Assessing Sleepiness and Sleep Disorders in Australian Long-Distance Commercial Vehicle Drivers: Self-Report Versus an “At Home” Monitoring Device

Objective. Obstructive sleep apnea is a common problem, requiring expensive in-lab polysomnography for proper diagnosis. Home monitoring can provide an alternative to in-lab testing for a subset of OSA patients. The objective of this project was to investigate the effect of incorporating home testing into an OSA program at a large, tertiary sleep disorders centre.Methods. The Sleep Disorders Centre in Saskatoon, Canada, has been incorporating at-home testing into their diagnostic pathways since 2006. Administrative data from 2007 to 2013 were extracted (10030 patients) and the flow of patients through the program was followed from diagnosis to treatment. Costs were estimated using 2014 pricing and were stratified by disease attributes and sensitivity analysis was applied.Results. The overall costs per patient were $627.40, with $419.20 for at-home testing and $746.20 for in-lab testing. The cost of home management would rise to $515 if all negative tests were required to be confirmed by an in-lab PSG.Discussion. Our review suggests that at-home testing can be cost-effective alternative to in-lab testing when applied to the correct population, specifically, those with a high pretest probability of obstructive sleep apnea and an absence of significant comorbidities.

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Utility of At-home Monitoring of Exercise Capacity by App-based 6-minute Walk Test

Case Medical Research ◽

10.31525/ct1-nct03893500 ◽

2019 ◽

Author(s):

Keyword(s):

Exercise Capacity ◽

Home Monitoring ◽

Walk Test ◽

6 Minute Walk Test ◽

Minute Walk ◽

At Home

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Smart Monitoring and Controlling of Appliances Using LoRa Based IoT System

Designs ◽

10.3390/designs5010017 ◽

2021 ◽

Vol 5 (1) ◽

pp. 17

Author(s):

Nur-A-Alam ◽

Mominul Ahsan ◽

Md. Abdul Based ◽

Julfikar Haider ◽

Eduardo M. G. Rodrigues

Keyword(s):

Power Consumption ◽

Low Power ◽

Modular Design ◽

Real Life ◽

Environmental Data ◽

Automation System ◽

Area Network ◽

Wide Area Network ◽

Long Distance ◽

At Home

In the era of Industry 4.0, remote monitoring and controlling appliance/equipment at home, institute, or industry from a long distance with low power consumption remains challenging. At present, some smart phones are being actively used to control appliances at home or institute using Internet of Things (IoT) systems. This paper presents a novel smart automation system using long range (LoRa) technology. The proposed LoRa based system consists of wireless communication system and different types of sensors, operated by a smart phone application and powered by a low-power battery, with an operating range of 3–12 km distance. The system established a connection between an android phone and a microprocessor (ESP32) through Wi-Fi at the sender end. The ESP32 module was connected to a LoRa module. At the receiver end, an ESP32 module and LoRa module without Wi-Fi was employed. Wide Area Network (WAN) communication protocol was used on the LoRa module to provide switching functionality of the targeted area. The performance of the system was evaluated by three real-life case studies through measuring environmental temperature and humidity, detecting fire, and controlling the switching functionality of appliances. Obtaining correct environmental data, fire detection with 90% accuracy, and switching functionality with 92.33% accuracy at a distance up to 12 km demonstrated the high performance of the system. The proposed smart system with modular design proved to be highly effective in controlling and monitoring home appliances from a longer distance with relatively lower power consumption.

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Sex differences in self-report anxiety and sleep quality during COVID-19 stay-at-home orders

Biology of Sex Differences ◽

10.1186/s13293-020-00333-4 ◽

2020 ◽

Vol 11 (1) ◽

Author(s):

Jeremy A. Bigalke ◽

Ian M. Greenlund ◽

Jason R. Carter

Keyword(s):

Sex Differences ◽

Sleep Quality ◽

State Anxiety ◽

Severity Index ◽

Self Report ◽

Analysis Of Covariance ◽

Chi Square ◽

Perceived Impact ◽

The Impact ◽

At Home

Abstract Background COVID-19 and home isolation has impacted quality of life, but the perceived impact on anxiety and sleep remains equivocal. The purpose of this study was to assess the impact of COVID-19 and stay-at-home orders on self-report anxiety and sleep quality, with a focus on sex differences. We hypothesized that the COVID-19 pandemic would be associated with increased anxiety and decreased sleep quality, with stronger associations in women. Methods One hundred three participants (61 female, 38 ± 1 years) reported perceived changes in anxiety and sleep quality due to stay-at-home orders during the COVID-19 pandemic and were administered the Spielberger State-Trait Anxiety Inventory (STAI), Pittsburgh Sleep Quality Index (PSQI), and Insomnia Severity Index (ISI). Chi-square and T test analyses were utilized to assess sex differences in reported anxiety and sleep. Analysis of covariance was used to compare the associations between reported impact of COVID-19 and anxiety/sleep parameters. Results Women (80.3%) reported higher prevalence of increased general anxiety due to COVID-19 when compared to men (50%; p = 0.001) and elevated STAI state anxiety compared to men (43 ± 1 vs. 38 ± 1 a.u., p = 0.007). Despite these differences in anxiety, the perceived impact of COVID-19 on PSQI was not different between sexes. However, when stratified by perceived changes in anxiety due to COVID-19, participants with higher anxiety responses to COVID-19 had higher ISI compared to those with no perceived changes in anxiety (9 ± 1 vs. 5 ± 1 a.u., p = 0.003). Additionally, participants who reported reduced sleep quality due to COVID-19 reported higher state anxiety (45 ± 1 a.u.) compared to those that perceived no change (36 ± 2 a.u., p = 0.002) or increased (36 ± 2 a.u., p < 0.001) sleep quality. Conclusion COVID-19 and state-ordered home isolation was associated with higher anxiety and reduced sleep quality, with a stronger association in women with respect to anxiety.

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Letters to the Editor

PEDIATRICS ◽

10.1542/peds.65.5.1055 ◽

1980 ◽

Vol 65 (5) ◽

pp. 1055-1055

Author(s):

Dorothy Kelly ◽

Daniel C. Shannon

Keyword(s):

Social Worker ◽

Monitoring Program ◽

Home Monitoring ◽

Medical Decision ◽

Community Resources ◽

Letters To The Editor ◽

At Home

We have now supervised 230 families who have monitored an infant at home and have gradually developed our hospital and home monitoring program in response to our families' needs. The hospital program begins once a medical decision has been reached that the infant requires continuous surveillance. It consists of: (1) Evaluation of the family's strengths and weaknesses by the pediatrician and social worker. (2) Determination of family and community resources available to support weaknesses and to provide relief services.

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Development of Parental Efficacy Scale to Measure Parents’ Involvement Capabilities in Elementary Education

Islamic Guidance and Counseling Journal ◽

10.25217/igcj.v4i1.956 ◽

2021 ◽

Vol 4 (1) ◽

pp. 43-54

Author(s):

Yosef Yosef ◽

Hasmalena Hasmalena ◽

Sigit Dwi Sucipto

Keyword(s):

Elementary Schools ◽

Informed Consent ◽

Elementary Education ◽

Parental Involvement ◽

Self Report ◽

Elementary Children ◽

Validity And Reliability ◽

Parental Efficacy ◽

Parents Involvement ◽

At Home

Parental involvement had benefit for the education of elementary children. Yet, knowing parental efficacy was important factor to do such involvement. The purpose of this study was to design and examine a practical, valid, and reliable parental efficacy scale for measuring parents’ capabilities to involve in elementary education. A total of 402 parents of elementary children participated in this study, consisting of 114 fathers (28.36%) and 288 mothers (71.64%). They were selected randomly from 10 elementary schools and fulfilled informed consent showing they participated voluntarily in the study. A Parental Efficacy Scale which had been designed was tested for its practicality, validity and reliability. This self-report instrument asked parents to respond 67 items containing six aspects, namely their belief to be able parenting children, communicating with the school, helping children learn at home, becoming school volunteers, making decisions, and collaborating with community. The results showed that the scale fulfilled all of three requirements in all six aspects.

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Use of home pulse oximetry with daily short message service messages for monitoring outpatients with COVID-19: The patient's experience

Digital Health ◽

10.1177/20552076211067651 ◽

2021 ◽

Vol 7 ◽

pp. 205520762110676

Author(s):

Laura Vaughan ◽

Lauren E Eggert ◽

Andrea Jonas ◽

Arthur Sung ◽

Sara Singer

Keyword(s):

Pulse Oximeter ◽

Text Messaging ◽

Short Message Service ◽

Home Monitoring ◽

Outpatient Setting ◽

Disease Spread ◽

Short Message ◽

Low Oxygen ◽

Message Service ◽

At Home

Studies have shown COVID-19 patients may have a low oxygen saturation (SpO2) independent of visible respiratory distress, a phenomenon termed “silent hypoxia.” Silent hypoxia creates uncertainty in the outpatient setting for clinicians and patients alike. In this study, we examined the potential for pulse oximeters in identifying early signs of clinical deterioration. We report descriptive results on COVID-positive patients’ experiences with a comprehensive home monitoring tool comprised of home SpO2 measurements with a novel symptom-tracking short message service/text messaging application. Of patients who required hospitalization, 83% sought care as a result of low pulse oximeter readings. Nearly all patients who did not require hospitalization reported that having a pulse oximeter provided them with the confidence to stay at home. Essentially all patients found a home pulse oximeter useful. Keeping COVID-19-positive patients at home reduces the potential for disease spread and prevents unnecessary costs and strain on the healthcare system.

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Home Monitoring Device for Cardiovascular Diseases

IFMBE Proceedings - International Conference on Advancements of Medicine and Health Care through Technology ◽

10.1007/978-3-642-04292-8_11 ◽

2009 ◽

pp. 49-52 ◽

Cited By ~ 3

Author(s):

R. Ciorap ◽

C. Hritcu-Luca ◽

C. Corciova ◽

A. Stan ◽

D. Zaharia

Keyword(s):

Cardiovascular Diseases ◽

Home Monitoring ◽

Monitoring Device

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In-home monitoring evaluation by home-dwelling older adults, caregivers and healthcare providers

European Journal of Public Health ◽

10.1093/eurpub/ckz185.301 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Cited By ~ 1

Author(s):

B Pais ◽

P Buluschek ◽

T Nef ◽

N Schütz ◽

H Saner ◽

...

Keyword(s):

Older Adults ◽

Home Care ◽

Older People ◽

Healthcare Providers ◽

Home Monitoring ◽

Daily Activities ◽

Healthcare Needs ◽

Monitoring Technologies ◽

The Impact ◽

At Home

Abstract Background In Europe, population ageing is increasing the healthcare needs and costs. Both frailty and chronic diseases affecting older people reduce their ability to live independently. However, most older people prefer to age in their own homes. New development of in-home monitoring can play a role in staying independent, active and healthy. Our objective was to evaluate a new in-home monitoring system among home-dwelling older adults (OA), their family caregivers (FC), and their healthcare providers (HCP) for the support of home care. Methods The system continuously monitored OA’s daily activities (e.g., mobility, sleep habits, fridge visits, door events) at home by ambient sensor system (DomoCare®) and health-related events by wearable sensors (Fitbit®, ECG). In case of deviations in daily activities (e.g., changes in mobility), alerts were transmitted to HCP via email. Using specific questionnaires, the opinion of 13 OA, 13 FC, and 20 HCP were collected at the end of 12-month of follow-up focusing on their user experience and the impact of in-home monitoring on home care services. Results These preliminary results underlined that the majority of OA, FC, and HCP consider that in-home sensors can help staying at home, improving home care, reducing family stress, and preventing domestic accidents. The opinion tended to be more favourable toward ambient sensors (80%) than toward Fitbit® (67%) and ECG (64%). On average, OA (80%) and FC (73%) tended to be more enthusiast than HCP (63%). Some barriers reported by HCP were a fear of weakening of the relationship with OA and an excessive surveillance. Conclusions Overall, the opinion of OA, FC and HCP were positive related to in-home sensors, with HCP being more mixed about their use in clinical practice. Key messages In-home monitoring technologies seem to be generally well accepted. In-home monitoring technologies could be help facilitating home care of older people.

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Pulse oximetry home monitoring in infants with single-ventricle physiology and a surgical shunt as the only source of pulmonary blood flow

Cardiology in the Young ◽

10.1017/s1047951112000352 ◽

2012 ◽

Vol 23 (1) ◽

pp. 75-81 ◽

Cited By ~ 7

Author(s):

Annika Öhman ◽

Eva Strömvall-Larsson ◽

Boris Nilsson ◽

Mats Mellander

Keyword(s):

Oxygen Saturation ◽

Single Ventricle ◽

Home Monitoring ◽

Shunt Complication ◽

Single Ventricle Physiology ◽

Life Saving ◽

Shunt Occlusion ◽

Life Threatening ◽

Shunt Dysfunction ◽

At Home

AbstractBackgroundShunt occlusion is a major cause of death in children with single ventricle. We evaluated whether one daily measurement of oxygen saturation at home could detect life-threatening shunt dysfunction.MethodsA total of 28 infants were included. Parents were instructed to measure saturation once daily and if less than or equal to 70% repeat the measurement. Home monitoring was defined as positive when a patient was admitted to Queen Silvia Children's Hospital because of saturation less than or equal to 70% on repeated measurement at home. A shunt complication was defined as arterial desaturation and a narrowing of the shunt that resulted in an intervention to relieve the obstruction or in death. Parents’ attitude towards the method was investigated using a questionnaire.ResultsA shunt complication occurred out of hospital eight times in eight patients. Home monitoring was positive in five out of eight patients. In two patients, home monitoring was probably life saving; in one of them, the shunt was replaced the same day and the other had an emergency balloon dilatation of the shunt. In three out of eight patients, home monitoring was negative; one had an earlier stage II and survived, but two died suddenly at home from thrombotic shunt occlusion. On seven occasions in three patients home monitoring was positive but there was no shunt complication. The method was well accepted by the parents according to the results of the questionnaire.ConclusionHome monitoring of oxygen saturation has the potential to detect some of the life-threatening shunt obstructions between stages I and II in infants with single-ventricle physiology.

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