scholarly journals Multisensory home-monitoring in individuals with stable COPD and Asthma: a usability study of the CAir-Desk (Preprint)

2021 ◽  
Author(s):  
Dario Kohlbrenner ◽  
Christian F. Clarenbach ◽  
Adam Ivankay ◽  
Lukas Zimmerli ◽  
Christoph S. Gross ◽  
...  

BACKGROUND Research integrating multisensory home-monitoring in respiratory disease is scarce. Therefore, we created a novel multisensory home-monitoring device tailored for long-term respiratory disease management (named the CAir-Desk). We hypothesize that recent technological accomplishments can be integrated into a multisensory participant-driven platform. We also believe that this platform could improve chronic disease management, and be accessible to large groups at an acceptable cost. OBJECTIVE To report on user-adherence and acceptance, as well as system functionality of the CAir-Desk in a sample of participants with stable COPD or Asthma. METHODS We conducted an observational usability study. Participants participated in 4 weeks of home-monitoring with the CAir-Desk. The CAir-Desk recorded data from all participants on symptom burden, physical activity, spirometry, and environmental air-quality; data on sputum production, and nocturnal cough was only recorded in participants experiencing the symptoms. After the study period, participants reported on their perceptions of the monitoring device usability through a purpose-designed questionnaire. We used descriptive statistics and visualizations to display results. RESULTS Ten participants, 5 with COPD and 5 with Asthma took part in this study. They completed symptom burden questionnaires on 96 (14, 96)%, spirometry recordings on 55 (20, 94)%, wrist-worn physical activity recordings on 100 (97, 100)%, arm-worn physical activity recordings on 45 (13, 63)%, nocturnal cough recordings on 34 (9, 54)%, sputum recordings on 5 (3, 12)%, and environmental air-quality recordings on 100 (99, 100)% of the study days. The participants indicated that the measurements consumed 13 (10, 15) min daily, and that they preferred the wrist-worn over the arm-worn physical activity monitor. CONCLUSIONS The CAir-Desk showed good technical performance and was well-accepted by our sample of stable COPD and Asthma participants. The obtained insights were used in a redesign of the CAir-Desk, which is currently applied in a RCT including an interventional program. CLINICALTRIAL NA

Author(s):  
Zhiyuan Wang ◽  
Xiaoyi Shi ◽  
Chunhua Pan ◽  
Sisi Wang

Exploring the relationship between environmental air quality (EAQ) and climatic conditions on a large scale can help better understand the main distribution characteristics and the mechanisms of EAQ in China, which is significant for the implementation of policies of joint prevention and control of regional air pollution. In this study, we used the concentrations of six conventional air pollutants, i.e., carbon monoxide (CO), sulfur dioxide (SO2), nitrogen dioxide (NO2), fine particulate matter (PM2.5), coarse particulate matter (PM10), and ozone (O3), derived from about 1300 monitoring sites in eastern China (EC) from January 2015 to December 2018. Exploiting the grading concentration limit (GB3095-2012) of various pollutants in China, we also calculated the monthly average air quality index (AQI) in EC. The results show that, generally, the EAQ has improved in all seasons in EC from 2015 to 2018. In particular, the concentrations of conventional air pollutants, such as CO, SO2, and NO2, have been decreasing year by year. However, the concentrations of particulate matter, such as PM2.5 and PM10, have changed little, and the O3 concentration increased from 2015 to 2018. Empirical mode decomposition (EOF) was used to analyze the major patterns of AQI in EC. The first mode (EOF1) was characterized by a uniform structure in AQI over EC. These phenomena are due to the precipitation variability associated with the East Asian summer monsoon (EASM), referred to as the “summer–winter” pattern. The second EOF mode (EOF2) showed that the AQI over EC is a north–south dipole pattern, which is bound by the Qinling Mountains and Huaihe River (about 35° N). The EOF2 is mainly caused by seasonal variations of the mixed concentration of PM2.5 and O3. Associated with EOF2, the Mongolia–Siberian High influences the AQI variation over northern EC by dominating the low-level winds (10 m and 850 hPa) in autumn and winter, and precipitation affects the AQI variation over southern EC in spring and summer.


SLEEP ◽  
2012 ◽  
Vol 35 (4) ◽  
pp. 469-475 ◽  
Author(s):  
Lisa N. Sharwood ◽  
Jane Elkington ◽  
Mark Stevenson ◽  
Ronald R. Grunstein ◽  
Lynn Meuleners ◽  
...  

Author(s):  
Carmen Leane NICOLESCU ◽  
Daniel DUNEA ◽  
Virgil MOISE ◽  
Gabriel GORGHIU

Environmental pollution of urban areas is one of the key factors that local agencies and authorities have to consider in the decision-making process. To succeed a sustainable management of the environment, there is necessary to use different kinds of instruments in order to evaluate and forecast the evolution of the environmental state. Understanding temporal and spatial distribution of air quality is essential in making decisions for regional management. In this paper a model for urban air quality forecasting using time series of monthly averages concentrations is presented. Sedimentable dusts (SD), total suspended particulates (TSP), nitrogen dioxide (NO2), and sulfur dioxide (SO2), imissions, recorded between 1995 and 2008 in the urban area of Târgovişte city are used as inputs in the model. The measured pollutant data from the local Environmental Agency database were statistically analyzed in time series including monthly patterns using the auto-regressive integrated moving average (ARIMA) method, linear trend, simple moving average of three terms and simple exponential smoothing. There was discussed the efficiency of using this method in forecasting the environmental air quality. In general, ARIMA technique scores well in predicting the analysed environmental air quality parameters.


2021 ◽  
Author(s):  
Igor Burstyn ◽  
Geoffrey H. Donovan ◽  
Yvonne L. Michael ◽  
Sarah Jovan

Polycyclic aromatic hydrocarbons (PAHs) are a component of air pollutants that are costly to measure using traditional air-quality monitoring methods. We used an epiphytic bio-indicator (moss genus: Orthotrichum) to cost-effectively evaluate atmospheric deposition of PAHs in Portland, Oregon in May 2013. However, it is unclear if measurements derived from these bioindicators are good proxies for human exposure. To address this question, we simultaneously, measured PAH-DNA adducts in blood samples of non-smokers residing close to the sites of moss measurements. We accounted for individual determinants of PAH uptake that are not related to environmental air quality through questionnaires, e.g., wood fires, consumption of barbecued and fried meats. Correlation and linear regression (to control for confounders from the lifestyle factors) evaluated the associations. We did not observe evidence of an association between PAH levels in moss and PAH-DNA adducts in blood of nearby residents, but higher level of adduct were evident in those who used wood fire in their houses in the last 48 hours. It remains to be determined whether bio-indicators in moss can be used for human health risk assessment.


2013 ◽  
Vol 443 ◽  
pp. 375-386 ◽  
Author(s):  
Yan Jason Wang ◽  
Monica T. Nguyen ◽  
Jonathan T. Steffens ◽  
Zheming Tong ◽  
Yungang Wang ◽  
...  

Respirology ◽  
2019 ◽  
Vol 24 (7) ◽  
pp. 652-657 ◽  
Author(s):  
Mark W. Orme ◽  
Theresa C. Harvey‐Dunstan ◽  
Ismet Boral ◽  
Emma J.L. Chaplin ◽  
S. Fayyaz Hussain ◽  
...  

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