A comparative study of the definitions of intradialytic hypotension correlated with increased mortality to identify universal predictors.

Intradialytic hypotension (IDH) is a common complication in patients undergoing hemodialysis therapy. No consensus on the definition of intradialytic hypotension has been established so far. As a result, coherent and consistent evaluation of its effects and causes is difficult. Some studies have highlighted existing correlations between certain definitions of IDH and the risk of mortality for the patients. This work is mainly focused on these definitions. Our aim is to understand if different IDH definitions, all correlated with increased mortality risk, catch the same onset mechanisms or dynamics. To check whether the dynamics captured by these definitions are similar, we performed analyses of the incidence, of the IDH event onset timing, and checked whether there were similarities between the definitions in those aspects. We evaluated how these definitions overlap with each other and we evaluated which common factors could allow identifying patients at risk of IDH at the beginning of a dialysis session. The definitions of IDH we analyzed through statistical and machine learning approaches, showed a variable incidence on the HD sessions and had different onset time. We found that the set of parameters relevant for the prediction of the IDH was not always the same for the definitions considered. However, it can be observed that some predictors, such as the presence of comorbidities such as diabetes or heart disease, and a low pre-dialysis diastolic blood pressure, have shown universal relevance in highlighting an increased risk of IDH during the treatment. Among those parameters, the one that showed a major importance is the diabetes status of the patients. Diabetes or heart disease presence are permanent risk factors pointing out an increased IDH risk during the treatments, while, pre-dialysis diastolic blood pressure is instead a parameter that can change at every session and should be used to evaluate the specific risk to develop IDH for each session. The identified parameters could be used in the future to train more complex prediction models.

Building Topic-Driven Virtual IoTs in a Multiple IoTs Scenario.

In the last years, several attempts to combine the Internet of Things (IoT) and social networking have been made. In the meantime, things involved in IoT are becoming increasingly sophisticated and intelligent, showing a behavior that tends to look like the one of users in social networks. Therefore, it is not out of place to talk about profiles of things and about information and topics exchanged among them. In such a context, constructing topic-driven virtual communities starting from the real ones operating in a Multi-IoT scenario is an extremely challenging issue. This paper aims at providing some contributions in this setting. First of all, it presents the concept of profile of a thing. Then, it introduces the concept of topic-guided virtual IoT. Finally, it illustrates two approaches (one supervised and one unsupervised) to constructing topic-guided virtual IoTs in a Multi-IoT scenario.