scholarly journals New Internet of Medical Things for Home-Based Treatment of Anorectal Disorders

Sensors ◽  
2022 ◽  
Vol 22 (2) ◽  
pp. 625
Author(s):  
Jerry Zhou ◽  
Vincent Ho ◽  
Bahman Javadi
Keyword(s):  
Web Application ◽  
Cost Effective ◽  
Mobile App ◽  
Biofeedback Training ◽  
Biofeedback Therapy ◽  
High Definition ◽  
Pressure Profiles ◽  
Home Based ◽  
Cost Effective Method ◽  
Internet Of Medical Things

Home-based healthcare provides a viable and cost-effective method of delivery for resource- and labour-intensive therapies, such as rehabilitation therapies, including anorectal biofeedback. However, existing systems for home anorectal biofeedback are not able to monitor patient compliance or assess the quality of exercises performed, and as a result have yet to see wide spread clinical adoption. In this paper, we propose a new Internet of Medical Things (IoMT) system to provide home-based biofeedback therapy, facilitating remote monitoring by the physician. We discuss our user-centric design process and the proposed architecture, including a new sensing probe, mobile app, and cloud-based web application. A case study involving biofeedback training exercises was performed. Data from the IoMT was compared against the clinical standard, high-definition anorectal manometry. We demonstrated the feasibility of our proposed IoMT in providing anorectal pressure profiles equivalent to clinical manometry and its application for home-based anorectal biofeedback therapy.

scholarly journals Self-management of incontinence using a free mobile app: factors associated with improvement

2021 ◽  
Author(s):  
Emma Nyström ◽  
Lars Söderström ◽  
Eva Samuelsson
Keyword(s):  
Urinary Incontinence ◽  
Great Improvement ◽  
Pelvic Floor Muscle ◽  
Community Setting ◽  
Cost Effective ◽  
Mobile App ◽  
Self Management ◽  
Adult Women ◽  
Factors Associated ◽  
Cost Effective Method

Abstract Background Pelvic floor muscle training (PFMT) is first-line treatment for urinary incontinence (UI) in women. Self-management via a mobile app is a new cost-effective method for PFMT delivery. This study analyzes factors associated with improvement among app users. Methods A pragmatic observational study in a community setting. Upon downloading the app Tät®, users answered questions regarding their age, education, residence, and UI symptoms. After 3 months, users answered follow-up questions regarding symptoms and frequency of training and app usage, and the validated Patient Global Impression of Improvement (PGI-I) questionnaire. Only non-pregnant, non-postpartum adult women with UI who answered the PGI-I questionnaire were included. Multivariate logistic regression was used to analyze possible associations between these factors with any improvement and with great improvement according to the PGI-I. The models were adjusted for age. Results The study included 2,153 participants who had completed self-management, that is, 11.5% of eligible women who completed the baseline questionnaire. Of these participants, 65.6% reported improvement of UI. Any improvement was associated with age, frequency of PFMT, and app use, accounting for 27.9% of variability (Nagelkerke R2). Lower incontinence severity, frequency of PFMT, and app use were associated with great improvement. Conclusion Self-management of urinary incontinence is easily accessible to many women and improvement rates are comparable with other forms of PFMT. Demographic factors and incontinence severity showed no or incongruent association, whereas regular PFMT and app use predicted any and great improvement. App use showed an additional effect beyond frequency of training.

A service evaluation comparing home-based testing to clinic-based testing for HIV, syphilis and hepatitis B in Birmingham and Solihull

2020 ◽  
Vol 31 (7) ◽  
pp. 613-618 ◽  
Author(s):  
Prita Banerjee ◽  
Vidya Madhwapathi ◽  
Nicola Thorley ◽  
Keith Radcliffe
Keyword(s):  
High Risk ◽  
Hepatitis B ◽  
Cost Effective ◽  
Risk Groups ◽  
Service Evaluation ◽  
Sexually Transmitted ◽  
Home Based ◽  
Cost Effective Method ◽  
Sex With Men ◽  
New Diagnosis

The sexual health services in the Birmingham and Solihull area of the United Kingdom, called Umbrella, has been offering home-based testing for sexually transmitted infections to patients since August 2015. The aim of this service evaluation was to evaluate the uptake, return rate and new diagnosis rates of home-based testing in comparison with clinic-based testing for human immunodeficiency virus (HIV), syphilis (STS) and hepatitis B. Home-based testing, although popular, had low uptake amongst high-risk groups such as men who have sex with men (MSM), compared to the clinic-based group (1% versus 11%, p < 0.001). This resulted in low positivity rates for HIV (0.02%) and STS (0.17%) and no new cases of hepatitis B in the home-based group. Therefore, our results show that home-based testing is not a cost-effective method of testing for HIV and likely this is also the case for hepatitis B and STS. Our recommendation would be to encourage uptake of home-based testing in high-risk groups such as MSM and Black Africans to improve the diagnosis rates of HIV, STS and hepatitis B. Alternatively, the continuation of home-based blood testing in the Birmingham and Solihull area will need to be reviewed by Umbrella as a cost-saving strategy for the service in the future.

CAD Of Anticorrosive Protection Of Steel Structures

2019 ◽  
pp. 18-23
Keyword(s):  
Protective Coating ◽  
Computer Aided Design ◽  
Steel Structures ◽  
Cost Effective ◽  
Operating Conditions ◽  
Computational Tool ◽  
Protection Method ◽  
Cost Effective Method ◽  
The Cost ◽  
Aided Design

The choice of cost-effective method of anticorrosive protection of steel structures is an urgent and time consuming task, considering the significant number of protection ways, differing from each other in the complex of technological, physical, chemical and economic characteristics. To reduce the complexity of solving this problem, the author proposes a computational tool that can be considered as a subsystem of computer-aided design and used at the stage of variant and detailed design of steel structures. As a criterion of the effectiveness of the anti-corrosion protection method, the cost of the protective coating during the service life is accepted. The analysis of existing methods of steel protection against corrosion is performed, the possibility of their use for the protection of the most common steel structures is established, as well as the estimated period of effective operation of the coating. The developed computational tool makes it possible to choose the best method of protection of steel structures against corrosion, taking into account the operating conditions of the protected structure and the possibility of using a protective coating.

Monitoring effluent quality in hypertrophic wastewater reservoirs using remote sensing

1996 ◽  
Vol 33 (8) ◽  
pp. 23-29 ◽  
Author(s):  
I. Dor ◽  
N. Ben-Yosef
Keyword(s):  
Water Quality ◽  
Theoretical Model ◽  
Principal Component ◽  
Cost Effective ◽  
Operational Parameters ◽  
Effluent Quality ◽  
Optical Images ◽  
Routine Monitoring ◽  
Cost Effective Method ◽  
Wastewater Quality

About one hundred and fifty wastewater reservoirs store effluents for irrigation in Israel. Effluent qualities differ according to the inflowing wastewater quality, the degree of pretreatment and the operational parameters. Certain aspects of water quality like concentration of organic matter, suspended solids and chlorophyll are significantly correlated with the water column transparency and colour. Accordingly optical images of the reservoirs obtained from the SPOT satellite demonstrate pronounced differences correlated with the water quality. The analysis of satellite multispectral images is based on a theoretical model. The model calculates, using the radiation transfer equation, the volume reflectance of the water body. Satellite images of 99 reservoirs were analyzed in the chromacity space in order to classify them according to water quality. Principal Component Analysis backed by the theoretical model increases the method sensitivity. Further elaboration of this approach will lead to the establishment of a time and cost effective method for the routine monitoring of these hypertrophic wastewater reservoirs.

A Cost-Effective Method to Prepare Pure Vildagliptin

2013 ◽  
Vol 10 (3) ◽  
pp. 159-163 ◽  
Author(s):  
Jun Peng ◽  
Yue Feng ◽  
Zhu Tao ◽  
Yingjie Chen ◽  
Xiangnan Hu
Keyword(s):  
Cost Effective ◽  
Cost Effective Method

scholarly journals Computer-supported Detection of M-Components and Evaluation of Immunoglobulins after Capillary Electrophoresis

2001 ◽  
Vol 47 (1) ◽  
pp. 110-117 ◽  
Author(s):  
Magnus Jonsson ◽  
Joyce Carlson ◽  
Jan-Olof Jeppsson ◽  
Per Simonsson
Keyword(s):  
Capillary Electrophoresis ◽  
Decision Support ◽  
Protein Separation ◽  
Serum Proteins ◽  
Cost Effective ◽  
Clinical Samples ◽  
Serum Samples ◽  
Computerized Decision Support ◽  
Cost Effective Method ◽  
Mathematical Algorithms

Abstract Background: Electrophoresis of serum samples allows detection of monoclonal gammopathies indicative of multiple myeloma, Waldenström macroglobulinemia, monoclonal gammopathy of undetermined significance, and amyloidosis. Present methods of high-resolution agarose gel electrophoresis (HRAGE) and immunofixation electrophoresis (IFE) are manual and labor-intensive. Capillary zone electrophoresis (CZE) allows rapid automated protein separation and produces digital absorbance data, appropriate as input for a computerized decision support system. Methods: Using the Beckman Paragon CZE 2000 instrument, we analyzed 711 routine clinical samples, including 95 monoclonal components (MCs) and 9 cases of Bence Jones myeloma, in both the CZE and HRAGE systems. Mathematical algorithms developed for the detection of monoclonal immunoglobulins (MCs) in the γ- and β-regions of the electropherogram were tested on the entire material. Additional algorithms evaluating oligoclonality and polyclonal concentrations of immunoglobulins were also tested. Results: CZE electropherograms corresponded well with HRAGE. Only one IgG MC of 1 g/L, visible on HRAGE, was not visible after CZE. Algorithms detected 94 of 95 MCs (98.9%) and 100% of those visible after CZE. Of 607 samples lacking an MC on HRAGE, only 3 were identified by the algorithms (specificity, 99%). Algorithms evaluating total gammaglobulinemia and oligoclonality also identified several cases of Bence Jones myeloma. Conclusions: The use of capillary electrophoresis provides a modern, rapid, and cost-effective method of analyzing serum proteins. The additional option of computerized decision support, which provides rapid and standardized interpretations, should increase the clinical availability and usefulness of protein analyses in the future.

scholarly journals CO$$_{2}$$ Convection in Hydrocarbon Under Flowing Conditions

2021 ◽  
Author(s):  
Trine S. Mykkeltvedt ◽  
Sarah E. Gasda ◽  
Tor Harald Sandve
Keyword(s):  
Enhanced Oil Recovery ◽  
Oil Recovery ◽  
Flow Behavior ◽  
Cost Effective ◽  
Fine Grid ◽  
Cost Effective Method ◽  
Gravity Effects ◽  
Petroleum Resources ◽  
Nearby Point ◽  
Diffusive Processes

AbstractCarbon-neutral oil production is one way to improve the sustainability of petroleum resources. The emissions from produced hydrocarbons can be offset by injecting capture CO$$_{2}$$ 2 from a nearby point source into a saline aquifer for storage or a producing oil reservoir. The latter is referred to as enhanced oil recovery (EOR) and would enhance the economic viability of CO$$_{2}$$ 2 sequestration. The injected CO$$_{2}$$ 2 will interact with the oil and cause it to flow more freely within the reservoir. Consequently, the overall recovery of oil from the reservoir will increase. This enhanced oil recovery (EOR) technique is perceived as the most cost-effective method for disposing captured CO$$_{2}$$ 2 emissions and has been performed for many decades with the focus on oil recovery. The interaction between existing oil and injected CO$$_{2}$$ 2 needs to be fully understood to effectively manage CO$$_{2}$$ 2 migration and storage efficiency. When CO$$_{2}$$ 2 and oil mix in a fully miscible setting, the density can change non-linearly and cause density instabilities. These instabilities involve complex convective-diffusive processes, which are hard to model and simulate. The interactions occur at the sub-centimeter scale, and it is important to understand its implications for the field scale migration of CO$$_{2}$$ 2 and oil. In this work, we simulate gravity effects, namely gravity override and convective mixing, during miscible displacement of CO$$_{2}$$ 2 and oil. The flow behavior due to the competition between viscous and gravity effects is complex, and can only be accurately simulated with a very fine grid. We demonstrate that convection occurs rapidly, and has a strong effect on breakthrough of CO$$_{2}$$ 2 at the outlet. This work for the first time quantifies these effects for a simple system under realistic conditions.

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