Correlation of the composite equilibrium score of computerized dynamic posturography and clinical balance tests

AbstractBackgroundThe computerized dynamic posturography has been widely used to access balance control in patients with balance dysfunction. A composite-equilibrium score (CS) can be calculated from the sensory organization test using the computerized dynamic posturography. However, the correlation between the composite equilibrium score and clinical tests and its ability to predict falls has rarely been explored in the past.MethodsA total of 60 patients with chief complaint of dizziness were enrolled in our study, and clinical assessments were done including the sensory organization test (SOT), Timed Up and Go test (TUG), Tinetti Performance-Oriented Mobility Assessment (POMA), and the dynamic gait index (DGI). The age and the subjective feeling of the severity of dizziness quantified by the visual analog scale (VAS) of each patient were also recorded.ResultsStatistical analysis revealed significant correlation between the composite equilibrium score and the TUG, POMA (gait, balance and total scores), and the DGI. However, there is statistically significant correlation between neither the CS and the age nor the VAS of dizziness. When grouping the DGI, POMA (total score), and the TUG cutoff to predict fall risks, the correlations to the CS can still be established except the TUG.ConclusionFrom the results of our study, the validity of the clinical tests was established in assessment of balance function, and clinicians can utilize these tools for preliminary evaluation of patient balance when computerized dynamic posturography is not available. In addition, CS can be used to predict the risk of falls

V2PSense: Enabling Cellular-based V2P Collision Warning Service Through Mobile Sensing

The C-V2X (Cellular Vehicle-to-Everything) technology is developing in full swing. One of its mainstream services can be the Vehicle-to-Pedestrian (V2P) service. It can protect pedestrians who are mostly vulnerable on the road. In this work, we seek to enable a V2P service that can identify which pedestrians may be nearby a dangerous driving event and then notify them of warning messages. To enable this V2P service, there are two major challenges. First, a low-latency V2P message transport is required for this infrastructure-based service. Second, the pedestrian’s smartphone requires an energy-efficient outdoor positioning method instead of power-hungry GPS due to its limited battery life. We thus propose a novel solution, V2PSense, which trades off positioning precision for energy savings while achieving low-latency message transport with LTE high-priority bearers. It does a coarse-grained positioning by leveraging intermittent GPS information and mobile sensing data, which includes step count from the pedometer and cellular signal strength changes. Though the V2PSense’s positioning is not as precise as the GPS, it can still ensure that all the pedestrians nearby dangerous spots can be notified. Our results show that it can achieve the average precision ratio 92.6% for estimating where the pedestrian is while saving 20.8% energy, compared with the GPS always-on case.This work was partially supported by the Ministry of Science and Tech-nology, Taiwan, under grant numbers 106-2622-8-009-017 and 106-2218-E-009-018, and by the H2020 collaborative Europe/Taiwan research project 5G-CORAL (grant num. 761586

Coherent narrow-band light source for miniature endoscopes.

In this work, we report the successful implementation of a coherent narrow-band light source for miniature endoscopy applications. An RGB laser module that provides much higher luminosity than traditional incoherent white light sources is used for illumination, taking advantages of the laser light's high spatial coherence for efficient light coupling. Notably, the narrow spectral band of the laser light sources also enables spectrally resolved imaging, to distinguish certain biological tissues or components. A monochrome CMOS camera is employed to synchronize with the time lapsed RGB laser module illumination for color image acquisition and reconstruction, which provides better spatial resolution than a color CMOS camera of comparable pixel number, in addition to spectral resolving

Long working range light field microscope with fast scanning multifocal liquid crystal microlens array

The light field microscope has the potential of recording the 3D information of biological specimens in real time with a conventional light source. To further extend the depth of field to broaden its applications, in this paper, we proposed a multifocal high-resistance liquid crystal microlens array instead of the fixed microlens array. The developed multifocal liquid crystal microlens array can provide high quality point spread function in multiple focal lengths. By adjusting the focal length of the liquid crystal microlens array sequentially, the total working range of the light field microscope can be much extended. Furthermore, in our proposed system, the intermediate image was placed in the virtual image space of the microlens array, where the condition of the lenslets numerical aperture was considerably smaller. Consequently, a thin-cell-gap liquid crystal microlens array with fast response time can be implemented for time-multiplexed scanning

Serotype Competence and Penicillin Resistance in Streptococcus pneumoniae

Enhanced molecular surveillance of virulent clones with higher competence can detect serotype switching

Performance of Six Clinical Physiological Scoring Systems in Predicting In-Hospital Mortality in Elderly and Very Elderly Patients with Acute Upper Gastrointestinal Bleeding in Emergency Department

Background and Objectives: The aim of this study is to compare the performance of six clinical physiological-based scores, including the pre-endoscopy Rockall score, shock index (SI), age shock index (age SI), Rapid Acute Physiology Score (RAPS), Rapid Emergency Medicine Score (REMS), and Modified Early Warning Score (MEWS), in predicting in-hospital mortality in elderly and very elderly patients in the emergency department (ED) with acute upper gastrointestinal bleeding (AUGIB). Materials and Methods: Patients older than 65 years who visited the ED with a clinical diagnosis of AUGIB were enrolled prospectively from July 2016 to July 2021. The six scores were calculated and compared with in-hospital mortality. Results: A total of 336 patients were recruited, of whom 40 died. There is a significant difference between the patients in the mortality group and survival group in terms of the six scoring systems. MEWS had the highest area under the curve (AUC) value (0.82). A subgroup analysis was performed for a total of 180 very elderly patients (i.e., older than 75 years), of whom 27 died. MEWS also had the best predictive performance in this subgroup (AUC, 0.82). Conclusions: This simple, rapid, and obtainable-by-the-bed parameter could assist emergency physicians in risk stratification and decision making for this vulnerable group

Detection of SARS-associated Coronavirus in Throat Wash and Saliva in Early Diagnosis

Early detection of SARS-CoV in throat wash and saliva suggests that these specimens are ideal for SARS diagnosis