Displaying publications 1 - 20 of 22 in total

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  1. A Prospective Investigation of the Impact of Telemedicine and Telemetry on Global Medical Evacuation Rates
    Stilz I, Freire de Carvalho M, Toner S, Berg J
    J Occup Environ Med, 2022 Dec 01;64(12):1067-1072.
    PMID: 35993607 DOI: 10.1097/JOM.0000000000002684
    OBJECTIVES: This study examines whether the availability of telemedicine on offshore installations reduces medical evacuation rates.

    METHODS: This is a prospective cohort study on offshore platforms in the United States, Malaysia, and the United Kingdom. Emergency evacuation rates were compared between locations with telemedicine (United States) and 2 control groups without telemedicine (Malaysia, United Kingdom).

    RESULTS: Three hundred eighty-four cases in the telemedicine group and 261 cases in the control groups were included. The odds (adjusted and unadjusted) of medical evacuation were significantly higher for assets without telemedicine, contractors, and age older than 60 years. Analysis indicated a shift from emergency evacuation to routine transport for the telemedicine group.

    CONCLUSIONS: Telemedicine reduces emergency medical evacuations from offshore installations. This reduction is likely due to an increased capacity for transforming emergency care into routine care at the offshore location.

    Matched MeSH terms: Telemetry*
  2. Fulltext Single-fed broadband CPW-fed circularly polarized implantable antenna for sensing medical applications
    Butt AD, Khan J, Ahmad S, Ghaffar A, Abdullah Al-Gburi AJ, Hussein M
    PLoS One, 2023;18(4):e0280042.
    PMID: 37053176 DOI: 10.1371/journal.pone.0280042
    Biomedical telemetry relies heavily on implantable antennas. Due to this, we have designed and tested a compact, a circularly polarized, a low-profile biomedical implantable antenna that operate in the 2.45 GHz ISM band. In order to keep the antenna compact, modified co-planar waveguide (CPW) technology is used. Slotted rectangular patch with one 45-degree angle slot and truncated little patch on the left end of the ground plane generate a frequency-range antenna with circular polarization. Using a 0.25-millimeter-thick Roger Duroid-RT5880 substrate with a thickness of εr = 2.2, tanδ = 0.0009 provides flexibility. The volume of the antenna is 21 mm x 13.5 mm x 0.254 mm (0.25λg × 0.16λg × 0.003λg). The antenna covers 2.35-2.55 GHz (200 MHz) in free space and 1.63-1.17 GHz (1.17 GHz) in epidermal tissue. With skin tissue that has more bandwidth, the (x and y)-axis bends of the antenna are also simulated via the simulation. Bended antenna simulations and measurements show excellent agreement. At 2.45 GHz, the skin-like gel had -10dB impedance and 3dB axial ratio (AR) bandwidths of 47.7 and 53.8%, respectively. The ultimate result is that the SAR values are 0.78 W/kg in skin over 1 g of bulk tissue, as determined by simulations. The suggested SAR values are lower than the FCC's maximum allowable limit (FCC). This antenna is small enough to be implanted in the body, making it perfect for biomedical applications.
    Matched MeSH terms: Telemetry*
  3. Fulltext Digital elevation model (DEM) generation from stereo images
    Joanna Tan, C.E., Mat Jafri, M.Z., Lim, H.S., Abdullah, K.
    Pertanika Journal of Science & Technology, 2011;19(3):77-82.
    MyJurnal
    Digital elevation model (DEM) generation from stereo images is an effective and economical method in topography mapping. This paper used the stereo pair methodology to generate the digital elevation model (DEM) from PRISM (Panchromatic Remote-Sensing Instrument Satellite) sensor which is onboard of ALOS (Advanced Land Observing Satellite). The pair of forward-backward is used as stereoscopic imagery in this study. Ten ground control points (GCPs) are collected with residual error 0.49 pixels to generate an absolute DEM. This generated DEM with 2.5 m spatial resolution is then matched with the 90 m spatial resolution of
    SRTM (Space Shuttle Radar Topography Mission) DEM to compare the result. Although SRTM-DEM has a much coarser resolution, the positional accuracy of the matching is found. The difference of the height from the mean sea level (MSL) between the SRTM-DEM and the PRISM-DEM is analyzed and the correlation between the two DEMs is R²=0.8083. The accuracy of the DEM generated is given by the RMSE value of 0.8991 meter.
    Matched MeSH terms: Telemetry
  4. Fulltext A Near-Zero Refractive Index Meta-Surface Structure for Antenna Performance Improvement
    Ullah MH, Islam MT, Faruque MRI
    Materials (Basel), 2013 Nov 06;6(11):5058-5068.
    PMID: 28788376 DOI: 10.3390/ma6115058
    A new meta-surface structure (MSS) with a near-zero refractive index (NZRI) is proposed to enhance the performance of a square loop antenna array. The main challenge to improve the antenna performance is increment of the overall antenna volume that is mitigated by assimilating the planar NZRI MSS at the back of the antenna structure. The proposed NZRI MSS-loaded CPW-fed (Co-Planar Waveguide) four-element array antenna is designed on ceramic-bioplastic-ceramic sandwich substrate using high-frequency structure simulator (HFSS), a finite-element-method-based simulation tool. The gain and directivity of the antenna are significantly enhanced by incorporating the NZRI MSS with a 7 × 6 set of elements at the back of the antenna structure. Measurement results show that the maximum gains of the antenna increased from 6.21 dBi to 8.25 dBi, from 6.52 dBi to 9.05 dBi and from 10.54 dBi to 12.15 dBi in the first, second and third bands, respectively. The effect of the slot configuration in the ground plane on the reflection coefficient of the antenna was analyzed and optimized. The overall performance makes the proposed antenna appropriate for UHFFM (Ultra High Frequency Frequency Modulation) telemetry-based space applications as well as mobile satellite, microwave radiometry and radio astronomy applications.
    Matched MeSH terms: Telemetry
  5. Fulltext A survey of routing protocols in wireless body sensor networks
    Bangash JI, Abdullah AH, Anisi MH, Khan AW
    Sensors (Basel), 2014;14(1):1322-57.
    PMID: 24419163 DOI: 10.3390/s140101322
    Wireless Body Sensor Networks (WBSNs) constitute a subset of Wireless Sensor Networks (WSNs) responsible for monitoring vital sign-related data of patients and accordingly route this data towards a sink. In routing sensed data towards sinks, WBSNs face some of the same routing challenges as general WSNs, but the unique requirements of WBSNs impose some more constraints that need to be addressed by the routing mechanisms. This paper identifies various issues and challenges in pursuit of effective routing in WBSNs. Furthermore, it provides a detailed literature review of the various existing routing protocols used in the WBSN domain by discussing their strengths and weaknesses.
    Matched MeSH terms: Telemetry/methods
  6. Fulltext Modulation techniques for biomedical implanted devices and their challenges
    Hannan MA, Abbas SM, Samad SA, Hussain A
    Sensors (Basel), 2012;12(1):297-319.
    PMID: 22368470 DOI: 10.3390/s120100297
    Implanted medical devices are very important electronic devices because of their usefulness in monitoring and diagnosis, safety and comfort for patients. Since 1950s, remarkable efforts have been undertaken for the development of bio-medical implanted and wireless telemetry bio-devices. Issues such as design of suitable modulation methods, use of power and monitoring devices, transfer energy from external to internal parts with high efficiency and high data rates and low power consumption all play an important role in the development of implantable devices. This paper provides a comprehensive survey on various modulation and demodulation techniques such as amplitude shift keying (ASK), frequency shift keying (FSK) and phase shift keying (PSK) of the existing wireless implanted devices. The details of specifications, including carrier frequency, CMOS size, data rate, power consumption and supply, chip area and application of the various modulation schemes of the implanted devices are investigated and summarized in the tables along with the corresponding key references. Current challenges and problems of the typical modulation applications of these technologies are illustrated with a brief suggestions and discussion for the progress of implanted device research in the future. It is observed that the prime requisites for the good quality of the implanted devices and their reliability are the energy transformation, data rate, CMOS size, power consumption and operation frequency. This review will hopefully lead to increasing efforts towards the development of low powered, high efficient, high data rate and reliable implanted devices.
    Matched MeSH terms: Telemetry/methods*
  7. Fulltext Two-Stage Design Method for Enhanced Inductive Energy Transmission with Q-Constrained Planar Square Loops
    Eteng AA, Abdul Rahim SK, Leow CY, Chew BW, Vandenbosch GA
    PLoS One, 2016;11(2):e0148808.
    PMID: 26890878 DOI: 10.1371/journal.pone.0148808
    Q-factor constraints are usually imposed on conductor loops employed as proximity range High Frequency Radio Frequency Identification (HF-RFID) reader antennas to ensure adequate data bandwidth. However, pairing such low Q-factor loops in inductive energy transmission links restricts the link transmission performance. The contribution of this paper is to assess the improvement that is reached with a two-stage design method, concerning the transmission performance of a planar square loop relative to an initial design, without compromise to a Q-factor constraint. The first stage of the synthesis flow is analytical in approach, and determines the number and spacing of turns by which coupling between similar paired square loops can be enhanced with low deviation from the Q-factor limit presented by an initial design. The second stage applies full-wave electromagnetic simulations to determine more appropriate turn spacing and widths to match the Q-factor constraint, and achieve improved coupling relative to the initial design. Evaluating the design method in a test scenario yielded a more than 5% increase in link transmission efficiency, as well as an improvement in the link fractional bandwidth by more than 3%, without violating the loop Q-factor limit. These transmission performance enhancements are indicative of a potential for modifying proximity HF-RFID reader antennas for efficient inductive energy transfer and data telemetry links.
    Matched MeSH terms: Telemetry
  8. Fulltext An Adaptive TE-PV Hybrid Energy Harvesting System for Self-Powered IoT Sensor Applications
    Mishu MK, Rokonuzzaman M, Pasupuleti J, Shakeri M, Rahman KS, Binzaid S, et al.
    Sensors (Basel), 2021 Apr 08;21(8).
    PMID: 33917665 DOI: 10.3390/s21082604
    In this paper, an integrated thermoelectric (TE) and photovoltaic (PV) hybrid energy harvesting system (HEHS) is proposed for self-powered internet of thing (IoT)-enabled wireless sensor networks (WSNs). The proposed system can run at a minimum of 0.8 V input voltage under indoor light illumination of at least 50 lux and a minimum temperature difference, ∆T = 5 °C. At the lowest illumination and temperature difference, the device can deliver 0.14 W of power. At the highest illumination of 200 lux and ∆T = 13 °C, the device can deliver 2.13 W. The developed HEHS can charge a 0.47 F, 5.5 V supercapacitor (SC) up to 4.12 V at the combined input voltage of 3.2 V within 17 s. In the absence of any energy sources, the designed device can back up the complete system for 92 s. The sensors can successfully send 39 data string to the webserver within this time at a two-second data transmission interval. A message queuing telemetry transport (MQTT) based IoT framework with a customised smartphone application 'MQTT dashboard' is developed and integrated with an ESP32 Wi-Fi module to transmit, store, and monitor the sensors data over time. This research, therefore, opens up new prospects for self-powered autonomous IoT sensor systems under fluctuating environments and energy harvesting regimes, however, utilising available atmospheric light and thermal energy.
    Matched MeSH terms: Telemetry
  9. Fulltext Analysis and optimization of spiral circular inductive coupling link for bio-implanted applications on air and within human tissue
    Mutashar S, Hannan MA, Samad SA, Hussain A
    Sensors (Basel), 2014;14(7):11522-41.
    PMID: 24984057 DOI: 10.3390/s140711522
    The use of wireless communication using inductive links to transfer data and power to implantable microsystems to stimulate and monitor nerves and muscles is increasing. This paper deals with the development of the theoretical analysis and optimization of an inductive link based on coupling and on spiral circular coil geometry. The coil dimensions offer 22 mm of mutual distance in air. However, at 6 mm of distance, the coils offer a power transmission efficiency of 80% in the optimum case and 73% in the worst case via low input impedance, whereas, transmission efficiency is 45% and 32%, respectively, via high input impedance. The simulations were performed in air and with two types of simulated human biological tissues such as dry and wet-skin using a depth of 6 mm. The performance results expound that the combined magnitude of the electric field components surrounding the external coil is approximately 98% of that in air, and for an internal coil, it is approximately 50%, respectively. It can be seen that the gain surrounding coils is almost constant and confirms the omnidirectional pattern associated with such loop antennas which reduces the effect of non-alignment between the two coils. The results also show that the specific absorption rate (SAR) and power loss within the tissue are lower than that of the standard level. Thus, the tissue will not be damaged anymore.
    Matched MeSH terms: Telemetry/instrumentation*; Telemetry/methods
  10. Fulltext Photo-ID and telemetry highlight a global whale shark hotspot in Palawan, Philippines
    Araujo G, Agustines A, Tracey B, Snow S, Labaja J, Ponzo A
    Sci Rep, 2019 11 20;9(1):17209.
    PMID: 31748588 DOI: 10.1038/s41598-019-53718-w
    The Philippines is home to the second largest known population of whale sharks in the world. The species is listed as endangered due to continued population declines in the Indo-Pacific. Knowledge about the connectivity within Southeast Asia remains poor, and thus international management is difficult. Here, we employed pop-up archival tags, data mining and dedicated effort to understand an aggregation of whale sharks at Honda Bay, Palawan, Philippines, and its role in the species' conservation. Between Apr and Oct 2018, we conducted 159 surveys identifying 117 individual whale sharks through their unique spot patterns (96.5% male, mean 4.5 m). A further 66 individual whale sharks were identified from local operators, and data mined on social media platforms. The satellite telemetry data showed that the whale sharks moved broadly, with one individual moving to Sabah, Malaysia, before returning to the site <1 year later. Similarly, another tagged whale shark returned to the site at a similar periodicity after reaching the Malay-Filipino border. One individual whale shark first identified in East Kalimantan, Indonesia by a citizen scientist was resighted in Honda Bay ~3.5 years later. Honda Bay is a globally important site for the endangered whale shark with connectivity to two neighbouring countries, highlighting the need for international cooperation to manage the species.
    Matched MeSH terms: Telemetry/methods; Telemetry/veterinary*
  11. Fulltext SenseCrypt: A Security Framework for Mobile Crowd Sensing Applications
    Pius Owoh N, Mahinderjit Singh M
    Sensors (Basel), 2020 Jun 09;20(11).
    PMID: 32526843 DOI: 10.3390/s20113280
    The proliferation of mobile devices such as smartphones and tablets with embedded sensors and communication features has led to the introduction of a novel sensing paradigm called mobile crowd sensing. Despite its opportunities and advantages over traditional wireless sensor networks, mobile crowd sensing still faces security and privacy issues, among other challenges. Specifically, the security and privacy of sensitive location information of users remain lingering issues, considering the "on" and "off" state of global positioning system sensor in smartphones. To address this problem, this paper proposes "SenseCrypt", a framework that automatically annotates and signcrypts sensitive location information of mobile crowd sensing users. The framework relies on K-means algorithm and a certificateless aggregate signcryption scheme (CLASC). It incorporates spatial coding as the data compression technique and message query telemetry transport as the messaging protocol. Results presented in this paper show that the proposed framework incurs low computational cost and communication overhead. Also, the framework is robust against privileged insider attack, replay and forgery attacks. Confidentiality, integrity and non-repudiation are security services offered by the proposed framework.
    Matched MeSH terms: Telemetry
  12. Fulltext Automatic frequency controller for power amplifiers used in bio-implanted applications: issues and challenges
    Hannan MA, Hussein HA, Mutashar S, Samad SA, Hussain A
    Sensors (Basel), 2014;14(12):23843-70.
    PMID: 25615728 DOI: 10.3390/s141223843
    With the development of communication technologies, the use of wireless systems in biomedical implanted devices has become very useful. Bio-implantable devices are electronic devices which are used for treatment and monitoring brain implants, pacemakers, cochlear implants, retinal implants and so on. The inductive coupling link is used to transmit power and data between the primary and secondary sides of the biomedical implanted system, in which efficient power amplifier is very much needed to ensure the best data transmission rates and low power losses. However, the efficiency of the implanted devices depends on the circuit design, controller, load variation, changes of radio frequency coil's mutual displacement and coupling coefficients. This paper provides a comprehensive survey on various power amplifier classes and their characteristics, efficiency and controller techniques that have been used in bio-implants. The automatic frequency controller used in biomedical implants such as gate drive switching control, closed loop power control, voltage controlled oscillator, capacitor control and microcontroller frequency control have been explained. Most of these techniques keep the resonance frequency stable in transcutaneous power transfer between the external coil and the coil implanted inside the body. Detailed information including carrier frequency, power efficiency, coils displacement, power consumption, supplied voltage and CMOS chip for the controllers techniques are investigated and summarized in the provided tables. From the rigorous review, it is observed that the existing automatic frequency controller technologies are more or less can capable of performing well in the implant devices; however, the systems are still not up to the mark. Accordingly, current challenges and problems of the typical automatic frequency controller techniques for power amplifiers are illustrated, with a brief suggestions and discussion section concerning the progress of implanted device research in the future. This review will hopefully lead to increasing efforts towards the development of low powered, highly efficient, high data rate and reliable automatic frequency controllers for implanted devices.
    Matched MeSH terms: Telemetry/methods
  13. Two-week test-retest reliability of the Polar® RS800CX™ to record heart rate variability
    Williams DP, Jarczok MN, Ellis RJ, Hillecke TK, Thayer JF, Koenig J
    Clin Physiol Funct Imaging, 2017 Nov;37(6):776-781.
    PMID: 26815165 DOI: 10.1111/cpf.12321
    Recently, research has validated the use of Polar® heart rate monitors as a tool to index heart rate variability (HRV). In the current investigation, we sought to evaluate the test-retest reliability of both time and frequency domain measures of HRV using the Polar® RS800CX™ . Continuous HRV data were collected as 60 nominally healthy adults underwent a resting and orthostatic stress test. We evaluated reproducibility by means of the interclass correlation coefficient for absolute agreement and consistency, and the standard error of measurement. We found moderate reliable 2-week test-retest reliability of HRV using the Polar® RS800CX™ , results that are in line with previous studies that have validated the stability of HRV using other methods of measurement (e.g. electrocardiogram). Additionally, when examining different methods of spectral density estimation, we found that using the auto-regressive transformation method provides the most stable indices of HRV. Taken together, our results suggest that the Polar® RS800CX™ is not only a valid method to record HRV, but also a reliable one, particularly when using the auto-regressive transformation method.
    Matched MeSH terms: Telemetry/instrumentation*
  14. Fulltext A fuzzy controller for lower limb exoskeletons during sit-to-stand and stand-to-sit movement using wearable sensors
    Reza SM, Ahmad N, Choudhury IA, Ghazilla RA
    Sensors (Basel), 2014 Mar 04;14(3):4342-63.
    PMID: 24599193 DOI: 10.3390/s140304342
    Human motion is a daily and rhythmic activity. The exoskeleton concept is a very positive scientific approach for human rehabilitation in case of lower limb impairment. Although the exoskeleton shows potential, it is not yet applied extensively in clinical rehabilitation. In this research, a fuzzy based control algorithm is proposed for lower limb exoskeletons during sit-to-stand and stand-to-sit movements. Surface electromyograms (EMGs) are acquired from the vastus lateralis muscle using a wearable EMG sensor. The resultant acceleration angle along the z-axis is determined from a kinematics sensor. Twenty volunteers were chosen to perform the experiments. The whole experiment was accomplished in two phases. In the first phase, acceleration angles and EMG data were acquired from the volunteers during both sit-to-stand and stand-to-sit motions. During sit-to-stand movements, the average acceleration angle at activation was 11°-48° and the EMG varied from -0.19 mV to +0.19 mV. On the other hand, during stand-to-sit movements, the average acceleration angle was found to be 57.5°-108° at the activation point and the EMG varied from -0.32 mV to +0.32 mV. In the second phase, a fuzzy controller was designed from the experimental data. The controller was tested and validated with both offline and real time data using LabVIEW.
    Matched MeSH terms: Telemetry/instrumentation*
  15. Fulltext What influences patients' acceptance of a blood pressure telemonitoring service in primary care? A qualitative study
    Abdullah A, Liew SM, Hanafi NS, Ng CJ, Lai PS, Chia YC, et al.
    Patient Prefer Adherence, 2016;10:99-106.
    PMID: 26869773 DOI: 10.2147/PPA.S94687
    BACKGROUND: Telemonitoring of home blood pressure (BP) is found to have a positive effect on BP control. Delivering a BP telemonitoring service in primary care offers primary care physicians an innovative approach toward management of their patients with hypertension. However, little is known about patients' acceptance of such service in routine clinical care.
    OBJECTIVE: This study aimed to explore patients' acceptance of a BP telemonitoring service delivered in primary care based on the technology acceptance model (TAM).
    METHODS: A qualitative study design was used. Primary care patients with uncontrolled office BP who fulfilled the inclusion criteria were enrolled into a BP telemonitoring service offered between the period August 2012 and September 2012. This service was delivered at an urban primary care clinic in Kuala Lumpur, Malaysia. Twenty patients used the BP telemonitoring service. Of these, 17 patients consented to share their views and experiences through five in-depth interviews and two focus group discussions. An interview guide was developed based on the TAM. The interviews were audio-recorded and transcribed verbatim. Thematic analysis was used for analysis.
    RESULTS: Patients found the BP telemonitoring service easy to use but struggled with the perceived usefulness of doing so. They expressed confusion in making sense of the monitored home BP readings. They often thought about the implications of these readings to their hypertension management and overall health. Patients wanted more feedback from their doctors and suggested improvement to the BP telemonitoring functionalities to improve interactions. Patients cited being involved in research as the main reason for their intention to use the service. They felt that patients with limited experience with the internet and information technology, who worked out of town, or who had an outdoor hobby would not be able to benefit from such a service.
    CONCLUSION: Patients found BP telemonitoring service in primary care easy to use but needed help to interpret the meanings of monitored BP readings. Implementations of BP telemonitoring service must tackle these issues to maximize the patients' acceptance of a BP telemonitoring service.
    Matched MeSH terms: Telemetry
  16. Determination of physical processes influencing Chl a distribution using remotely sensed images
    Mustapha AM, Lihan T, Saitoh S
    Pak J Biol Sci, 2011 Jan 15;14(2):82-90.
    PMID: 21916257
    In management of the Japanese scallop Mizuhopecten yessoensis culture, it is important to understand the phytoplankton bloom development in the coastal region of the Okhotsk Sea. Variations in food available to this benthic bivalve are a primary environmental factor affecting growth in nature. This paper determined the seasonal variability of Chlorophyll a (Chl a) at the scallop farming region in the Okhotsk Sea from 1998 to 2004 using satellite imageries. Satellite images were processed using default NASA coefficients and community-standard algorithms as implemented by Sea DAS. Spatial and temporal variation of Chl a was determined by EOF analysis. The Chl a concentration showed high seasonal and interannual variability. Peak of Chl a concentration occurred in spring followed by autumn and summer. This was evident in the Empirical Orthogonal Function (EOF) analysis. The spatial pattern of the first mode of EOF analysis of Chl a revealed intensified Chl a at the shelf and offshore areas in spring and autumn (51.8% of variance). The second mode explained 14.2% of the variance indicating enhancement of spring (April-May) Chl a pattern in the frontal area along the coast. Meanwhile, the third mode captured 9.0% of the variability demonstrating high Chl a extending seaward from the shelf area during late autumn. These seasonal variability of Chl a resulted from the variability in occurrences of physical processes associated with retreat of sea ice in spring, advection of Soya Warm Current in summer and intrusion of East Sakhalin Current in autumn.
    Matched MeSH terms: Telemetry
  17. Video-EEG telemetry: apparent manifestation of both epileptic and non-epileptic attacks causing potential diagnostic pitfalls
    Raymond AA, Gilmore WV, Scott CA, Fish DR, Smith SJ
    Epileptic Disord, 1999 Jun;1(2):101-6.
    PMID: 10937139
    Video-EEG telemetry is often used to support the diagnosis of non-epileptic seizures (NES). Although rare, some patients may have both epileptic seizures (ES) and NES. It is crucially important to identify such patients to avoid the hazards of inappropriate anticonvulsant withdrawal. To delineate the electroclinical characteristics and diagnostic problems in this group of patients, we studied the clinical, EEG and MRI features of 14 consecutive patients in whom separate attacks, considered to be both NES and ES were recorded using video-EEG telemetry. Only two patients were drug-reduced during the telemetry. Most patients had their first seizure (ES or NES) in childhood (median age 7 years; range: 6 months-24 years); 8/14 patients were female. Brain MRI was abnormal in 10/14 patients. Interictal EEG abnormalities were present in all patients; 13/14 had epileptiform and 1/14 only background abnormalities. Over 70 seizures were recorded in these 14 patients: in 12/14 patients, the first recorded seizure was a NES (p < 0.001), and 7 of these patients had at least one more NES before an ES was recorded. Only 3/14 patients had more than 5 NES before an ES was recorded. Recording a small number of apparently NES in an individual by no means precludes the possibility of additional epilepsy. Particular care should be taken, and multiple (> 5) seizure recording may be advisable, in patients with a young age of seizure onset, interictal EEG abnormalities, or a clear, potential aetiology for epilepsy.
    Matched MeSH terms: Telemetry*
  18. Based on Real Time Remote Health Monitoring Systems: A New Approach for Prioritization "Large Scales Data" Patients with Chronic Heart Diseases Using Body Sensors and Communication Technology
    Kalid N, Zaidan AA, Zaidan BB, Salman OH, Hashim M, Albahri OS, et al.
    J Med Syst, 2018 Mar 02;42(4):69.
    PMID: 29500683 DOI: 10.1007/s10916-018-0916-7
    This paper presents a new approach to prioritize "Large-scale Data" of patients with chronic heart diseases by using body sensors and communication technology during disasters and peak seasons. An evaluation matrix is used for emergency evaluation and large-scale data scoring of patients with chronic heart diseases in telemedicine environment. However, one major problem in the emergency evaluation of these patients is establishing a reasonable threshold for patients with the most and least critical conditions. This threshold can be used to detect the highest and lowest priority levels when all the scores of patients are identical during disasters and peak seasons. A practical study was performed on 500 patients with chronic heart diseases and different symptoms, and their emergency levels were evaluated based on four main measurements: electrocardiogram, oxygen saturation sensor, blood pressure monitoring, and non-sensory measurement tool, namely, text frame. Data alignment was conducted for the raw data and decision-making matrix by converting each extracted feature into an integer. This integer represents their state in the triage level based on medical guidelines to determine the features from different sources in a platform. The patients were then scored based on a decision matrix by using multi-criteria decision-making techniques, namely, integrated multi-layer for analytic hierarchy process (MLAHP) and technique for order performance by similarity to ideal solution (TOPSIS). For subjective validation, cardiologists were consulted to confirm the ranking results. For objective validation, mean ± standard deviation was computed to check the accuracy of the systematic ranking. This study provides scenarios and checklist benchmarking to evaluate the proposed and existing prioritization methods. Experimental results revealed the following. (1) The integration of TOPSIS and MLAHP effectively and systematically solved the patient settings on triage and prioritization problems. (2) In subjective validation, the first five patients assigned to the doctors were the most urgent cases that required the highest priority, whereas the last five patients were the least urgent cases and were given the lowest priority. In objective validation, scores significantly differed between the groups, indicating that the ranking results were identical. (3) For the first, second, and third scenarios, the proposed method exhibited an advantage over the benchmark method with percentages of 40%, 60%, and 100%, respectively. In conclusion, patients with the most and least urgent cases received the highest and lowest priority levels, respectively.
    Matched MeSH terms: Telemetry/methods*
  19. Preclinical safety assessments of nano-sized constructs on cardiovascular system toxicity: A case for telemetry
    Cheah HY, Kiew LV, Lee HB, Japundžić-Žigon N, Vicent MJ, Hoe SZ, et al.
    J Appl Toxicol, 2017 Nov;37(11):1268-1285.
    PMID: 28165137 DOI: 10.1002/jat.3437
    While nano-sized construct (NSC) use in medicine has grown significantly in recent years, reported unwanted side effects have raised safety concerns. However, the toxicity of NSCs to the cardiovascular system (CVS) and the relative merits of the associated evaluation methods have not been thoroughly studied. This review discusses the toxicological profiles of selected NSCs and provides an overview of the assessment methods, including in silico, in vitro, ex vivo and in vivo models and how they are related to CVS toxicity. We conclude the review by outlining the merits of telemetry coupled with spectral analysis, baroreceptor reflex sensitivity analysis and echocardiography as an appropriate integrated strategy for the assessment of the acute and chronic impact of NSCs on the CVS. Copyright © 2017 John Wiley & Sons, Ltd.
    Matched MeSH terms: Telemetry*
  20. Fulltext Telemedicine to deliver diabetes care in low- and middle-income countries: a systematic review and meta-analysis
    Correia JC, Meraj H, Teoh SH, Waqas A, Ahmad M, Lapão LV, et al.
    Bull World Health Organ, 2021 Mar 01;99(3):209-219B.
    PMID: 33716343 DOI: 10.2471/BLT.19.250068
    Objective: To determine the effectiveness of telemedicine in the delivery of diabetes care in low- and middle-income countries.

    Methods: We searched seven databases up to July 2020 for randomized controlled trials investigating the effectiveness of telemedicine in the delivery of diabetes care in low- and middle-income countries. We extracted data on the study characteristics, primary end-points and effect sizes of outcomes. Using random effects analyses, we ran a series of meta-analyses for both biochemical outcomes and related patient properties.

    Findings: We included 31 interventions in our meta-analysis. We observed significant standardized mean differences of -0.38 for glycated haemoglobin (95% confidence interval, CI: -0.52 to -0.23; I2 = 86.70%), -0.20 for fasting blood sugar (95% CI: -0.32 to -0.08; I2 = 64.28%), 0.81 for adherence to treatment (95% CI: 0.19 to 1.42; I2 = 93.75%), 0.55 for diabetes knowledge (95% CI: -0.10 to 1.20; I2 = 92.65%) and 1.68 for self-efficacy (95% CI: 1.06 to 2.30; I2 = 97.15%). We observed no significant treatment effects for other outcomes, with standardized mean differences of -0.04 for body mass index (95% CI: -0.13 to 0.05; I2 = 35.94%), -0.06 for total cholesterol (95% CI: -0.16 to 0.04; I2 = 59.93%) and -0.02 for triglycerides (95% CI: -0.12 to 0.09; I2 = 0%). Interventions via telephone and short message service yielded the highest treatment effects compared with services based on telemetry and smartphone applications.

    Conclusion: Although we determined that telemedicine is effective in improving several diabetes-related outcomes, the certainty of evidence was very low due to substantial heterogeneity and risk of bias.

    Matched MeSH terms: Telemetry
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