Fully Textile Dual-Band Logo Antenna for IoT Wearable Devices

In recent years, the interest in the Internet of Things (IoT) has been growing because this technology bridges the gap between the physical and virtual world, by connecting different objects and people through communication networks, in order to improve the quality of life. New IoT wearable devices require new types of antennas with unique shapes, made on unconventional substrates, which can be unobtrusively integrated into clothes and accessories. In this paper, we propose a fully textile dual-band logo antenna integrated with a reflector for application in IoT wearable devices. The proposed antenna’s radiating elements have been shaped to mimic the logo of South-West University “Neofit Rilski” for an unobtrusive integration in accessories. A reflector has been mounted on the opposite side of the textile substrate to reduce the radiation from the wearable antenna and improve its robustness against the loading effect from nearby objects. Two antenna prototypes were fabricated and tested in free space as well as on three different objects (human body, notebook, and laptop). Moreover, in the two frequency ranges of interest a radiation efficiency of 25–38% and 62–90% was achieved. Moreover, due to the reflector, the maximum local specific-absorption rate, which averaged over 10 g mass in the human-body phantom, was found to be equal to 0.5182 W/kg at 2.4 GHz and 0.16379 W/kg at 5.47 GHz. Additionally, the results from the performed measurement-campaign collecting received the signal-strength indicator and packet loss for an off-body scenario in real-world use, demonstrating that the backpack-integrated antenna prototype can form high-quality off-body communication channels

Wearable Antennas for Sensor Networks and IoT Applications: Evaluation of SAR and Biological Effects

In recent years, there has been a rapid development in the wearable industry. The growing number of wearables has led to the demand for new lightweight, flexible wearable antennas. In order to be applicable in IoT wearable devices, the antennas must meet certain electrical, mechanical, manufacturing, and safety requirements (e.g., specific absorption rate (SAR) below worldwide limits). However, the assessment of SAR does not provide information on the mechanisms of interaction between low-intensity electromagnetic fields emitted by wearable antennas and the human body. In this paper, we presented a detailed investigation of the SAR induced in erythrocyte suspensions from a fully textile wearable antenna at realistic (net input power 6.3 mW) and conservative (net input power 450 mW) conditions at 2.41 GHz, as well as results from in vitro experiments on the stability of human erythrocyte membranes at both exposure conditions. The detailed investigation showed that the 1 g average SARs were 0.5758 W/kg and 41.13 W/kg, respectively. Results from the in vitro experiments demonstrated that the short-term (20 min) irradiation of erythrocyte membranes in the reactive near-field of the wearable antenna at 6.3 mW input power had a stabilizing effect. Long-term exposure (120 min) had a destabilizing effect on the erythrocyte membrane

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research