The Need to Create and Apply High-Precision Operational Remote Environmental Monitoring in the Face of Modern Challenges

The paper formulates new principles that should form the basis for the development and creation of new environmental monitoring based on heavy UAVs and high-altitude so-called pseudo-satellites capable of operating for a long time at altitudes of 25 - 30 km. In order to develop such principles, this paper analyzes the radioecological situation in the territories of Donetsk and Luhansk regions of Ukraine for rapid and high-quality environmental cleanup and rehabilitation of areas with detected critical levels of environmentally hazardous pollutants. In order to quickly obtain fundamentally new environmental information, it is necessary to conduct multi-parameter, high-precision integrated monitoring of the Earth’s geospheres based on the latest methods and equipment for ground and remote environmental measurements, and new methods and technological means of clean, environmentally safe processing and final disposal. As the most appropriate technology, we propose mobile installations for plasma-chemical pyrolysis of medical waste directly at the place of its generation.

How hypertensive patients in the rural areas use home blood pressure monitoring and its relationship with medication adherence: A primary care survey in China

Despite an increasing popularity of home blood pressure monitoring (HBPM) over the last few decades, little is known about HBPM use among hypertensive patients in the rural areas. A cross-sectional survey including 318 hypertensive patients was conducted in a rural community in Beijing, China, in 2012. Participants were mainly recruited from a community health clinic and completed the questionnaires assessing HBPM usage. Binary logistic regression models were used for the analysis of medication adherence with age, gender, level of education marital status, perceived health status, duration of hypertension, HBPM use, and frequency of performing BP measurement. Among the total population, 78 (24.5%) reported currently use of HBPM. Only 5.1% of the HBPM users cited doctor’s advice as the reason for using HBPM. Analysis of the risk factors of poor medication adherence by multivariable modeling indicated significant associations between the duration of hypertension (adjusted OR, 3.31;95% CI, 1.91-5.72;P 01), frequency of performing BP measurements (adjusted OR, 2.33;95% CI, 1.42-3.83;

Internet of Things for in Home Health Based Monitoring System:Modern Advances,Challenges and Future Directions

IOT has carried outimportant function in converting the traditional fitness care corporation.With developing call for in population,traditional healthcare structures have reached their outmost functionality in presenting sufficient and as plenty as mark offerings.The worldwide is handling devastating developingantique population disaster and the right want for assisted-dwelling environments is turning into inevitable for senior citizens.There furthermore a determination by means of the use of way of countrywide healthcare organizations to increase crucial manual for individualized,right blanketed care to prevent and manipulate excessive coronial situations.Many tech orientated packages related to HealthMonitoring have been delivered these days as taking advantage of net boom everywhere on globe,manner to improvements in cellular and in IOT generation.Such as optimized indoor networks insurance,community shape,and fairly-lowdevice fee performances,advanced tool reliability,low device energy consumption,and hundreds higher unusual common usual performance in network safety and privacy.Studies have highlighted fantastic advantages of integrating IOT with health care location and as era is improving the rate also cannot be that terrific of a problem.However,many challenges in this new paradigm shift notwithstanding the fact that exist,that need to be addressed.So the out most purpose of this research paper is 3 essential departments:First,evaluation of key elements that drove the adoption and boom of the Internet of factors based totally domestic some distance off monitoring;Second,present fashionable improvement of IOT in home a long manner off monitoring shape and key building gadgets;Third,communicate future very last effects and distinct guidelines of such type a long way off monitoring packages going ahead.Such Research is a wonderful manner in advance now not outstanding in IOT Terminology but in standard fitness care location.

Telemonitoring in heart failure patients:Systematic review and metaanalysis of randomized controlled trials

BACKGROUND Home telemonitoring has been used as a modality to prevent readmission and improve outcomes for patients with heart failure.However,studies have produced conflicting outcomes over the years.AIM To determine the aggregate effect of telemonitoring on all-cause mortality,heart failure-related mortality,all-cause hospitalization,and heart failure-related hospitalization in heart failure patients.METHODS We conducted a systematic review and meta-analysis of 38 home telemonitoring randomized controlled trials involving 14993 patients.We also conducted a sensitivity analysis to examine the effect of telemonitoring duration,recent heart failure hospitalization,and age on telemonitoring outcomes.RESULTS Our study demonstrated that home telemonitoring in heart failure patients was associated with reduced all-cause[relative risk(RR)=0.83,95% confidence interval(CI):0.75-0.92,P=0.001]and cardiovascular mortality(RR=0.66,95%CI:0.54-0.81,P<0.001).Additionally,telemonitoring decreased the all-cause hospitalization(RR=0.87,95%CI:0.80-0.94,P=0.002)but did not decrease heart failurerelated hospitalization(RR=0.88,95%CI:0.77-1.01,P=0.066).However,prolonged home telemonitoring(12 mo or more)was associated with both decreased all-cause and heart failure hospitalization,unlike shorter duration(6 mo or less)telemonitoring.CONCLUSION Home telemonitoring using digital/broadband/satellite/wireless or blue-tooth transmission of physiological data reduces all-cause and cardiovascular mortality in heart failure patients.In addition,prolonged telemonitoring(≥12 mo)reduces all-cause and heart failure-related hospitalization.The implication for practice is that hospitals considering telemonitoring to reduce heart failure readmission rates may need to plan for prolonged telemonitoring to see the effect they are looking for.

数字化技术在口腔正畸监控中的应用进展

在正畸治疗中,对患者的临床监控有利于及时发现并妥善处置问题,确保矫治计划的顺利实施,是决定正畸治疗成功与否的关键要素之一。本文对近年来数字化技术在正畸牙移动、正畸相关并发症以及矫治器戴用依从性监控中的应用进行综述,旨在为相关研究人员及临床医师提供洞见,推动数字化技术在正畸临床实践中的广泛应用,以期提高治疗效果并优化患者体验。数字化技术在正畸临床诊疗中逐渐得到广泛应用,不仅能够辅助临床决策和方案设计,也可在临床监控方面发挥重要作用。检查资料的数字化以及口腔模型的可视化使椅旁复诊监控更加便捷、精准、高效,远程监控技术帮助正畸医生及时发现患者口腔问题、采取相应措施。此外,多模态数据的融合可为根骨关系的监控提供指导,人工智能技术已初步实现正畸牙移动、相关并发症及患者戴用情况的自动识别,传感装置则可用于监测患者戴用情况,为临床决策提供数据支撑。数字化技术在口腔正畸监控中的应用前景广阔,然而仍需应对技术瓶颈、伦理考量及患者接受度等多重挑战。

基于互联网平台的儿童居家睡眠监测系统探索与实践

目的:通过整合互联网医院与物联网平台,将儿童睡眠监测项目从传统医院内部的“线下就诊与辅助检查”模式转型升级为基于互联网医院的“在线诊疗与家庭监测”新型服务模式。方法:依靠医院互联网平台,搭建线上线下一体化融合的儿童睡眠监测服务中心,利用互联网中心+物联网设备,实现患儿居家睡眠监测诊疗,为患儿提供优质的诊疗服务,优化了医疗资源配置。结果:经过实际运营,儿童睡眠监测服务中心相较于传统的门诊预约、住院诊疗流程,患儿平均诊疗时长得到了显著提升。结论:基于互联网医院的“在线诊疗与家庭监测”新模式有效减少了患者的时间与交通支出,缩短了患者的等待周期,进而提升了整个医疗体系的运作效率。

Home Blood Pressure Monitoring and Its Association With Blood Pressure Control Among Hypertensive Patients With High Cardiovascular Risk in China

Objective:Home blood pressure monitoring(HBPM)is viewed as a facilitating factor in the initial diagnosis and long-term management of treated hypertension.However,evidence remains scarce about the effectiveness of HBPM use in the real world.This study aimed to examine the associations of HBPM use with blood pressure(BP)control and medication adherence.Methods:This prospective cohort study included hypertensive patients with high cardiovascular risk who were aged≥50 years.At baseline,information about types of BP monitor,frequency of HBPM,perception of anti-hypertensive treatment,and measured office BP were collected.During the 1-year follow-up(visits at 1,2,3,6,and 12 months),information on medication adherence was collected at each visit.The 2 major outcomes were BP control at baseline and medication adherence during the 1-year follow-up.A log-binomial regression model was used to examine the association between frequency of HBPM and outcomes,stratified by the perceptions of anti-hypertensive treatment.Results:A total of 5,363 hypertensive patients were included in the analysis.The age was(64.6±7.2)years,and 41.2%(2,208)were female.Of the total patients,85.9%(4,606)had a home BP monitor and 47.8%(2,564)had an incorrect perception of anti-hypertensive treatment.Overall,24.2%(1,299)of patients monitored their BP daily,37.6%(2,015)weekly,17.3%(926)monthly,and 20.9%(1,123)less than monthly.At baseline,the systolic BP and diastolic BP were(146.6±10.8)mmHg and(81.9±10.6)mmHg,respectively,and 28.5%(1,527)of patients had their BP controlled.Regardless of whether the patients had correct or incorrect perceptions of anti-hypertensive treatment,there is no significant association between HBPM frequency and BP control at baseline.During the 1-year follow-up,23.9%(1,280)of patients had non-adherence to medications at least once.In patients with an incorrect perception of anti-hypertensive treatment,those monitoring BP most frequently(daily)had the highest non-adherence rate(29.9%,175/585).Compared with those monitoring their BP less than monthly,patients who monitored their BP daily were more likely not to adhere to anti-hypertensive medications(adjusted relative risk=1.38,95%confidence interval:1.11–1.72,P=0.004).Conclusions:HBPM performance among hypertensive patients in China is,in general,sub-optimal.No association was observed between using HBPM alone and hypertension control,indicating that the effects of HBPM could be conditional.Patients’misconceptions about anti-hypertensive treatment may impair the role of BP monitoring in achieving medication adherence.Fully incorporating the correct perception of hypertension into the management of hypertensive patients is needed.

An Investigative Study for Smart Home Security: Issues, Challenges and Countermeasures

Home security should be a top concern for everyone who owns or rents a home. Moreover, safe and secure residential space is the necessity of every individual as most of the family members are working. The home is left unattended for most of the day-time and home invasion crimes are at its peak as constantly monitoring of the home is difficult. Another reason for the need of home safety is specifically when the elderly person is alone or the kids are with baby-sitter and servant. Home security system i.e. HomeOS is thus applicable and desirable for resident’s safety and convenience. This will be achieved by turning your home into a smart home by intelligent remote monitoring. Smart home comes into picture for the purpose of controlling and monitoring the home. It will give you peace of mind, as you can have a close watch and stay connected anytime, anywhere. But, is common man really concerned about home security? An investigative study was done by conducting a survey to get the inputs from different people from diverse backgrounds. The main motivation behind this survey was to make people aware of advanced HomeOS and analyze their need for security. This paper also studied the necessity of HomeOS investigative study in current situation where the home burglaries are rising at an exponential rate. In order to arrive at findings and conclusions, data were analyzed. The graphical method was employed to identify the relative significance of home security. From this analysis, we can infer that the cases of having kids and aged person at home or location of home contribute significantly to the need of advanced home security system. At the end, the proposed system model with its flow and the challenges faced while implementing home security systems are also discussed.

Energy and Latency Optimization in Edge-Fog-Cloud Computing for the Internet of Medical Things

In this paper,the Internet ofMedical Things(IoMT)is identified as a promising solution,which integrates with the cloud computing environment to provide remote health monitoring solutions and improve the quality of service(QoS)in the healthcare sector.However,problems with the present architectural models such as those related to energy consumption,service latency,execution cost,and resource usage,remain a major concern for adopting IoMT applications.To address these problems,this work presents a four-tier IoMT-edge-fog-cloud architecture along with an optimization model formulated using Mixed Integer Linear Programming(MILP),with the objective of efficiently processing and placing IoMT applications in the edge-fog-cloud computing environment,while maintaining certain quality standards(e.g.,energy consumption,service latency,network utilization).A modeling environment is used to assess and validate the proposed model by considering different traffic loads and processing requirements.In comparison to the other existing models,the performance analysis of the proposed approach shows a maximum saving of 38%in energy consumption and a 73%reduction in service latency.The results also highlight that offloading the IoMT application to the edge and fog nodes compared to the cloud is highly dependent on the tradeoff between the network journey time saved vs.the extra power consumed by edge or fog resources.

基于发明专利分析的数字疗法领域技术创新态势研究

目的通过对数字疗法领域的发明专利分析揭示该领域的技术创新态势。方法以智慧芽专利数据库收录的发明专利为研究对象,从技术创新的时间趋势、技术创新热点、技术创新区域、技术创新主体、技术发明人等角度揭示全球及中国数字疗法领域的技术创新态势。结果全球数字疗法领域共有发明专利申请422组(921件),2010年后进入快速增长期;中国在该领域起步较晚,共有发明专利申请44组(56件),2021年后发展较为迅速。全球技术创新聚焦于个性化医疗、治疗方案优化、远程监测与医疗、数字化心理健康等方向,中国技术创新与全球技术热点存在一些共通之处,同时也具有自己独特的特点,更加关注数字化病历及健康管理系统、中医数字化医疗的技术创新。美国的技术创新最为活跃,韩国和中国也在积极开展该领域的技术创新。国内外引领技术创新的主体均为企业。结论全球和中国在数字疗法领域均已积累一定规模的技术创新成果,技术创新持续活跃。本研究通过对数字疗法领域的发明专利进行全面分析,以宏观视角揭示技术创新态势,更好地了解技术演进、创新趋势和关键技术方向,从情报学的角度为数字疗法领域的发展提供全面的信息支撑。

基于智慧物联网的社区老年健康监测服务设计研究

目的全球老龄化对医疗保健系统造成了冲击,给老年群体的医护服务供需平衡带来了重大挑战,为提高就医便捷性、促进健康问题早期发现,以及预防性医护服务的定制化、系统化,探讨了一种创新的智慧社区老年医护服务模式。方法基于物联网(IoT)技术和人工智能(AI)算法,构建了以传感器多路采集为数据来源的物联网健康监测框架,开发了融合传感器、电子医疗记录和病例样本数据为特征数据的机器学习疾病预测模型,并在此基础上设计了远程医护服务平台应用程序,构成了智慧社区老年健康监测服务模式。结论系统以物联网-人工智能-交互终端为核心,利用老年人生理数据预测其慢性病风险进而实现提前预警,便于提供及时的干预措施,为医患双方提供沟通媒介及辅助诊断工具。系统有望推动养老医护服务的发展,提高服务的可及性与有效性。

基于远程监测的医护一体化平台在居家腹膜透析患者管理中的应用

目的探讨基于远程监测系统的医护一体化随访在腹膜透析患者中的应用效果。方法选取2017年6月—2020年5月在中国医科大学附属盛京医院随访的腹膜透析患者60例作为对照组,2020年6月—2023年5月随访的腹膜透析患者60例作为观察组。对照组给予常规护理,观察组实施医护一体化的远程护理干预。比较2组患者服药依从性、并发症发生率、再住院率、再考核得分。结果与对照组相比,观察组患者服药依从性提高(63.33%比46.67%,χ^(2)=4.062,P=0.044),并发症发生率下降(26.67%比46.67%,χ^(2)=5.167,P=0.023),再住院率降低(23.33%比41.67%,χ^(2)=4.596,P=0.032),再考核得分提高[(88.13±6.36)分比(81.32±9.78)分,t=4.527,P<0.001],差异均有统计学意义。结论基于远程监测的医护一体化平台管理应用于腹膜透析患者可使患者更加配合治疗,减少并发症的发生,提高慢性病管理质量。

基于家庭监护系统的远程随访平台在起搏器植入患者中的应用

目的探讨基于家庭监护系统的远程随访平台在起搏器植入术后患者中的应用及效果。方法采用便利抽样方法,选取植入具有家庭监护功能的双腔起搏器患者作为研究对象,将2021年1月至2022年3月收治的42例患者作为对照组,2022年4月至2023年6月收治的41例患者作为观察组。对照组采用常规门诊随访,观察组采用基于家庭监护系统的远程随访平台进行随访管理。干预6个月后,对两组患者的肩关节功能、自我护理能力、门诊随访次数、随访干预效果进行比较分析。结果两组各40例完成全程研究。干预6个月后,观察组门诊随访次数显著低于对照组,肩关节功能总分及日常生活能力、肩关节活动功能、肩关节疼痛3个维度得分显著高于对照组;观察组自护能力总分显著高于对照组(均P<0.05)。观察组干预总有效率为93.5%。结论基于家庭监护系统的远程随访平台,在患者居家期间为其提供专业支持,可改善起搏器植入术后患者肩关节功能、自护能力,降低门诊随访次数,提高随访干预效果。

智能家居远程监控系统设计与实现

以STM32F407ZGT6为核心控制器件,基于传感器技术和GPRS设计一套嵌入式智能家居远程监控系统.硬件系统的核心控制部分是STM32,调节部分包括LED模块和窗帘开关模块,数据采集部分包括温湿度采集模块和光强采集模块.选用Keil uVision5作为软件设计平台,并在Proteus上进行仿真实验.实验结果表明:所设计的智能家居远程监控系统可完成采集环境参数和实现GPRS通信功能,能通过发送短信完成自动报警,能根据用户的短信指令执行相应操作.

基于物联网的病案库房远程监控系统研究

研发一个基于物联网的病案库房远程监控系统,使病案工作人员通过电脑或手机就可以远程监控病案库房的烟感、湿度、温度和渗水等实时运行参数及视频,并能收到库房异常报警,可降低人为疏忽及库房设备失效导致病案损害的风险。采用物联网云平台+PLC相结合的方式,构建远程监控系统,且建立试验系统进行实验验证。实验证明,远程监控系统数据传输稳定,视频清晰,报警灵敏,电脑或手机显示简单明了,可减轻有关人员工作压力,对提高工作效率有较大帮助。

无线、远程对产妇血流动力学的连续监测技术的临床应用研究

探究一种创新的、无创的、反射式光体积描记术为基础的设备对产妇分娩和分娩期间血流动力学的连续监测情况。选取81例足月低风险产妇参与本研究。给产妇佩戴新型反射式PPG设备,该设备每5 s自动采集心输出量(CO)、血压(BP)、每搏输出量(SV)、全身血管阻力(SVR)、心率(HR),并将所有数据上传到基于智能手机的应用程序和数据云。使用Power BI分析工具(Microsoft)对收集的数据进行大数据分析。比较胎膜破裂、硬膜外麻醉、胎儿分娩和胎盘排出前后的平均测量值。结果显示,硬膜外麻醉与CO轻微升高相关(P<0.05),原因是HR和SV均无显著增加。在SVR反向下降时,血压保持稳定(P<0.05)。胎儿分娩与CO峰值相关,之后CO迅速下降(P<0.05)。平均血压在整个分娩过程中保持稳定,胎儿分娩时略有增加(P<0.05),反映出CO增加和SVR降低(P<0.05)。胎盘排出与CO的第二个峰值和SVR的降低相关。因此,一种新型反射式PPG设备可用于对产妇在分娩和分娩期间的血流动力学监测中。并利用这些数据确定正常值和异常值,以便在分娩和分娩期间制定安全方案。

基于物联网技术的医疗设备维护管理系统设计与实现

随着物联网技术的快速发展,医疗设备维护管理面临着更加复杂的挑战。文章以提高医疗设备的可靠性和效率为目标,设计并实现一种基于物联网技术的医疗设备维护管理系统。该系统通过实时监测设备状态、远程维护和故障预警等功能,有效降低设备维护成本和故障率,提高医疗设备的使用效果和安全性。文章详细介绍系统的设计思路、架构和关键技术,并进行实验验证,结果表明该系统在提升医疗设备管理水平方面具有显著效果。

基于物联网的医疗设备远程监控与维护系统设计

随着科技的快速发展,物联网(IoT)技术在医疗行业中的应用逐渐成为重要趋势,尤其是在医疗设备的管理和维护方面。文章提出了一种基于物联网的医疗设备远程监控与维护系统,旨在提升设备运行效率、减少故障率并确保患者安全。该系统通过在医疗设备上安装传感器,可以实时采集运行数据(如温度、湿度和工作状态等),并通过无线网络将数据传输至云端平台。该平台可对数据进行存储、分析和可视化,以便医务人员及时了解设备状态。

智能家庭网络安全解决方案

：阐述了智能家庭网络的基本概念及功能，并对其在Internet环境下的安全问题进行了讨论；在充分考虑其有限资源的情况下，给出了一个基于Internet 环境的智能家庭网络安全解决方案，为家庭自动化设备的远程监控系统提供具有保密性、可认证性、可授权性和数据完整性的安全机制。

SRF618S型产科中央监护网络系统

本系统由中央监护站、胎儿监护仪、家庭胎监仪和通讯控制设备等组成 ,由一台中央监护站同时管理医院内、外两个监护网络。医院内部网络以 485总线专用电缆联网 ,实现了产科多床位孕产妇集中监护和全过程监护 ;医院外监护网络即远程监护系统 ,基于公共电话网实现家庭胎儿监护仪与医院中央监护站的连接 ,将传统胎儿监护技术带入孕妇家庭和社区医保所。设计了内置电路的胎心监护探头和独特的信息处理算法 ,成功地解决了胎儿监护仪的灵敏度和稳定性问题 ;特别是家庭胎儿监护仪结构简单、成本低廉但性能可靠 ,使胎儿监护技术的家庭化成为现实。设计了计算机辅助诊断软件 ,包括多种监护曲线自动评分法、产程图描记和围产保健管理等功能。