámbrica/instrumentación , Biología Computacional , Conservación de los Recursos Energéticos , Suministros de Energía Eléctrica , Humanos , Tecnología de Sensores Remotos/estadística & datos numéricos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Tecnología Inalámbrica/estadística & datos numéricos
19.
Sci Rep ; 12(1): 46, 2022 01 07.
Artículo en Inglés | MEDLINE | ID: mdl-34996960

RESUMEN

Forest fires have become a major threat around the world, causing many negative impacts on human habitats and forest ecosystems. Climatic changes and the greenhouse effect are some of the consequences of such destruction. Interestingly, a higher percentage of forest fires occur due to human activities. Therefore, to minimize the destruction caused by forest fires, there is a need to detect forest fires at their initial stage. This paper proposes a system and methodology that can be used to detect forest fires at the initial stage using a wireless sensor network. Furthermore, to acquire more accurate fire detection, a machine learning regression model is proposed. Because of the primary power supply provided by rechargeable batteries with a secondary solar power supply, a solution is readily implementable as a standalone system for prolonged periods. Moreover, in-depth attention is given to sensor node design and node placement requirements in harsh forest environments and to minimize the damage and harmful effects caused by wild animals, weather conditions, etc. to the system. Numerous trials conducted in real tropical forest sites found that the proposed system is effective in alerting forest fires with lower latency than the existing systems.


Asunto(s)
Planificación en Desastres/métodos , Aprendizaje Automático , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos , Incendios Forestales , Tecnología Inalámbrica/instrumentación , Bosques , Análisis de Regresión
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