IoTA: IoT Automated SIP-based Emergency Call Triggering System for general eHealth purposes

The expansion of Internet of Things (IoT) and the evolution in communication technologies have enabled homes, cars even whole cities to be network connected. However, during an emergency incident, IoT devices have not been used to trigger emergency calls directly to healthcare providers mainly due to their constrained capabilities and lack of support session-oriented communications. Moreover, emergency services are currently offered by public safety stakeholders that do not support call triggering by IoT devices. This paper proposes IoTA framework which enables IoT devices to generate automatically emergency calls and support bi-directional communication sessions between healthcare providers and end users. The IoTA framework incorporates intelligent algorithms for processing and evaluating emergency events from various devices and performs emergency calls immediately after the occurrence of an event. The healthcare providers can interact with the IoTA framework requesting continuous real-time sensor data. A prototype implementation and initial evaluation results are presented as a proof of concept for people suffering from diverse chronic diseases. Experimental results have shown that the proposed framework can be considered as a promising solution for detecting, reporting emergency events, eliminating the hoax calls and responding swiftly saving lives

Ion composition in interchange injection events in Saturn\u27s magnetosphere

Interchange injection events are commonly observed by the Cassini spacecraft in the region between about 6 and 12 Rs (1 Rs = 60,268 km) and even frequently beyond. In this study, 13 examples of interchange injection events are identified in Cassini-Cassini Plasma Spectrometer data under special conditions such that time-of-flight (TOF) mass spectra could be obtained from entirely within the events. Using the TOF data to separate the main ion species H+, H2+, and W+, approximate densities of each species are calculated under the assumption that all distributions were isotropic. The light-ion density ratios, H2+/H+, in the injection events are not discernibly different from those ratios in control intervals from the ambient plasma. However, the water-group ration, W+/H+, is significantly lower than ambient. The comparison of the measured density ratios with the range of values observed throughout Saturn\u27s magnetosphere indicates that the values of W+/H+ that are as low as those observed within the injection events are found primarily beyond L~14 (where L is the equatorial crossing distance, in Saturn radius, of a dipole field line), indicating that the injection events are delivering plasma from the outer magnetosphere at times traveling at least 6 Rs

Effects of radial motion on interchange injections at Saturn

Charged particle injections are regularly observed in Saturn's inner magnetosphere by Cassini. They are attributed to an ongoing process of flux-tube interchange driven by the strong centrifugal force associated with Saturn's rapid rotation. Numerical simulations suggest that these interchange injections can be associated with inward flow channels, in which plasma confined to a narrow range of longitudes moves radially toward the planet, gaining energy, while ambient plasma in the adjacent regions moves more slowly outward. Most previous analyses of these events have neglected this radial motion and inferred properties of the events under the assumption that they appear instantaneously at the spacecraft's L-shell and thereafter drift azimuthally. This paper describes features of injections that can be related to their radial motion prior to observation. We use a combination of phase space density profiles and an updated version of a test-particle model to quantify properties of the injection. We are able to infer the longitudinal width of the injection, the radial travel time from its point of origin, and the starting L shell of the injection. We can also predict which energies can remain inside the channel during the radial transport. To highlight the effects of radial propagation at a finite speed, we focus on those interchange injections without extensive features of azimuthal dispersion. Injections that have traveled radially for one or more hours prior to observation would have been initiated at a different local time than that of the observation. Finally, we describe an injection where particles have drifted azimuthally into a flow channel prior to observation by Cassini. (C) 2015 Elsevier Inc. All rights reserved

Toward Shared Decision-Making in Degenerative Cervical Myelopathy: Protocol for a Mixed Methods Study

BACKGROUND Health care decisions are a critical determinant in the evolution of chronic illness. In shared decision-making (SDM), patients and clinicians work collaboratively to reach evidence-based health decisions that align with individual circumstances, values, and preferences. This personalized approach to clinical care likely has substantial benefits in the oversight of degenerative cervical myelopathy (DCM), a type of nontraumatic spinal cord injury. Its chronicity, heterogeneous clinical presentation, complex management, and variable disease course engenders an imperative for a patient-centric approach that accounts for each patient's unique needs and priorities. Inadequate patient knowledge about the condition and an incomplete understanding of the critical decision points that arise during the course of care currently hinder the fruitful participation of health care providers and patients in SDM. This study protocol presents the rationale for deploying SDM for DCM and delineates the groundwork required to achieve this. OBJECTIVE The study's primary outcome is the development of a comprehensive checklist to be implemented upon diagnosis that provides patients with essential information necessary to support their informed decision-making. This is known as a core information set (CIS). The secondary outcome is the creation of a detailed process map that provides a diagrammatic representation of the global care workflows and cognitive processes involved in DCM care. Characterizing the critical decision points along a patient's journey will allow for an effective exploration of SDM tools for routine clinical practice to enhance patient-centered care and improve clinical outcomes. METHODS Both CISs and process maps are coproduced iteratively through a collaborative process involving the input and consensus of key stakeholders. This will be facilitated by Myelopathy.org, a global DCM charity, through its Research Objectives and Common Data Elements for Degenerative Cervical Myelopathy community. To develop the CIS, a 3-round, web-based Delphi process will be used, starting with a baseline list of information items derived from a recent scoping review of educational materials in DCM, patient interviews, and a qualitative survey of professionals. A priori criteria for achieving consensus are specified. The process map will be developed iteratively using semistructured interviews with patients and professionals and validated by key stakeholders. RESULTS Recruitment for the Delphi consensus study began in April 2023. The pilot-testing of process map interview participants started simultaneously, with the formulation of an initial baseline map underway. CONCLUSIONS This protocol marks the first attempt to provide a starting point for investigating SDM in DCM. The primary work centers on developing an educational tool for use in diagnosis to enable enhanced onward decision-making. The wider objective is to aid stakeholders in developing SDM tools by identifying critical decision junctures in DCM care. Through these approaches, we aim to provide an exhaustive launchpad for formulating SDM tools in the wider DCM community. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/46809

Perceived economic self‑sufficiency: a countryand generation‑comparative approach

We thank Michael Camasso and Radha Jagannathan as well as Asimina Christoforou, Gerbert Kraaykamp, Fay Makantasi, Tiziana Nazio, Kyriakos Pierrakakis, Jacqueline O’Reilly and Jan van Deth for their contribution to the CUPESSE project (Seventh Framework Programme; Grant Agreement No. 61325). CUPESSE received additional funding from the Mannheim Centre for European Social Research (MZES) and the Field of Focus 4 “Self-Regulation and Regulation: Individuals and Organisations” at Heidelberg University. We further acknowledge helpful comments on this article by two anonymous reviewers. Julian Rossello provided valuable research assistance.Electronic supplementary material The online version of this article (https ://doi.org/10.1057/ s4130 4-018-0186-3) contains supplementary material, which is available to authorized users.Existing datasets provided by statistical agencies (e.g. Eurostat) show that the economic and financial crisis that unfolded in 2008 significantly impacted the lives and livelihoods of young people across Europe. Taking these official statistics as a starting point, the collaborative research project “Cultural Pathways to Economic Self-Sufficiency and Entrepreneurship in Europe” (CUPESSE) generated new survey data on the economic and social situation of young Europeans (18–35 years). The CUPESSE dataset allows for country-comparative assessments of young people’s perceptions about their socio-economic situation. Furthermore, the dataset includes a variety of indicators examining the socio-economic situation of both young adults and their parents. In this data article, we introduce the CUPESSE dataset to political and social scientists in an attempt to spark a debate on the measurements, patterns and mechanisms of intergenerational transmission of economic self-sufficiency as well as its political implications.CUPESSE project (Seventh Framework Programme; Grant Agreement No. 61325

New Insights into the Nature of Turbulence in the Earth's Magnetosheath Using Magnetospheric MultiScale Mission Data

The Earth's magnetosheath, which is characterized by highly turbulent fluctuations, is usually divided into two regions of different properties as a function of the angle between the interplanetary magnetic field and the shock normal. In this study, we make use of high-time resolution instruments on board the Magnetospheric MultiScale spacecraft to determine and compare the properties of subsolar magnetosheath turbulence in both regions, i.e., downstream of the quasi-parallel and quasi-perpendicular bow shocks. In particular, we take advantage of the unprecedented temporal resolution of the Fast Plasma Investigation instrument to show the density fluctuations down to sub-ion scales for the first time. We show that the nature of turbulence is highly compressible down to electron scales, particularly in the quasi-parallel magnetosheath. In this region, the magnetic turbulence also shows an inertial (Kolmogorov-like) range, indicating that the fluctuations are not formed locally, in contrast with the quasi-perpendicular magnetosheath. We also show that the electromagnetic turbulence is dominated by electric fluctuations at sub-ion scales (f > 1 Hz) and that magnetic and electric spectra steepen at the largest-electron scale. The latter indicates a change in the nature of turbulence at electron scales. Finally, we show that the electric fluctuations around the electron gyrofrequency are mostly parallel in the quasi-perpendicular magnetosheath, where intense whistlers are observed. This result suggests that energy dissipation, plasma heating, and acceleration might be driven by intense electrostatic parallel structures/waves, which can be linked to whistler waves

Integrating IoT and Fog Computing for Healthcare Service Delivery

Internet of Things (IoT) technologies provide many opportunities for providing healthcare applications such as home based assisted living and well-being application solutions. Nowadays, numerous IoT devices are used to monitor users’ healthcare status and transmit the data directly to remote data centers through the cloud computing paradigm. This direct interconnection of the large amount of devices for remote storage, processing, and retrieval of medical records in the cloud demands a reliable network connection imposing many challenges related to network connectivity and traffic. This chapter deals with the transfer of the computing intelligence from cloud to the edge network. Fog computing operates closer to the user, on network edge, enabling accurate service delivery with low response time avoiding delays and network failures that may interrupt or delay the decision process and healthcare service delivery. An architectural model is proposed and a set of use cases illustrate the benefits of the IoT and fog computing integration

Oleuropein-induced acceleration of cytochrome p450-catalyzed drug metabolism: Central role for nuclear receptor peroxisome proliferator-activated receptor a

Oleuropein (OLE), the main constituent of Olea europaea, displays pleiotropic beneficial effects in health and disease, which are mainly attributed to its anti-inflammatory and cardioprotective properties. Several food supplements and herbal medicines contain OLE and are available without a prescription. This study investigated the effects of OLE on the main cytochrome P450s (P450s) catalyzing the metabolism of many prescribed drugs. Emphasis was given to the role of peroxisome proliferator-activated receptor a (PPARa), a nuclear transcription factor regulating numerous genes including P450s. 129/Sv wild-type and Ppara-null mice were treated with OLE for 6 weeks. OLE induced Cyp1a1, Cyp1a2, Cyp1b1, Cyp3a14, Cyp3a25, Cyp2c29, Cyp2c44, Cyp2d22, and Cyp2e1 mRNAs in liver of wild-type mice, whereas no similar effects were observed in Ppara-null mice, indicating that the OLEinduced effect on these P450s is mediated by PPARa. Activation of the pathways related to phosphoinositide 3-kinase/protein kinase B (AKT)/forkhead box protein O1, c-Jun N-terminal kinase, AKT/ p70, and extracellular signal-regulated kinase participates in P450 induction by OLE. These data indicate that consumption of herbal medicines and food supplements containing OLE could accelerate the metabolism of drug substrates of the above-mentioned P450s, thus reducing their efficacy and the outcome of pharmacotherapy. Therefore, OLE-induced activation of PPARa could modify the effects of drugs due to their increased metabolism and clearance, which should be taken into account when consuming OLE-containing products with certain drugs, in particular those of narrow therapeutic window. © 2021 American Society for Pharmacology and Experimental Therapy. All rights reserved