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1.
Small ; 20(11): e2306749, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38078789

RESUMO

Stretchable electronics have attracted tremendous attention amongst academic and industrial communities due to their prospective applications in personal healthcare, human-activity monitoring, artificial skins, wearable displays, human-machine interfaces, etc. Other than mechanical robustness, stable performances under complex strains in these devices that are not for strain sensing are equally important for practical applications. Here, a comprehensive summarization of recent advances in stretchable electronics with strain-resistive performance is presented. First, detailed overviews of intrinsically strain-resistive stretchable materials, including conductors, semiconductors, and insulators, are given. Then, systematic representations of advanced structures, including helical, serpentine, meshy, wrinkled, and kirigami-based structures, for strain-resistive performance are summarized. Next, stretchable arrays and circuits with strain-resistive performance, that integrate multiple functionalities and enable complex behaviors, are introduced. This review presents a detailed overview of recent progress in stretchable electronics with strain-resistive performances and provides a guideline for the future development of stretchable electronics.

2.
Sensors (Basel) ; 24(12)2024 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-38931515

RESUMO

To validate safety-related automotive software systems, experimental tests are conducted at different stages of the V-model, which are referred as "X-in-the-loop (XIL) methods". However, these methods have significant drawbacks in terms of cost, time, effort and effectiveness. In this study, based on hardware-in-the-loop (HIL) simulation and real-time fault injection (FI), a novel testing framework has been developed to validate system performance under critical abnormal situations during the development process. The developed framework provides an approach for the real-time analysis of system behavior under single and simultaneous sensor/actuator-related faults during virtual test drives without modeling effort for fault mode simulations. Unlike traditional methods, the faults are injected programmatically and the system architecture is ensured without modification to meet the real-time constraints. Moreover, a virtual environment is modeled with various environmental conditions, such as weather, traffic and roads. The validation results demonstrate the effectiveness of the proposed framework in a variety of driving scenarios. The evaluation results demonstrate that the system behavior via HIL simulation has a high accuracy compared to the non-real-time simulation method with an average relative error of 2.52. The comparative study with the state-of-the-art methods indicates that the proposed approach exhibits superior accuracy and capability. This, in turn, provides a safe, reliable and realistic environment for the real-time validation of complex automotive systems at a low cost, with minimal time and effort.

3.
Can Assoc Radiol J ; : 8465371241281055, 2024 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-39291994

RESUMO

Purpose: Assess the effectiveness of standardizing multidisciplinary case conferences (MDCs). Methods: Anonymous electronic surveys gauged opinions of abdominal radiologists engaged in recurring MDCs. A standardized Excel template, following Cancer Care Ontario guidelines and relevant literature, was distributed to MDC managers. Physicians were instructed to send cases 36 hours prior to MDC. Template adherence was assessed at 1.5 and 8 months. A follow-up survey at 4 months evaluated the intervention's effectiveness. Results: 27/34 abdominal radiologists provided 47 baseline responses, and 12 delegated radiologists provided 23 follow-up responses. "Often/always" being provided the image's location increased from 36% (17/47) at baseline to 70% (16/23) at follow-up. Non-adherence to the 36-hour cut-off decreased from 36% (16/45) to 17% (4/23). 72% disagreed that uploading remote imaging to hospital servers is easy (33/46), similar to follow-up (18/23, 78%). In assessing the intervention, 41% noted improved standardization (9/22), another 41% considered MDCs already standardized (9/22), and 18% reported no change (4/22). Those reporting no change experienced a higher frequency of non-adherence to the 36-hour cut-off (3/4, 75%) than others (1/18, 6%), and less frequent "often/always" ratings for image location being provided (3/4, 75%) than others (2/18, 11%). 89% (25/28) of MDCs adhered to the template. Issues regarding last-minute add-on cases may be mitigated through EPIC force functions. Artificial intelligence advancements may assist in retrieving external images and patient information. Conclusion: Adherence to MDC standardization was high, allowing for more efficient preparation, potentially reducing radiologist administrative burdens. Future force functions and artificial intelligence integration into electronic patient records may further augment this.

4.
Biomed Microdevices ; 25(2): 19, 2023 06 02.
Artigo em Inglês | MEDLINE | ID: mdl-37266714

RESUMO

Organ-on-a-chip (OoC) devices require the precise control of various media. This is mostly done using several fluid control components, which are much larger than the typical OoC device and connected through fluidic tubing, i.e., the fluidic system is not integrated, which inhibits the system's portability. Here, we explore the limits of fluidic system integration using off-the-shelf fluidic control components. A flow control configuration is proposed that uses a vacuum to generate a fluctuation-free flow and minimizes the number of components used in the system. 3D printing is used to fabricate a custom-designed platform box for mounting the chosen smallest footprint components. It provides flexibility in arranging the various components to create experiment-specific systems. A demonstrator system is realized for lung-on-a-chip experiments. The 3D-printed platform box is 290 mm long, 240 mm wide and 37 mm tall. After integrating all the components, it weighs 4.8 kg. The system comprises of a switch valve, flow and pressure controllers, and a vacuum pump to control the diverse media flows. The system generates liquid flow rates ranging from 1.5 [Formula: see text]Lmin[Formula: see text] to 68 [Formula: see text]Lmin[Formula: see text] in the cell chambers, and a cyclic vacuum of 280 mbar below atmospheric pressure with 0.5 Hz frequency in the side channels to induce mechanical strain on the cells-substrate. The components are modular for easy exchange. The battery operated platform box can be mounted on either upright or inverted microscopes and fits in a standard incubator. Overall, it is shown that a compact integrated and portable fluidic system for OoC experiments can be constructed using off-the-shelf components. For further down-scaling, the fluidic control components, like the pump, switch valves, and flow controllers, require significant miniaturization while having a wide flow rate range with high resolution.


Assuntos
Microfluídica , Sistemas Microfisiológicos , Dispositivos Lab-On-A-Chip , Análise de Sequência com Séries de Oligonucleotídeos , Catéteres
5.
Sensors (Basel) ; 23(14)2023 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-37514900

RESUMO

Recently, remarkable successes have been achieved in the quality assurance of automotive software systems (ASSs) through the utilization of real-time hardware-in-the-loop (HIL) simulation. Based on the HIL platform, safe, flexible and reliable realistic simulation during the system development process can be enabled. However, notwithstanding the test automation capability, large amounts of recordings data are generated as a result of HIL test executions. Expert knowledge-based approaches to analyze the generated recordings, with the aim of detecting and identifying the faults, are costly in terms of time, effort and difficulty. Therefore, in this study, a novel deep learning-based methodology is proposed so that the faults of automotive sensor signals can be efficiently and automatically detected and identified without human intervention. Concretely, a hybrid GRU-based denoising autoencoder (GRU-based DAE) model with the k-means algorithm is developed for the fault-detection and clustering problem in sequential data. By doing so, based on the real-time historical data, not only individual faults but also unknown simultaneous faults under noisy conditions can be accurately detected and clustered. The applicability and advantages of the proposed method for the HIL testing process are demonstrated by two automotive case studies. To be specific, a high-fidelity gasoline engine and vehicle dynamic system along with an entire vehicle model are considered to verify the performance of the proposed model. The superiority of the proposed architecture compared to other autoencoder variants is presented in the results in terms of reconstruction error under several noise levels. The validation results indicate that the proposed model can perform high detection and clustering accuracy of unknown faults compared to stand-alone techniques.

6.
J Digit Imaging ; 36(2): 715-724, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36417023

RESUMO

This study aims to show the feasibility and benefit of single queries in a research data warehouse combining data from a hospital's clinical and imaging systems. We used a comprehensive integration of a production picture archiving and communication system (PACS) with a clinical data warehouse (CDW) for research to create a system that allows data from both domains to be queried jointly with a single query. To achieve this, we mapped the DICOM information model to the extended entity-attribute-value (EAV) data model of a CDW, which allows data linkage and query constraints on multiple levels: the patient, the encounter, a document, and a group level. Accordingly, we have integrated DICOM metadata directly into CDW and linked it to existing clinical data. We included data collected in 2016 and 2017 from the Department of Internal Medicine in this analysis for two query inquiries from researchers targeting research about a disease and in radiology. We obtained quantitative information about the current availability of combinations of clinical and imaging data using a single multilevel query compiled for each query inquiry. We compared these multilevel query results to results that linked data at a single level, resulting in a quantitative representation of results that was up to 112% and 573% higher. An EAV data model can be extended to store data from clinical systems and PACS on multiple levels to enable combined querying with a single query to quickly display actual frequency data.


Assuntos
Sistemas de Informação em Radiologia , Radiologia , Humanos , Data Warehousing , Armazenamento e Recuperação da Informação , Diagnóstico por Imagem
7.
Entropy (Basel) ; 25(4)2023 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-37190383

RESUMO

A hybrid scheme integrating the current waste heat recovery system (WHRS) for a silicon arc furnace with plasma gasification for medical waste is proposed. Combustible syngas converted from medical waste is used to drive the gas turbine for power generation, and waste heat is recovered from the raw syngas and exhaust gas from the gas turbine for auxiliary heating of steam and feed water in the WHRS. Meanwhile, the plasma gasifier can also achieve a harmless disposal of the hazardous fine silica particles generated in polysilicon production. The performance of the proposed design is investigated by energy, exergy, and economic analysis. The results indicate that after the integration, medical waste gave rise to 4.17 MW net power at an efficiency of up to 33.99%. Meanwhile, 4320 t of the silica powder can be disposed conveniently by the plasma gasifier every year, as well as 23,040 t of medical waste. The proposed design of upgrading the current WHRS to the hybrid system requires an initial investment of 18,843.65 K$ and has a short dynamic payback period of 3.94 years. Therefore, the hybrid scheme is feasible and promising for commercial application.

8.
Zhongguo Zhong Yao Za Zhi ; 48(12): 3162-3168, 2023 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-37381999

RESUMO

The pharmaceutical manufacturing model is gradually changing from intermittent manufacturing to continuous manufacturing and intelligent manufacturing. This paper briefly reviewed the supervision and research progress in continuous pharmaceutical manufacturing in China and abroad and described the definition and advantages of continuous pharmaceutical manufacturing. The continuous manufacturing of traditional Chinese medicine(TCM) at the current stage was summarized in the following three terms: the enhancement of the continuity of intermittent manufacturing operations, the integration of continuous equipment to improve physical continuity between units, and the application of advanced process control strategies to improve process continuity. To achieve continuous manufacturing of TCM, the corresponding key technologies, such as material property characterization, process modeling and simulation, process analysis technology, and system integration, were analyzed from the process and equipment, respectively. It was proposed that the continuous manufacturing equipment system should have the characteristics of high speed, high response, and high reliability, "three high(H~3)" for short. Considering the characteristics and current situation of TCM manufacturing, based on the two dimensions of product quality control and production efficiency, a maturity assessment model for continuous manufacturing of TCM, consisting of operation continuity, equipment continuity, process continuity, and quality control continuity, was proposed to provide references for the application of continuous manufacturing technology for TCM. The implementation of continuous manufacturing or the application of key continuous manufacturing technologies in TCM can help to systematically integrate advanced pharmaceutical technology elements and promote the uniformity of TCM quality and the improvement of production efficiency.


Assuntos
Medicina Tradicional Chinesa , Reprodutibilidade dos Testes , China , Controle de Qualidade , Preparações Farmacêuticas
9.
Am J Geriatr Psychiatry ; 30(11): 1171-1179, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35659469

RESUMO

Black and Latinx Americans are disproportionately at greater risk for having Alzheimer's disease and related dementias (ADRD) than White Americans. Such differences in risk for ADRD are arguably explained through health disparities, social inequities, and historical policies. Structural racism and discrimination (SRD), defined as "macro-level conditions that limit opportunities, resources, and well-being of less privileged groups," have been linked with common comorbidities of ADRD, including hypertension, obesity, diabetes, depression. Given the historical impact of SRD-including discriminatory housing policies resulting in racial residential segregation that has been shown to limit access to education, employment, and healthcare-Black and Latinx populations with ADRD are directly or indirectly negatively affected by SRD in terms of access, quality and cost for healthcare. Emerging studies have brought to light the value of structural-level hospital and public health collaboration on care coordination for improving healthcare quality and access, and thus could serve as a macro-level mechanism for addressing disparities for minoritized racial and ethnic populations with ADRD. This paper presents a conceptual framework delineating how care coordination can successfully be achieved through health information technology (HIT) systems and ultimately address SRD. To address health inequities, it is therefore critical that policy initiatives invest in HIT capacities and infrastructures to promote care coordination, identify patient needs and preferences, and promote engagement of patients with ADRD and their caregivers.


Assuntos
Doença de Alzheimer , Racismo , Atenção à Saúde , Humanos , Grupos Raciais , Racismo/prevenção & controle , Racismo Sistêmico , Estados Unidos , População Branca
10.
Int J Hyperthermia ; 39(1): 81-96, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34949138

RESUMO

Aim: Treatment of infected orthopedic implants remains a major medical challenge, involving prolonged antibiotic therapy and revision surgery, and adding a >$1 billion annual burden to the health care system in the US alone. Exposure of metallic implants to alternating magnetic fields (AMF) generates heat that can provide a noninvasive means to target biofilm adhered to the surface. In this study, an AMF system with a solenoid coil was constructed for targeting a metal plate surgically implanted in a sheep model.Methods: A tissue-mimicking phantom of the sheep leg was developed along with simulation model of phantom and the live sheep leg. This was used evaluate heating with the AMF system and to compare experimental results with numerical simulations. Comparative AMF exposures were performed/simulated in these model for feasibility of design, verification, and validation of simulations.Results: The system produced magnetic field strengths up to 12mT and achieved plate temperatures of 65-80 °C within 10-14 s. Single and intermittent AMF exposures of a tissue-mimicking phantom agreed with numerical simulations within 5 °C. Similar agreement between experimental measurements and simulations was also observed in the live sheep metal implant model. The simulations also predicted 2-3 mm of tissue damage using a CEM43 thermal dose model for 1-h AMF exposures targeting 65 °C for pulse delays of 2.5 and 5 mins.Conclusion: This study confirmed that AMF technology can be scaled up to treat implants in a large animal model with the same rates of heating and peak temperatures achieved in prior in vitro studies. Further, numerical simulations provided accurate predictions of the heating produced by AMF on metal implants and surrounding tissues, and can be used to design AMF coils for treating human prosthetic joint implants with more complex geometrical shapes.


Assuntos
Calefação , Campos Magnéticos , Animais , Estudos de Viabilidade , Temperatura Alta , Metais , Ovinos
11.
BMC Health Serv Res ; 22(1): 323, 2022 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-35272666

RESUMO

BACKGROUND: Many low and middle- income countries (LMICs) are repositioning community health worker (CHW) programmes to provide a more comprehensive range of promotive and preventive services and referrals to the formal health service. However, insufficient supervision, fragmented programmes, and the low literacy levels of CHWs often result in the under-performance of the programmes. We evaluate the impact of a roving nurse mentor working with CHW teams proving supportive supervision in a semi-rural area of South Africa. METHODS: We conducted a longitudinal process evaluation, using in-depth interviews, focus groups and observations prior to the intervention, during the intervention, and 6 months post-intervention to assess how the effects of the intervention were generated and sustained. Our participants were CHWs, their supervisors, clients and facility staff members and community representatives. RESULTS: The nurse mentor operated in an environment of resource shortages, conflicts between CHWs and facility staff, and an active CHW labour union. Over 15 months, the mentor was able to (1) support and train CHWs and their supervisors to gain and practice new skills, (2) address their fears of failing and (3) establish operational systems to address inefficiencies in the CHWs' activities, resulting in improved service provision. Towards the end of the intervention the direct employment of the CHWs by the Department of Health and an increase in their stipend added to their motivation and integration into the local primary care clinic team. However, given the communities' focus on accessing government housing, rather than better healthcare, and volatile nature of the communities, the nurse mentor was not able to establish a collaboration with local structures. CONCLUSIONS: A roving nurse mentor overseeing several CHW teams within a district healthcare system is a feasible option, particularly in a context where there is a shortage of qualified supervisors to support CHWs activities. A roving nurse mentor can contribute to the knowledge and skills development of the CHWs and enhance the capacity of junior supervisors. However, the long-term sustainability of the effects of intervention is dependent on CHWs' formal employment by the Department of Health.


Assuntos
Agentes Comunitários de Saúde , Mentores , Atenção à Saúde , Feminino , Humanos , Motivação , Gravidez , África do Sul
12.
BMC Health Serv Res ; 22(1): 74, 2022 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-35031051

RESUMO

BACKGROUND: Families with complex needs face significant challenges accessing and navigating health and social services. For veteran families, these challenges are exacerbated by interactions between military and civilian systems of care, and the density of the veterans' non-profit sector. This qualitative study was designed to gather rich, detailed information on complex needs in veteran families; and explore service providers' and families' experiences of accessing and navigating the veterans' support system. METHODS: The study comprised participant background questionnaires (n = 34), focus groups with frontline service providers (n = 18), and one-on-one interviews with veteran families (n = 16) in Australia. The semi-structured focus groups and interviews were designed to gather rich, detailed information on four study topics: (i) health and wellbeing needs in veteran families; (ii) service-access barriers and facilitators; (iii) unmet needs and gaps in service provision; and (iv) practical solutions for improving service delivery. The study recruited participants who could best address the focus on veteran families with complex needs. The questionnaire data was used to describe relevant characteristics of the participant sample. The focus groups and interviews were audio-recorded, transcribed, and a reflexive thematic analysis was conducted to identify patterns of shared meaning in the qualitative data. RESULTS: Both service providers and families found the veterans' support system difficult to access and navigate. System fragmentation was perceived to impede care coordination, and delay access to holistic care for veteran families with complex needs. The medico-legal aspects of compensation and rehabilitation processes were perceived to harm veteran identity, and undermine health and wellbeing outcomes. Recovery-oriented practice was viewed as a way to promote veteran independence and self-management. Participants expressed a strong preference for family-centred care that was informed by an understanding of military lifestyle and culture. CONCLUSION: The health and wellbeing needs of veteran families intensify during the transition from full-time military service to civilian environments, and service- or reintegration-related difficulties may emerge (or persist) for a significant period of time thereafter. Veteran families with complex needs are unduly burdened by care coordination demands. There is a pressing need for high-quality implementation studies that evaluate initiatives for integrating fragmented systems of care.


Assuntos
Militares , Veteranos , Grupos Focais , Humanos , Pesquisa Qualitativa , Serviço Social
13.
Sensors (Basel) ; 22(13)2022 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-35808560

RESUMO

This paper outlines challenges and opportunities in operating underwater robots (so-called AUVs) on a seaweed farm. The need is driven by an emerging aquaculture industry on the Swedish west coast where large-scale seaweed farms are being developed. In this paper, the operational challenges are described and key technologies in using autonomous systems as a core part of the operation are developed and demonstrated. The paper presents a system and methods for operating an AUV in the seaweed farm, including initial localization of the farm based on a prior estimate and dead-reckoning navigation, and the subsequent scanning of the entire farm. Critical data from sidescan sonars for algorithm development are collected from real environments at a test site in the ocean, and the results are demonstrated in a simulated seaweed farm setup.


Assuntos
Robótica , Alga Marinha , Algoritmos , Aquicultura , Fazendas , Robótica/métodos
14.
Sensors (Basel) ; 22(5)2022 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-35271099

RESUMO

The Internet of Things (IoT) empowers the development of heterogeneous systems for various application domains using embedded devices and diverse data transmission protocols. Collaborative integration of these systems in the industrial domain leads to incompatibility and interoperability at different automation levels, requiring unified coordination to exchange information efficiently. The hardware specifications of these devices are resource-constrained, limiting their performance in resource allocation, data management, and remote process supervision. Hence, unlocking network capabilities with other domains such as cloud and web services is required. This study proposed a platform-independent middleware module incorporating the Open Platform Communication Unified Architecture (OPC UA) and Representational State Transfer (REST) paradigms. The object-oriented structure of this middleware allows information contextualization to address interoperability issues and offers aggregated data integration with other domains. RESTful web and cloud platforms were implemented to collect this middleware data, provide remote application support, and enable aggregated resource allocation in a database server. Several performance assessments were conducted on the developed system deployed in Raspberry Pi and Intel NUC PC, which showed acceptable platform resource utilization regarding CPU, bandwidth, and power consumption, with low service, update, and response time requirements. This integrated approach demonstrates an excellent cost-effective prospect for interoperable Machine-to-Machine (M2M) communication, enables remote process supervision, and offers aggregated bulk data management with wider domains.


Assuntos
Computação em Nuvem , Internet das Coisas , Comunicação
15.
Child Adolesc Ment Health ; 27(4): 399-418, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35920392

RESUMO

BACKGROUND: Youth mental health challenges are an emerging and persistent global public health issue despite efforts for improvement. As part of a broader social innovation study to transform youth mental health systems, this scoping review assesses interventions that aim for systems-level changes to improve the mental well-being of transitional age youth (TAY) (15-25 years) in high-income countries. METHODS: The scoping review method of Arksey and O'Malley (International Journal of Social Research Methodology, 8, 2005, 19) was used. Seven health and social service databases were utilized with study inclusion criteria applied. Titles and abstracts were screened by two independent reviewers, and four members of the research team were involved in the review and thematic analysis of selected studies. RESULTS: A total of 5652 peer-reviewed articles were screened at the title and abstract level, of which 65 were assessed in full for eligibility, and 29 were included for final analysis. The peer-reviewed articles and gray literature were based in seven different high-income countries and published between 2008 and 2019. Four major themes to support youth mental health were identified in the literature: (a) improving transitions from youth to adult mental healthcare services; (b) moving care from institutions to the community; (c) general empowerment of youth in society; and (d) youth voice within the system. Inconsistent or limited systems-level approaches to TAY mental health care were noted. CONCLUSIONS: There remains a need for innovative, evidence-based approaches to improve TAY mental health care.


Assuntos
Serviços de Saúde Mental , Saúde Mental , Adolescente , Adulto , Atenção à Saúde , Humanos , Projetos de Pesquisa , Serviço Social , Adulto Jovem
16.
Hum Factors ; 63(2): 274-295, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-32040353

RESUMO

OBJECTIVE: We demonstrate that the diagram of work organization possibilities, a recent addition to cognitive work analysis, can be used to develop designs that promote adaptation in the workplace. BACKGROUND: Workers in sociotechnical systems adapt not just their individual behaviors but also their collective structures in dealing with instability, uncertainty, and unpredictability in their tasks. However, conventional design approaches are limited in supporting adaptations in both workers' behaviors and structures, especially during unforeseen situations. The work organization possibilities diagram has the potential to meet these requirements, but its value for design has not been established. METHOD: We present a case study of a future system for maritime surveillance that provides an analytical demonstration of the utility of the diagram for design and empirical validation of the impact, uniqueness, and feasibility of this approach in an industrial setting. RESULTS: This application results in a team design that is integrated with the career and training progression pathway of the crew in a way that maximizes the system's behavioral and structural possibilities for adaptation. Further, the approach has impact on practice, makes a distinct contribution to design relative to other techniques, and is implemented feasibly in an industrial setting. CONCLUSION: The work organization possibilities diagram can contribute to the development of an integrated system design that supports actors' possibilities for behavioral and structural adaptation in a unified fashion. APPLICATION: This research provides a basis for designing interfaces, teams, training, and automation that preserve a system's inherent capacity for adaptation.


Assuntos
Cognição , Local de Trabalho , Humanos
17.
Int J Inf Manage ; 57: 102287, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33318721

RESUMO

Various technology innovations and applications have been developed to fight the coronavirus pandemic. The pandemic also has implications for the design, development, and use of technologies. There is an urgent need for a greater understanding of what roles information systems and technology researchers can play in this global pandemic. This paper examines emerging technologies used to mitigate the threats of COVID-19 and relevant challenges related to technology design, development, and use. It also provides insights and suggestions into how information systems and technology scholars can help fight the COVID-19 pandemic. This paper helps promote future research and technology development to produce better solutions for tackling the COVID-19 pandemic and future pandemics.

18.
J Digit Imaging ; 33(4): 1016-1025, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32314069

RESUMO

Clinical Data Warehouses (DWHs) are used to provide researchers with simplified access to pseudonymized and homogenized clinical routine data from multiple primary systems. Experience with the integration of imaging and metadata from picture archiving and communication systems (PACS), however, is rare. Our goal was therefore to analyze the viability of integrating a production PACS with a research DWH to enable DWH queries combining clinical and medical imaging metadata and to enable the DWH to display and download images ad hoc. We developed an application interface that enables to query the production PACS of a large hospital from a clinical research DWH containing pseudonymized data. We evaluated the performance of bulk extracting metadata from the PACS to the DWH and the performance of retrieving images ad hoc from the PACS for display and download within the DWH. We integrated the system into the query interface of our DWH and used it successfully in four use cases. The bulk extraction of imaging metadata required a median (quartiles) time of 0.09 (0.03-2.25) to 12.52 (4.11-37.30) seconds for a median (quartiles) number of 10 (3-29) to 103 (8-693) images per patient, depending on the extraction approach. The ad hoc image retrieval from the PACS required a median (quartiles) of 2.57 (2.57-2.79) seconds per image for the download, but 5.55 (4.91-6.06) seconds to display the first and 40.77 (38.60-41.63) seconds to display all images using the pure web-based viewer. A full integration of a production PACS with a research DWH is viable and enables various use cases in research. While the extraction of basic metadata from all images can be done with reasonable effort, the extraction of all metadata seems to be more appropriate for subgroups.


Assuntos
Data Warehousing , Sistemas de Informação em Radiologia , Diagnóstico por Imagem , Humanos
19.
Entropy (Basel) ; 22(11)2020 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-33287079

RESUMO

A novel compressed air energy storage (CAES) system has been developed, which is innovatively integrated with a coal-fired power plant based on its feedwater heating system. In the hybrid design, the compression heat of the CAES system is transferred to the feedwater of the coal power plant, and the compressed air before the expanders is heated by the feedwater taken from the coal power plant. Furthermore, the exhaust air of the expanders is employed to warm partial feedwater of the coal power plant. Via the suggested integration, the thermal energy storage equipment for a regular CAES system can be eliminated and the performance of the CAES system can be improved. Based on a 350 MW supercritical coal power plant, the proposed concept was thermodynamically evaluated, and the results indicate that the round-trip efficiency and exergy efficiency of the new CAES system can reach 64.08% and 70.01%, respectively. Besides, a sensitivity analysis was conducted to examine the effects of ambient temperature, air storage pressure, expander inlet temperature, and coal power load on the performance of the CAES system. The above work proves that the novel design is efficient under various conditions, providing important insights into the development of CAES technology.

20.
Adv Exp Med Biol ; 1101: 1-40, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31729670

RESUMO

The Utah electrode array (UEA) and its many derivatives have become a gold standard for high-channel count bi-directional neural interfaces, in particular in human subject applications. The chapter provides a brief overview of leading electrode concepts and the context in which the UEA has to be understood. It goes on to discuss the key advances and developments of the UEA platform in the past 15 years, as well as novel wireless and system integration technologies that will merge into future generations of fully integrated devices. Aspects covered include novel device architectures that allow scaling of channel count and density of electrode contacts, material improvements to substrate, electrode contacts, and encapsulation. Further subjects are adaptations of the UEA platform to support IR and optogenetic simulation as well as an improved understanding of failure modes and methods to test and accelerate degradation in vitro such as to better predict device failure and lifetime in vivo.


Assuntos
Microeletrodos , Eletrodos Implantados/tendências , Humanos , Microeletrodos/tendências , Sistema Nervoso , Utah
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