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Maternal and Fetal Factors Associated with Labor and Delivery Complications
Prolonged second stage of labor, excessive gestational weight gain and cesarean delivery has been associated with adverse maternal and fetal outcomes. Physical activity during pregnancy is a modifiable risk factor which has never been studied among Hispanic women. Gestational weight gain, another modifiable risk factor has only been evaluated as a risk factor for cesarean delivery in two studies among women induced for labor. To date, no study has examined the effect of duration of second stage of labor on intra-ventricular hemorrhage in very preterm births. We examined these maternal risk factors for prolonged second stage of labor, rate of cesarean delivery and fetal outcomes. The first study evaluated the association between physical activity and duration of second stage of labor. Prior studies regarding physical activity and duration of second stage of labor have been conflicting and none have examined the Hispanic population. During pregnancy, activities such as household chores, childcare, sports and women\u27s occupation constitute a significant proportion of physical activity but have not been considered in prior studies. We examined the association between total physical activity (occupational, sport/exercise, household/care giving, and active living) during pre, early and mid-pregnancy and duration of second stage of labor in a prospective cohort of 1,231 Hispanic participants. Physical activity was quantified using the Kaiser Physical Activity Survey administered during pregnancy. Using multivariate linear regression we did not find statistically significant association between pre, early and mid-pregnancy physical activity and duration of second stage of labor. The second study focused on the effect of gestational weight gain on the cesarean delivery rate after induction of labor. The rate of induction of labor (IOL) has more than doubled from 9.5% in 1990 to 22.5% in 2006. Cesarean delivery usually follows a failed IOL and is associated with maternal and fetal morbidity. One of the two studies evaluating the effect of gestational weight gain on the rate of cesarean section in patients undergoing IOL was restricted to women with normal Body Mass Index (BMI) and the other was subjected to bias because more than half of the patients were missing BMI data. Therefore, we evaluated the effect of gestational weight gain on the rate of cesarean delivery after labor induction. In a retrospective cohort study design, using data from May 2005 to June 2008 and a multivariate logistic regression we found a 13% increase in risk of cesarean delivery with 5 kg increase in gestational weight gain. Finally, we evaluated the effect of mode of delivery and duration of second stage of labor on intra-ventricular hemorrhage (IVH) among early preterm births. IVH is a serious complication associated with preterm birth and important predictors of cerebral palsy and neurodevelopmental delays. Prior studies on this relationship in early preterm births are sparse. In a retrospective cohort study of newborns born less than 30 weeks or less than 1500 g between May 2003 and August 2008, we found an increase in risk of IVH after vaginal delivery. However, duration of second stage of labor had no significant effect on risk of IVH
Sub-GHz Wrist-Worn Antennas for Wireless Sensing Applications: A Review
With recent advances in wearable wrist-worn wireless sensing applications, the demand for smartwatches and wristbands is rapidly increasing due to their widespread adoption in applications such as smart health monitoring, security, and fitness tracking. Currently, these devices primarily operate in the 2.45 GHz band, leveraging the availability of Bluetooth and Wi-Fi wireless technologies. However, the use of Sub-GHz frequencies (e.g., 433 MHz, 868 MHz, 915 MHz, 923 MHz) for wearable systems has also gained interest due to the emergence of wireless technologies like long-range wide area network (LoRaWAN), narrowband-IoT (NB-IoT) and Sigfox, which offer the potential for long-range wireless communications and sensing applications. In recent times, there has been a notable surge in the commercial production of a variety of Sub-GHz wrist-worn wireless sensing devices for health monitoring and tracking applications. Nevertheless, communications at Sub-GHz frequencies present significant challenges in antenna design, primarily due to the practical size constraints of wrist-worn devices and the necessity for using electrically small antennas. This paper meticulously reviews wrist-worn Sub-GHz antennas reported in the literature, analyzing key antenna parameters such as antenna topology, size, impedance bandwidth, peak realized gain, radiation efficiency, and specific absorption rate (SAR). Additionally, it underlines antenna design challenges, limitations, current trends, and presents potential future perspectives. To the best of the author’s knowledge, there is currently no existing literature comprehensively reviewing Sub-GHz wrist-worn antennas. Therefore, this paper represents the inaugural effort to provide a comprehensive review in this specific domain
A concertina-shaped vibration energy harvester-assisted NFC sensor with improved wireless communication range
The explosive growth of wireless sensor platforms and their emerging wide range of application areas make the development of a sustainable and robust power source, an essential requirement to enable widespread deployment of these wireless devices. As a solution to this cardinal issue, this paper reports the design and fabrication of a resonant Vibration Energy Harvester (VEH) that comprises interleaved springs, manifesting a concertina shaped structure that can enable large mechanical amplitudes of oscillation. Within a relatively small footprint (9cm3), this concertina-VEH yields a large power density of 455.6μW/cm3g2 while operating at a resonant frequency of 75Hz. Additionally, the feasibility of the implemented VEH to support NFC based wireless sensor platform, that is yet uncharted, is also investigated in this work. A very low-power consumption Near Field Communication (NFC) wireless sensor node has been designed and developed for this purpose. The developed concertina VEH has been employed to power the electronics interface of this NFC sensor. Using mechanical energy derived from as low as 0.2g excitation, our study shows that the VEH can enhance the electromagnetic interaction between the transmitting antenna and the reader, resulting in a 120% increase in wireless communication range for the NFC sensor node. Such a high-performance energy harvester assisted NFC sensor node has the potential to be used in a wide range of Internet of Things (IoT) platforms as a reliable and sustainable power solution
Graphene-based wearable temperature sensors: A review
The paper presents a comprehensive review of the use of graphene to develop wearable temperature sensors. The detection of temperature over a wide range has been a growing interest in multidisciplinary sectors in the sensing world. Different kinds of flexible temperature sensors have been fabricated with a range of polymers and nanomaterials. With the additional attribute of wearable nature, these temperature sensors are used ubiquitously to determine the effect of physiochemical variations happening in the environment of the chosen biomedical and industrial applications. Graphene, owing to its exceptional electrical, mechanical, and thermal properties, has been extensively used for the development of wearable temperature sensors. The prototypes have been deployed with certain wireless communication protocols to transfer the experimental data obtained under both controlled environments and real-time scenarios. This paper underlines some of the significant works done on the use of graphene to fabricate and implement wearable temperature sensors, along with the possible remedial steps that can be considered to deal with the challenges existing in the current literature
A smart archive box for museum artifact monitoring using battery-less temperature and humidity sensing
For the first time, this paper reports a smart museum archive box that features a fully integrated wireless powered temperature and humidity sensor. The smart archive box has been specifically developed for microclimate environmental monitoring of stored museum artifacts in cultural heritage applications. The developed sensor does not require a battery and is wirelessly powered using Near Field Communications (NFC). The proposed solution enables a convenient means for wireless sensing with the operator by simply placing a standard smartphone in close proximity to the cardboard archive box. Wireless sensing capability has the advantage of enabling long-term environmental monitoring of the contents of the archive box without having to move and open the box for reading or battery replacement. This contributes to a sustainable preventive conservation strategy and avoids the risk of exposing the contents to the external environment, which may result in degradation of the stored artifacts. In this work, a low-cost and fully integrated NFC sensor has been successfully developed and demonstrated. The developed sensor is capable of wirelessly measuring temperature and relative humidity with a mean error of 0.37 °C and ±0.35%, respectively. The design has also been optimized for low power operation with a measured peak DC power consumption of 900 μW while yielding a 4.5 cm wireless communication range. The power consumption of the NFC sensor is one of the lowest found in the literature. To the author’s knowledge, the NFC sensor proposed in this paper is the first reporting of a smart archive box that is wirelessly powered and uniquely integrated within a cardboard archive box
A museum artefact monitoring testbed using LoRaWAN
This paper presents a long range wide area network (LoRaWAN) testbed for environmental monitoring of artefacts within a museum storage facility. The goal is to identify the optimum feasible wireless technology for this application by studying eight different wireless technologies. A testbed network was deployed inside a 5600 m 2 concrete building to validate the performance of the candidate wireless technologies by way of measurements. In addition, a LoRaWAN scalability approach was also used to simulate the packet delivery ratio for a 500 node network. The wireless communication performance of LoRa WAN was shown to offer the most optimal solution for wireless communication for museum artefact monitoring application
Science with the Daksha High Energy Transients Mission
We present the science case for the proposed Daksha high energy transients
mission. Daksha will comprise of two satellites covering the entire sky from
1~keV to ~MeV. The primary objectives of the mission are to discover and
characterize electromagnetic counterparts to gravitational wave source; and to
study Gamma Ray Bursts (GRBs). Daksha is a versatile all-sky monitor that can
address a wide variety of science cases. With its broadband spectral response,
high sensitivity, and continuous all-sky coverage, it will discover fainter and
rarer sources than any other existing or proposed mission. Daksha can make key
strides in GRB research with polarization studies, prompt soft spectroscopy,
and fine time-resolved spectral studies. Daksha will provide continuous
monitoring of X-ray pulsars. It will detect magnetar outbursts and high energy
counterparts to Fast Radio Bursts. Using Earth occultation to measure source
fluxes, the two satellites together will obtain daily flux measurements of
bright hard X-ray sources including active galactic nuclei, X-ray binaries, and
slow transients like Novae. Correlation studies between the two satellites can
be used to probe primordial black holes through lensing. Daksha will have a set
of detectors continuously pointing towards the Sun, providing excellent hard
X-ray monitoring data. Closer to home, the high sensitivity and time resolution
of Daksha can be leveraged for the characterization of Terrestrial Gamma-ray
Flashes.Comment: 19 pages, 7 figures. Submitted to ApJ. More details about the mission
at https://www.dakshasat.in
Workforce interventions to improve access to emergency contraception pills: a systematic review of current evidence in low- and middle-income countries and recommendations for improving performance
A Centralized Energy Efficient Distance Based Routing Protocol for Wireless Sensor Networks
Wireless sensor network (WSN) typically consists of a large number of low cost wireless sensor nodes which collect and send various messages to a base station (BS). WSN nodes are small battery powered devices having limited energy resources. Replacement of such energy resources is not easy for thousands of nodes as they are inaccessible to users after their deployment. This generates a requirement of energy efficient routing protocol for increasing network lifetime while minimizing energy consumption. Low Energy Adaptive Clustering Hierarchy (LEACH) is a widely used classic clustering algorithm in WSNs. In this paper, we propose a Centralized Energy Efficient Distance (CEED) based routing protocol to evenly distribute energy dissipation among all sensor nodes. We calculate optimum number of cluster heads based on LEACH’s energy dissipation model. We propose a distributed cluster head selection algorithm based on dissipated energy of a node and its distance to BS. Moreover, we extend our protocol by multihop routing scheme to reduce energy dissipated by nodes located far away from base station. The performance of CEED is compared with other protocols such as LEACH and LEACH with Distance Based Thresholds (LEACH-DT). Simulation results show that CEED is more energy efficient as compared to other protocols. Also it improves the network lifetime and stability period over the other protocols
MAC PROTOCOL BASED LOW ENERGY OPERATIONS IN WIRELESS SENSOR NETWORKS
ABSTRACT Wireless sensor network is a collection of autonomous, spatially distributed sensor nodes which work together to form a network to monitor environmental conditions such as temperature, pressure, humidity etc. Due to advancement in various technologies like radio, battery and operating systems in sensor nodes, WSN have become an emerging field. For researchers, WSN has become an active area of research due to their wide range of applications in several fields such as agriculture, transportation, military etc. After deployment in remote areas, sensor nodes are generally unattended and have to work with their limited energy resources. Recent advances in WSN have lead to the development of new protocols designed for various applications where energy efficiency is an essential consideration. In WSNs communication among various nodes is achieved by means of unique channel which can be accessed by a single node. To provide shared access of channel among sensor nodes, a medium access control protocol is required to be established. In this paper we provide a comprehensive survey of recent energy efficient medium access control protocols for WSNs. This paper starts with an introduction of wireless sensor networks and discussion of good a WSN-MAC protocol properties. This paper then describes several MAC protocols proposed for sensor networks under two important categories which are schedule based and contention based. The paper concludes with comparison among various MAC protocols regarding various characteristics under each categor
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