Antenna design and fabrication for biotelemetry applications

This research work assumes the role of designing a Micro-strip patch antenna that exists with in the band range of 402 MHz to 405 MHz, which was considered as medical implantable communication systems (MICS) band and can be possibly implanted at human body phantom model because of its flexiblility and lower radiation characteristics. CST Microwave studio was used for designing the patch antenna and the human body phantom model with the existence of homogeneous layers (fat, skin and muscle) and the final version was fabricated. Being highly flexible, FR4 was chosen as a substrate to maintain 0.5 mm thickness throughout. For the ground and patch, copper material was selected having thickness of 0.018 mm. For the ease of fabrication and biocompatibility, silicon was selected with the thickness of being 8 mm. Maximum specific absorption rate of the proposed antenna was obtained 0.588 W/Kg for 10g tissue. Various Parameters such as VSWR, S11, Radiation efficiency, Total efficiency were found 1.1889, -21.28 dB, -45.71 dB, -45.74 dB respectively inside body phantom that ensure the antenna design was efficiently and effectively suitable for biotelemetry system which is body implantable. After fabrication the value of S11 is found -12.43 dB in open space with 453 MHz frequency

Millimeter wave propagation measurements and characteristics for 5G system

In future 5G systems, the millimeter wave (mmWave) band will be used to support a large capacity for current mobile broadband. Therefore, the radio access technology (RAT) should be made available for 5G devices to help in distinct situations, for example device-to-device communications (D2D) and multi-hops. This paper presents ultra-wideband channel measurements for millimeter wave bands at 19, 28, and 38 GHz. We used an ultra-wideband channel sounder (1 GHz bandwidth) in an indoor to outdoor (I2O) environment for non-line-of-sight (NLOS) scenarios. In an NLOS environment, there is no direct path (line of sight), and all of the contributed paths are received from different physical objects by refection propagation phenomena. Hence, in this work, a directional horn antenna (high gain) was used at the transmitter, while an omnidirectional antenna was used at the receiver to collect the radio signals from all directions. The path loss and temporal dispersion were examined based on the acquired measurement data—the 5G propagation characteristics. Two different path loss models were used, namely close-in (CI) free space reference distance and alpha-beta-gamma (ABG) models. The time dispersion parameters were provided based on a mean excess delay, a root mean square (RMS) delay spread, and a maximum excess delay. The path loss exponent for this NLOS specific environment was found to be low for all of the proposed frequencies, and the RMS delay spread values were less than 30 ns for all of the measured frequencies, and the average RMS delay spread values were 19.2, 19.3, and 20.3 ns for 19, 28, and 38 GHz frequencies, respectively. Moreover, the mean excess delay values were found also at 26.1, 25.8, and 27.3 ns for 19, 28, and 38 GHz frequencies, respectively. The propagation signal through the NLOS channel at 19, 28, and 38 GHz was strong with a low delay; it is concluded that these bands are reliable for 5G systems in short-range applications

Challenges and opportunities for implementing integrated mental health care: a district level situation analysis from five low- and middle-income countries.

BACKGROUND: Little is known about how to tailor implementation of mental health services in low- and middle-income countries (LMICs) to the diverse settings encountered within and between countries. In this paper we compare the baseline context, challenges and opportunities in districts in five LMICs (Ethiopia, India, Nepal, South Africa and Uganda) participating in the PRogramme for Improving Mental health carE (PRIME). The purpose was to inform development and implementation of a comprehensive district plan to integrate mental health into primary care. METHODS: A situation analysis tool was developed for the study, drawing on existing tools and expert consensus. Cross-sectional information obtained was largely in the public domain in all five districts. RESULTS: The PRIME study districts face substantial contextual and health system challenges many of which are common across sites. Reliable information on existing treatment coverage for mental disorders was unavailable. Particularly in the low-income countries, many health service organisational requirements for mental health care were absent, including specialist mental health professionals to support the service and reliable supplies of medication. Across all sites, community mental health literacy was low and there were no models of multi-sectoral working or collaborations with traditional or religious healers. Nonetheless health system opportunities were apparent. In each district there was potential to apply existing models of care for tuberculosis and HIV or non-communicable disorders, which have established mechanisms for detection of drop-out from care, outreach and adherence support. The extensive networks of community-based health workers and volunteers in most districts provide further opportunities to expand mental health care. CONCLUSIONS: The low level of baseline health system preparedness across sites underlines that interventions at the levels of health care organisation, health facility and community will all be essential for sustainable delivery of quality mental health care integrated into primary care

Impact of unhealthy lifestyle on cardiorespiratory fitness and heart rate recovery of medical science students

Background: Medical science students represent valuable labour resources for better future medicine and medical technology. However, little attention was given to the health and well-being of these early career medical science professionals. The aim of this study is to investigate the impact of lifestyle components on cardiorespiratory fitness and heart rate recovery measured after moderate exercise in this population. Methods: Volunteers without documented medical condition were recruited randomly and continuously from the first-year medical science students during 2011-2014 at the University of Surrey, UK. Demographics and lifestyle components (the levels of smoking, alcohol intake, exercise, weekend outdoor activity and screen-time, daily sleep period, and self-assessment of fitness) were gathered through pre-exercise questionnaire. Cardiorespiratory fitness (VO2max) and heart rate recovery were determined using Åstrand–Rhyming submaximal cycle ergometry test. Data were analysed using SPSS version 25. Results: Among 614 volunteers, 124 had completed both lifestyle questionnaire and the fitness test and were included for this study. Within 124 participants (20.6±4 years), 46.8% were male and 53.2% were female, 11.3% were overweight and 8.9% were underweight, 8.9% were current smokers and 33.1% consumed alcohol beyond the UK recommendation. There were 34.7% of participants admitted to have <3 h/week of moderate physical activity assessed according to UK Government National Physical Activity Guidelines and physically not fit (feeling tiredness). Fitness test showed that VO2max distribution was inversely associated with heart rate recovery at 3 min and both values were significantly correlated with the levels of exercise, self-assessed fitness and BMI. Participants who had <3h/week exercise, or felt not fit or were overweight had significantly lower VO2max and heart rate recovery than their peers. Conclusion: One in three new medical science students were physically inactive along with compromised cardiorespiratory fitness and heart rate recovery, which put them at risk of cardiometabolic diseases. Promoting healthy lifestyle at the beginning of career is crucial in keeping medical science professionals healthy

Cold-start NOx emissions : diesel and waste lubricating oil as a fuel additive

NOx emissions from diesel engines are a concern from both environmental and health perspectives. Recently this attention has targeted cold-start emissions highlighting that emission after-treatment systems are not effective in this period. Using a 6-cylinder, turbocharged, common-rail diesel engine, the current research investigates NOx emissions during cold-start using different engine performance parameters. In addition, it studies the influence of waste lubricating oil on NOx emissions introducing it as a fuel additive (1 and 5% by volume). To interpret the NOx formation, this study evaluates different parameters: exhaust gas temperature, engine oil temperature, engine coolant temperature, start of injection/combustion, in-cylinder pressure, heat release rate, maximum in-cylinder pressure and maximum rate of pressure rise. This study clarified how cold-start NOx increases as the engine is warming up while in general cold-start NOx is higher than hot-start. Results showed that in comparison with warmed up condition, during cold-start NOx, maximum in-cylinder pressure and maximum rate of pressure rise were higher; while start of injection, start of combustion and ignition delay were lower. During cold-start increased engine temperature was associated with decreasing maximum rate of pressure rise and peak apparent heat release rate. During cold-start NOx increased with temperature and it dropped sharply due to the delayed start of injection. This study also showed that using waste lubricating oil decreased NOx and maximum rate of pressure rise; and increased maximum in-cylinder pressure. NOx had a direct correlation with the maximum rate of pressure rise; and an inverse correlation with the maximum in-cylinder pressure

Meta-analysis of genome-wide association studies from the CHARGE consortium identifies common variants associated with carotid intima media thickness and plaque

Carotid intima media thickness (cIMT) and plaque determined by ultrasonography are established measures of subclinical atherosclerosis that each predicts future cardiovascular disease events. We conducted a meta-analysis of genome-wide association data in 31,211 participants of European ancestry from nine large studies in the setting of the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) Consortium. We then sought additional evidence to support our findings among 11,273 individuals using data from seven additional studies. In the combined meta-analysis, we identified three genomic regions associated with common carotid intima media thickness and two different regions associated with the presence of carotid plaque (P < 5 × 10 -8). The associated SNPs mapped in or near genes related to cellular signaling, lipid metabolism and blood pressure homeostasis, and two of the regions were associated with coronary artery disease (P < 0.006) in the Coronary Artery Disease Genome-Wide Replication and Meta-Analysis (CARDIoGRAM) consortium. Our findings may provide new insight into pathways leading to subclinical atherosclerosis and subsequent cardiovascular events

Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015

SummaryBackground The Global Burden of Diseases, Injuries, and Risk Factors Study 2015 provides an up-to-date synthesis of the evidence for risk factor exposure and the attributable burden of disease. By providing national and subnational assessments spanning the past 25 years, this study can inform debates on the importance of addressing risks in context. Methods We used the comparative risk assessment framework developed for previous iterations of the Global Burden of Disease Study to estimate attributable deaths, disability-adjusted life-years (DALYs), and trends in exposure by age group, sex, year, and geography for 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks from 1990 to 2015. This study included 388 risk-outcome pairs that met World Cancer Research Fund-defined criteria for convincing or probable evidence. We extracted relative risk and exposure estimates from randomised controlled trials, cohorts, pooled cohorts, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. We developed a metric that allows comparisons of exposure across risk factors—the summary exposure value. Using the counterfactual scenario of theoretical minimum risk level, we estimated the portion of deaths and DALYs that could be attributed to a given risk. We decomposed trends in attributable burden into contributions from population growth, population age structure, risk exposure, and risk-deleted cause-specific DALY rates. We characterised risk exposure in relation to a Socio-demographic Index (SDI). Findings Between 1990 and 2015, global exposure to unsafe sanitation, household air pollution, childhood underweight, childhood stunting, and smoking each decreased by more than 25%. Global exposure for several occupational risks, high body-mass index (BMI), and drug use increased by more than 25% over the same period. All risks jointly evaluated in 2015 accounted for 57·8% (95% CI 56·6–58·8) of global deaths and 41·2% (39·8–42·8) of DALYs. In 2015, the ten largest contributors to global DALYs among Level 3 risks were high systolic blood pressure (211·8 million [192·7 million to 231·1 million] global DALYs), smoking (148·6 million [134·2 million to 163·1 million]), high fasting plasma glucose (143·1 million [125·1 million to 163·5 million]), high BMI (120·1 million [83·8 million to 158·4 million]), childhood undernutrition (113·3 million [103·9 million to 123·4 million]), ambient particulate matter (103·1 million [90·8 million to 115·1 million]), high total cholesterol (88·7 million [74·6 million to 105·7 million]), household air pollution (85·6 million [66·7 million to 106·1 million]), alcohol use (85·0 million [77·2 million to 93·0 million]), and diets high in sodium (83·0 million [49·3 million to 127·5 million]). From 1990 to 2015, attributable DALYs declined for micronutrient deficiencies, childhood undernutrition, unsafe sanitation and water, and household air pollution; reductions in risk-deleted DALY rates rather than reductions in exposure drove these declines. Rising exposure contributed to notable increases in attributable DALYs from high BMI, high fasting plasma glucose, occupational carcinogens, and drug use. Environmental risks and childhood undernutrition declined steadily with SDI; low physical activity, high BMI, and high fasting plasma glucose increased with SDI. In 119 countries, metabolic risks, such as high BMI and fasting plasma glucose, contributed the most attributable DALYs in 2015. Regionally, smoking still ranked among the leading five risk factors for attributable DALYs in 109 countries; childhood underweight and unsafe sex remained primary drivers of early death and disability in much of sub-Saharan Africa. Interpretation Declines in some key environmental risks have contributed to declines in critical infectious diseases. Some risks appear to be invariant to SDI. Increasing risks, including high BMI, high fasting plasma glucose, drug use, and some occupational exposures, contribute to rising burden from some conditions, but also provide opportunities for intervention. Some highly preventable risks, such as smoking, remain major causes of attributable DALYs, even as exposure is declining. Public policy makers need to pay attention to the risks that are increasingly major contributors to global burden. Funding Bill & Melinda Gates Foundation