Toward autonomic digital home management

Abstract Purpose Diagnosis and treatment of obstructive sleep apnea are traditionally performed in sleep laboratories with polysomnography (PSG) and are associated with significant waiting times for patients and high cost. We investigated if initiation of auto-titrating CPAP (APAP) treatment at home in patients with obstructive sleep apnea (OSA) and subsequent telemonitoring by a homecare provider would be non-inferior to in-lab management with diagnostic PSG, subsequent in-lab APAP initiation, and standard follow-up regarding compliance and disease-specific quality of life. Methods This randomized, open-label, single-center study was conducted in Germany. Screening occurred between December 2013 and November 2015. Eligible patients with moderate-to-severe OSA documented by polygraphy (PG) were randomized to home management or standard care. All patients were managed by certified sleep physicians. The home management group received APAP therapy at home, followed by telemonitoring. The control group received a diagnostic PSG, followed by therapy initiation in the sleep laboratory. The primary endpoint was therapy compliance, measured as average APAP usage after 6 months. Results The intention-to-treat population (ITT) included 224 patients (110 home therapy, 114 controls); the per-protocol population (PP) included 182 patients with 6-month device usage data (89 home therapy, 93 controls). In the PP analysis, mean APAP usage at 6 months was not different in the home therapy and control groups (4.38 ± 2.04 vs. 4.32 ± 2.28, p = 0.845). The pre-specified non-inferiority margin (NIM) of 0.3 h/day was not achieved (p = 0.130); statistical significance was achieved in a post hoc analysis when NIM was set at 0.5 h/day (p < 0.05). Time to APAP initiation was significantly shorter in the home therapy group (7.6 ± 7.2 vs. 46.1 ± 23.8 days; p < 0.0001). Conclusion Use of a home-based telemonitoring strategy for initiation of APAP in selected patients with OSA managed by sleep physicians is feasible, appears to be non-inferior to standard sleep laboratory procedures, and facilitates faster access to therapy.

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Semantic categorization of digital home photo using photographic region templates

Information Processing & Management ◽

10.1016/j.ipm.2006.07.009 ◽

2007 ◽

Vol 43 (2) ◽

pp. 503-514 ◽

Cited By ~ 6

Author(s):

Seungji Yang ◽

Sang Kyun Kim ◽

Kyong Sok Seo ◽

Yong Man Ro ◽

Ji-Yeon Kim ◽

...

Keyword(s):

Semantic Categorization ◽

Digital Home

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Women Role and Status in Pukhtoon Society (A Case Study of Village Sufaid Dheri, Peshawar)

International Journal of Learning and Development ◽

10.5296/ijld.v2i3.1971 ◽

2012 ◽

Vol 2 (3) ◽

pp. 313

Author(s):

Anwar Alam

Keyword(s):

Social Role ◽

General Role ◽

Home Management ◽

Economic Role ◽

Poultry Products ◽

Time Table ◽

Care Family ◽

Live Stock ◽

Productive Role

This study was undertaken on the topic, “Women role and status in Pukjtoon Society; A case study of village Sufaid Deri, Peshawar). For this study the researcher selected 70 respondents on purposive sampling basis from the fixed age group of 25-45 years of age.Interview schedule was used as the tool of data collection due to illiterate respondents. The study indicates that the women role and status is determined in puktoon society by the male. Her general role is only home management; Cleaning, Washing, Cooking, Budget Making, Agriculture Activities (Livestock & Poultry etc), Sewing and Embroidery making, Socialization of Children, Participation in Ceremonial activities and female oriented Job/ Service. Her contribution in decision making includes; Socialization & Education, Home Management, Health Care, Family Planning, Budget Making, Time table of Work and Game / Play, Salary / Income Keeping and Spending, Participation in Ceremonial Activities, Sharing / Suggestion in Every matter. Her economic role includes; Job / Service, Selling daily used commodities, Live Stock / Milk Products, Poultry Products and Netting, Sewing and Embroidery making and selling. Her social role consists upon; Participation in Marriage ceremonies, Participation in Death Ceremonies, Participation in traditional and all types of ceremonies. Problems faced by women in their productive role-play; Women are less advantaged, lack of mobility, Limited education, no access to resources, invisible partners of development, low health, low levels of nutrition, high rates of mortality, male dominancy and patriarchy. To improve the role and status of puktoon women it was recommended that women education should be improved and they should be given equal participation in developmental activities of the society. Key Words: Home management; Cleaning, Washing, Cooking, Budget Making, Agriculture Activities (Livestock & Poultry etc), Sewing and Embroidery making, Socialization of Children, Participation in Ceremonial activities and female oriented Job/ Service.

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