MongoDB Based Real-Time Monitoring Heart Rate Using Websocket For Remote Healthcare

With the gradual development of Industry 4.0, the internet of things (IoT) concept has become an even more current and fundamental study topic. Consisting of devices and objects with communication capability, IoT is a network that uses internet infrastructure, especially for data collection, display, decision-making, control, and optimization of processes. Recently, patient tracking systems have become even more critical with Covid19 and have diversified in health for IoT topics such as biomedical device tracking and disease diagnosis. Within the scope of this study, a prototype of a patient tracking system was developed over the sensor in order to contribute to the biomedical field. We aimed to observe real-time heart rates using WebSockets to demonstrate its use in the medical field via the web application. Monitoring the heart rate using a WebSocket can help doctors make faster and better diagnoses. The current technology study instantly collected the patient's heart rhythm with the pulse sensor. The pulse data collected in real time was then transferred to a web platform with the NodeMCU ESP 8266 board. With this platform, the patient was monitoring in real-time. With the opportunities provided by the study, the doctor implemented an application monitors the instantaneous pulse of the patients

Trattamento endovascolare della patologia dell'arco aortico

Il miglior approccio per il trattamento delle patologie dell’arco dell’aorta rimane attualmente oggetto di dibattito non essendo ancora supportato da solide evidenze. La maggior parte dei dati relativi ai risultati post-operatori riguardo ai pazienti sottoposti ad interventi chirurgici per patologia dell’arco dell’aorta, si basa su un numero esiguo di casi, su trattamenti eterogenei e follow-up limitati. L’aorta ascendente e l’arco aortico costituiscono un segmento peculiare dell’aorta toracica per quanto riguarda l’anatomia, la fisiologia, la patologia e l’approccio terapeutico. La posizione anatomica all’interno del mediastino e la presenza delle principali branche arteriose responsabili della perfusione del cuore e dell’encefalo rendono conto delle forti difficoltà tecniche nell’approccio chirurgico a questa porzione dell’aorta, e delle importanti complicanze che possono associarsi a tali interventi. Per questo motivo la terapia chirurgica è spesso riservata solo ai pazienti in buone condizioni generali e con un rischio operatorio accettabile. Inoltre tale segmento vascolare riveste un ruolo particolare poiché rappresenta da sempre una ‘’zona di confine’’ tra la cardiochirurgia e la chirurgia vascolare, richiedendo pertanto una stretta collaborazione e sinergia tra diverse figure professionali quali il cardiochirurgo, il chirurgo vascolare, il cardio-anestesista, il cardiologo interventista, il radiologo interventista, il perfusionista e l’ecocardiografista, all’interno di strutture sanitarie attrezzate ed altamente specializzate, ovvero i cosiddetti ‘’centri di eccellenza”. L’intervento di sostituzione dell’aorta ascendente fu eseguito per la prima volta a Houston nel 1952 da DeBakey e Cooley1, senza l’utilizzo della circolazione extracorporea. Gli stessi descrissero nel 1956 il primo caso di sostituzione dell’aorta ascendente in circolazione extracorporea (bypass cardio-polmonare)2, mentre solo nel 1957 riportarono i risultati favorevoli dell’intervento di sostituzione dell’arco aortico3. Il gruppo di Houston che faceva capo a questi due grandi chirurghi, giustamente considerati pioneri della chirurgia dell’aorta toracica, contribuì negli anni seguenti alla diffusione di tali tecniche chirurgiche verso il resto del globo. Durante i successivi cinquanta anni, lo sviluppo dell’imaging radiologico, il progresso delle tecniche chirurgiche ed anestesiologiche, nonchè l’avvento dei metodi di circolazione extracorporea e dei sistemi di protezione cerebrale, hanno permesso di trattare la maggior parte dei pazienti con un significativo miglioramento dei tassi di mortalità e morbilità, i quali tuttavia rimangono ancora oggi tra i più alti rispetto alla media degli interventi chirurgici. Per cercare di ridurre ulteriormente l’invasività e le complicanze perioperatorie della chirurgia dell’aorta ascendente e dell’arco aortico, nell’ultimo decennio, sono stati studiati e sviluppati approcci differenti, meno invasivi, che includessero l’utilizzo delle tecniche endovascolari maturate negli altri distretti aortici (aorta toracica discendente, toracoaddominale e addominale), adattando queste ultime alla particolare anatomia dell’arco. Queste procedure, riportate per la prima volta nel 1998,4 che possono combinare la chirurgia tradizionale con quella endovascolare (procedure ibride) o che possono utilizzare tecniche endovascolari complesse (ad esempio con l’utilizzo di endoprotesi ramificate, o con tecniche “chimney”), hanno dimostrato di poter ridurre sensibilmente la mortalità e la morbilità perioperatoria. Tuttavia, attualmente è prematuro trarre delle conclusioni sull’effettiva efficacia a lungo termine di tali procedure. Obiettivo di questo studio è quello di valutare i risultati a medio termine delle procedure endovascolari a carico dell’arco aortico

Franchisees, Consumers, and Employees: Choice and Arbitration

Commentators and lawmakers have called attention to the rising frequency of contractual arbitration as a non-negotiable condition of many relationships. Indeed, it is a rare individual who is not subject to at least one pre-dispute, binding arbitration agreement. This Article studies common concerns associated with binding, pre-dispute arbitration agreements and evaluates their use in consumer-vendor, employee-employer, and franchisee-franchisor relationships. Having introduced concepts relevant throughout the Article, the Article in Part I studies contractual arbitration as a form of alternative dispute resolution for transactional disputes between consumers and vendors. It examines industry self-regulation, due process, consumer salience, and forum accessibility including online dispute resolution, among other matters. Part II evaluates concerns about unfairness toward the less powerful party in employment arbitration, including judicial safeguards against unconscionability and the proposed Forced Arbitration Injustice Repeal Act (the FAIR Act), while Part III critically examines bargaining power disparities between franchisees and franchisors. Based on a comprehensive review of available data and literature, this Article finds that, while the most charitable interpretations by arbitration proponents are untenable, some measured but broadly supportive arguments for contractual arbitration can be persuasive. Although unchecked bargaining power disparities are rightfully concerning and should be addressed, contractual arbitration can nonetheless play a useful role in relational contracts

Proceedings of the 3rd international conference on disability, virtual reality and associated technologies (ICDVRAT 2000)

The proceedings of the conferenc

Novel Biomarkers for Heart Disease

Cardiac biomarkers such as troponins and natiuretic peptides have made a great impact on clinical decision making as well as improving our understanding of molecular mechanisms of different disease conditions. However, the biomarkers that are currently in use do not reflect all the multiple disease pathways that are involved in a broad spectrum of cardiac disease conditions ranging from acute coronary syndrome, to heart failure (and heart failure with preserved ejection fraction, HFpEF), to pulmonary hypertension or arrhythmias. In this Special Issue, we will provide an overview of the current developments in the field of biomarker research, beginning with research on molecular pathways and cellular communication (e.g., microRNA) up to the clinical use of biomarkers

Seconda Giornata di Studio Ettore Funaioli: 18 luglio 2008

In questo volume sono raccolte le memorie presentate in occasione della "Seconda giornata di studio Ettore Funaioli", che si è tenuta il 18 luglio 2008 presso la Facoltà di Ingegneria dell'Alma Mater Studiorum - Università di Bologna. La giornata è stata organizzata dagli ex allievi del Prof. Funaioli con la collaborazione del DIEM, Dipartimento di Ingegneria delle Costruzioni Meccaniche, Nucleari, Aeronautiche e di Metallurgia dell’Alma Mater Studiorum – Università di Bologna e con il patrocinio del GMA – Gruppo di Meccanica Applicata

Seconda Giornata di Studio Ettore Funaioli: 18 luglio 2008

In questo volume sono raccolte le memorie presentate in occasione della "Seconda giornata di studio Ettore Funaioli", che si è tenuta il 18 luglio 2008 presso la Facoltà di Ingegneria dell'Alma Mater Studiorum - Università di Bologna. La giornata è stata organizzata dagli ex allievi del Prof. Funaioli con la collaborazione del DIEM, Dipartimento di Ingegneria delle Costruzioni Meccaniche, Nucleari, Aeronautiche e di Metallurgia dell’Alma Mater Studiorum – Università di Bologna e con il patrocinio del GMA – Gruppo di Meccanica Applicata

Sustainable Development of Export-Orientated Farmed Seafood in Thailand

Sustainable development of export-orientated farmed seafood in Thailand is a major issue which can impact local stakeholders as well as global food security. The major species taken into consideration in this research were initially the Pacific white shrimp (Litopenaeus vannamei), Nile tilapia (Oreochromis niloticus), giant freshwater prawn (Macrobrachium rosenbergii), and striped catfish (Pangasianodon hypophthalmus). After which more focus was placed on Pacific white shrimp, which is Thailand’s major cultured seafood being traded for export, and tilapia, which has potential for export but also enjoying a good domestic market demand. Actors or stakeholders directly and indirectly involved in aquaculture value chains may have their own perceptions about sustainability affecting their operations, as various factors within and outside their own systems could affect these perceptions. This could lead to different efforts in responding to these factors to make their operations sustainable. Three major areas were covered in this study, namely a) describing the strengths and weaknesses of shrimp and tilapia production in Thailand in relation to their export potential, b) evaluating the status of compliance to global aquaculture standards of shrimp and tilapia farming (covering technical and labour aspects), and c) determining perceptions of sustainability across the shrimp and tilapia value chains in Thailand, with a focus on the production sector. A mixed-methods approach was employed to obtain information in the study sites in Thailand. Basic field interviews were conducted among 206 shrimp producers in 6 provinces in the east and south, and 199 tilapia producers in 4 provinces in the west and east, in terms of farm operations and perceptions of factors which will affect the sustainability of their operations, including generational aspects on future shrimp and tilapia farming. Key informant interviews were also conducted among other value chain actors (>30) such as hatchery/nursery operators, input/service providers, processors/exporters and technical/ institutional members to determine whether there are differences in their sustainability perceptions. In addition, face to face interviews with 18 shrimp farm male and female workers were conducted (Thai and migrant workers), as well as with 14 key informants involved in shrimp farm labour issues in Thailand, specifically for well-being and working conditions. Stakeholders cited environmental (technical), economic, social and institutional (equity) aspects of their operations as factors which will affect the sustainability of their operations. Disease, product price and water quality were the three most important sustainability factors among shrimp farmers, whereas water quality, disease and extreme weather conditions were for tilapia farmers. Product price was the most cited by input service providers, hatchery operators, shrimp and tilapia producers, and processors. Both Thai and migrant shrimp farm workers perceived a better or much better-off quality of life working in shrimp farms in Thailand than in their previous occupations or status. Almost all shrimp farms meet more than what are required under the Thai labour law or the global aquaculture standards for human resources. With the importance of migrant labour in Thailand, much still needs to be done in terms of assessing the impact of their working in Thailand on their families left behind in their own countries, as well as on their communities, including status of social protection to avoid exploitation. Each stakeholder group strives to achieve sustainability so they can remain in operation in the next few years, to survive on the business individually and corporately, and to be the best provider of sustainably and ethically produced seafood for the world. The compliance to aquaculture global standards and certifications may be considered to contribute to the sustainability of operations by improving farm practices thereby reducing detrimental impacts on farm and external environments, as well as strengthening human relations with in the farm and in the community. However there are some aspects of these standards which could eliminate the small players. In this study, the large scale farms were more likely to comply with all the standards, followed by medium scale, and lastly the small scale farms. The differences in perceptions which exist among these stakeholders should be understood by every sector and efforts should be made to address them so that there is cohesiveness in giving support to achieve sustainable seafood production and trade