Telemetric Personal Health Monitoring Systems for Asthma and Chronic Obstructive Pulmonary Disease

The aim of this study is to review the currently available health monitoring systems to search for a gap in features and technologies that are available now. We performed a systematic literature review between January 2010 and March 2020 on few journal databases such as Elsevier ScienceDirect, IEEE Xplore, CORE, and Academia. A total of 1746 records were identified. In the selection process, we found 8 papers meeting the inclusion criteria. Data drawn from the 8 papers were synthesized in this study. All of the studies were on health monitoring systems that included their features and technologies and contained a model or prototype of a system and a list of diseases that the system supports. The results in this article show that all the health monitoring systems have similar use cases for each study but utilize different methodologies and technology. The Fourth Industrial Revolution capable devices such as IoT, smart devices, sensors,s and cloud computing are the most important pieces of technology for remote monitoring patients. We found that heart and lung-related chronic diseases such as congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) are the most in-focus chronic diseases that are currently using the health monitoring system. Based on the result, it can be seen that all of the studies on features of health monitoring systems are quite similar, with different approaches. The study was able to show us the advancement and variety of technologies used within the healthcare industry. Since this study focuses more on the features, technology, and disease listing, information on clinical trials is not included.

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Oral and Oropharyngeal Sensory Function in Adults With Chronic Obstructive Pulmonary Disease

American Journal of Speech-Language Pathology ◽

10.1044/2019_ajslp-19-00095 ◽

2020 ◽

Vol 29 (2) ◽

pp. 864-872

Author(s):

Fernanda Borowsky da Rosa ◽

Adriane Schmidt Pasqualoto ◽

Catriona M. Steele ◽

Renata Mancopes

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Oral Cavity ◽

Pulmonary Disease ◽

Thermal Sensation ◽

Sensory Function ◽

Control Group ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Age Related ◽

Copd Patients

Introduction The oral cavity and pharynx have a rich sensory system composed of specialized receptors. The integrity of oropharyngeal sensation is thought to be fundamental for safe and efficient swallowing. Chronic obstructive pulmonary disease (COPD) patients are at risk for oropharyngeal sensory impairment due to frequent use of inhaled medications and comorbidities including gastroesophageal reflux disease. Objective This study aimed to describe and compare oral and oropharyngeal sensory function measured using noninstrumental clinical methods in adults with COPD and healthy controls. Method Participants included 27 adults (18 men, nine women) with a diagnosis of COPD and a mean age of 66.56 years ( SD = 8.68). The control group comprised 11 healthy adults (five men, six women) with a mean age of 60.09 years ( SD = 11.57). Spirometry measures confirmed reduced functional expiratory volumes (% predicted) in the COPD patients compared to the control participants. All participants completed a case history interview and underwent clinical evaluation of oral and oropharyngeal sensation by a speech-language pathologist. The sensory evaluation explored the detection of tactile and temperature stimuli delivered by cotton swab to six locations in the oral cavity and two in the oropharynx as well as identification of the taste of stimuli administered in 5-ml boluses to the mouth. Analyses explored the frequencies of accurate responses regarding stimulus location, temperature and taste between groups, and between age groups (“≤ 65 years” and “> 65 years”) within the COPD cohort. Results We found significantly higher frequencies of reported use of inhaled medications ( p < .001) and xerostomia ( p = .003) in the COPD cohort. Oral cavity thermal sensation ( p = .009) was reduced in the COPD participants, and a significant age-related decline in gustatory sensation was found in the COPD group ( p = .018). Conclusion This study found that most of the measures of oral and oropharyngeal sensation remained intact in the COPD group. Oral thermal sensation was impaired in individuals with COPD, and reduced gustatory sensation was observed in the older COPD participants. Possible links between these results and the use of inhaled medication by individuals with COPD are discussed.

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