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In the Industry 4.0 era, with the continuous integration of industrial field systems and upper-layer facilities, interconnection between industrial wireless sensor networks (IWSNs) and industrial Internet networks is becoming increasingly pivotal. However, when deployed in real industrial scenarios, IWSNs are often connected to legacy control systems, through some wired industrial network protocols via gateways. Complex protocol translation is required in these gateways, and semantic interoperability is lacking between IWSNs and the industrial Internet. To fill this gap, our study focuses on realizing the interconnection and interoperability between an IWSN and the industrial Internet. The Open Platform Communications Unified Architecture (OPC UA) and joint publish/subscribe (pub/sub) communication between the two networks are used to achieve efficient transmission. Taking the Wireless Networks for Industrial Automation Process Automation (WIA-PA), a typical technology in IWSNs, as an example, we develop a communication architecture that adopts OPC UA as a communication bridge to integrate the WIA-PA network into the industrial Internet. A WIA-PA virtualization method for OPC UA pub/sub data sources is designed to solve the data mapping problem between WIA-PA and OPC UA. Then, the WIA-PA/OPC UA joint pub/sub transmission mechanism and the corresponding configuration mechanism are designed. Finally, a laboratory-level verification system is implemented to validate the proposed architecture, and the experimental results demonstrate its promising feasibility and capability.
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BACKGROUND AND OBJECTIVES: Fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR) are the two most commonly used coronary indices of physiological stenosis severity based on pressure. To minimize the effect of wedge pressure (Pwedge), FFR is measured during hyperemia conditions, and iFR is calculated as the ratio of distal and aortic pressures (Pd/Pa) in the wave-free period. The goal of this study was to predict Pwedge using the backward wave (Pback) through wave separation analysis (WSA) and to reflect the effect of Pwedge on FFR and iFR to identify the relationship between the two indices. METHODS: An in vitro circulation system was constructed to calculate Pwedge. The measurements were performed in cases with stenosis percentages of 48, 71, and 88% and with hydrostatic pressures of 10 and 30 mmHg. Then, the correlation between Pback by WSA and Pwedge was calculated. In vivo coronary flow and pressure were simultaneously measured for 11 vessels in all patients. The FFR and iFR values were reconstructed as the ratios of forward wave at distal and proximal sites during hyperemia and at rest, respectively. RESULTS: Based on the in vitro results, the correlation between Pback and Pwedge was high (r = 0.990, p < 0.0001). In vivo results showed high correlations between FFR and reconstructed FFR (r = 0.992, p < 0.001) and between iFR and reconstructed iFR (r = 0.930, p < 0.001). CONCLUSIONS: Reconstructed FFR and iFR were in good agreement with conventional FFR and iFR. FFR and iFR can be expressed as the variation of trans-stenotic forward pressure, indicating that the two values are inferred from the same formula under different conditions.
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Cateterismo Cardíaco , Estenose Coronária/diagnóstico , Vasos Coronários/fisiopatologia , Reserva Fracionada de Fluxo Miocárdico , Modelos Cardiovasculares , Angiografia Coronária , Estenose Coronária/fisiopatologia , Vasos Coronários/diagnóstico por imagem , Humanos , Hiperemia/fisiopatologia , Modelos Anatômicos , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Processamento de Sinais Assistido por ComputadorRESUMO
This white paper explores the considerations of standards-based interoperability of medical images between organizations, patients, and providers. In this paper, we will look at three different standards-based image exchange implementations that have been deployed to facilitate exchange of images between provider organizations. The paper will describe how each implementation uses applicable technology and standards; the image types that are included; and the governance policies that define participation, access, and trust. Limitations of the solution or non-standard approaches to solve challenges will also be identified. Much can be learned from successes elsewhere, and those learnings will point to recommendations of best practices to facilitate the adoption of image exchange.
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Troca de Informação em Saúde , Diagnóstico por Imagem , Registros Eletrônicos de Saúde , Humanos , Projetos Piloto , RadiologiaRESUMO
Dependability and standardization are essential to the adoption of Wireless Sensor Networks (WSN) in industrial applications. Standards such as ZigBee, WirelessHART, ISA100.11a and WIA-PA are, nowadays, at the basis of the main process-automation technologies. However, despite the success of these standards, management of WSNs is still an open topic, which clearly is an obstacle to dependability. Existing diagnostic tools are mostly application- or problem-specific, and do not support standard-based multi-network monitoring. This paper proposes a WSN monitoring architecture for process-automation technologies that addresses the mentioned limitations. Specifically, the architecture has low impact on sensor node resources, uses network metrics already available in industrial standards, and takes advantage of widely used management standards to share the monitoring information. The proposed architecture was validated through prototyping, and the obtained performance results are presented and discussed in the final part of the paper. In addition to proposing a monitoring architecture, the paper provides an in-depth insight into metrics, techniques, management protocols, and standards applicable to industrial WSNs.
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Withaferin A (Wi-A) and Caffeic Acid Phenethyl Ester (CAPE) are the bioactive ingredients of Ashwagandha (Withania somnifera) and propolis, respectively. Both of these natural compounds have been shown to possess anticancer activity. In the present study, we recruited a low dose of each of these compounds and developed a combination that exhibited remarkably potent anti-migratory and anti-angiogenic activities. Extensive molecular analyses including a cDNA array and expression analyses of the specific gene targets demonstrated that such activities are mediated through their effect on cell adhesion/tight junction proteins (Claudins, E-cadherin), inhibition of canonical Wnt/ß-catenin signaling pathways and the consequent downregulation of EMT-signaling proteins (Vimentin, MMPs, VEGF and VEGFR) that play a critical role in cancer metastasis. The data supported that this novel combination of Wi-A and CAPE (Wi-ACAPE, containing 0.5 µM of Wi-A and 10 µM of CAPE) may be recruited for the treatment of metastatic and aggressive cancers and, hence, warrant further evaluation by recruiting a variety of experimental and clinical metastatic models.
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BACKGROUND: Clinical observation revealed that most of wheat-induced anaphylaxis (WIA)/wheat-dependent exercise-induced anaphylaxis (WDEIA) patients showed a history of recurrent urticaria. We aim to determine the association between recurrent urticaria and anaphylaxis in wheat allergy. METHODS: Population-based cohort study involved patients with WIA (n = 193, including WDEIA n = 104), recurrent urticaria (n = 177), non-wheat-related anaphylaxis (n = 584), atopic disease (excluding anaphylaxis, n = 221) and healthy control (n = 95) from 2009 to 2016. Detailed course of urticaria and anaphylaxis were obtained from medical records and following-up questionnaire. Serum IgE specific to wheat, gluten and ω-5 gliadin and skin prick test to wheat were examined. Clinical and laboratory data were statistically analyzed. RESULTS: In recurrent urticaria patients, wheat allergy was not rare, and 6.8% (n = 12) was diagnosed as wheat-induced urticaria. Patients with WIA/WDEIA had higher prevalence of recurrent urticaria history than those with non-wheat-related anaphylaxis (164/193, 84.9% vs 85/584, 14.5%), and 70.4% of them (136/193) had recurrent urticaria prior to their first anaphylactic attack. Among patients with WIA/WDEIA and previous urticaria, 46.3% experienced an exacerbation of urticaria. The value of serum specific IgE to ω-5 gliadin was significantly higher in patients with WIA/WDEIA than those with wheat-induced urticaria. CONCLUSIONS: We recommend screening wheat allergy in recurrent urticaria to identify patients who have a potential risk to develop severe reactions earlier.