Cost-accuracy and patient experience assessment of blood pressure monitoring methods to diagnose hypertension: A comparative effectiveness study.

Objectives: Studies of the diagnosis of hypertension have emphasized long-term cost-effectiveness analysis, but the patient experience and costs of blood pressure monitoring methods at the diagnosis stage remain unclear. We studied four diagnostic methods: a new 1 h-automated office blood pressure (BP) monitoring, office BP measurement, home BP monitoring, and awake-ambulatory BP monitoring.

Methods: We carried out a comparative effectiveness study of four methods of diagnosing hypertension in 500 participants with a clinical suspicion of hypertension from three primary healthcare (PHC) centers in Barcelona city (Spain).

Connecting the dots: Bridging virtual to in-person physical assessment.

When restrictions imposed by COVID-19 prevented prelicensure nursing students from practicing skills in the simulation center, the faculty designed a plan to bridge the gap from virtual to in-person skill performance for physical assessments. The faculty anticipated an inadequacy of head-to-toe assessment skills related to the lack of face-to-face clinical. Therefore, the faculty used the Plan-Do-Study-Act model (Agency for Healthcare Research and Quality, 2020) for quality improvement to address the skill performance issue.

Risk of Severe Coronavirus Disease 2019 Infection in Kidney Transplant Recipients.

Background: Despite all efforts, the incidence of severe coronavirus disease 2019 (COVID-19) infection has been high in renal transplant recipients, as in other groups (eg, older adults, patients with comorbidities or immunosuppression). The detection of any possible predictor of gravity could improve the early approach in these patients.

Patients And Methods: We registered data from renal transplant recipients with severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) infection in our area for a year (March 2020 to March 2021).

Perceptual salience of derivational suffixes in visual word recognition.

This study analyzes the role of derivational suffixes in visual word recognition, tracking the eye movements of 31 participants in a sentence-reading task in Spanish. Perceptual salience of suffixes was operationalized as the proportion of letters represented by the suffixes with respect to the full words, that is, we relate the number of letters comprising the suffixes to the number of letters in the words in which they appear. The results reveal a significant role in first fixation duration of both word frequency - the more frequent the word, the shorter the fixations, and perceptual salience - the more salient the suffix, the longer the fixations.

Statistical Validation for Clinical Measures: Repeatability and Agreement of Kinect™-Based Software.

Background: The rehabilitation process is a fundamental stage for recovery of people's capabilities. However, the evaluation of the process is performed by physiatrists and medical doctors, mostly based on their observations, that is, a subjective appreciation of the patient's evolution. This paper proposes a tracking platform of the movement made by an individual's upper limb using Kinect sensor(s) to be applied for the patient during the rehabilitation process.

From Hospital to Home Care: Creating a Domotic Environment for Elderly and Disabled People.

Advances in medicine have led to a significant increase in human life expectancy and, therefore, to a growing number of disabled elderly people who need chronic care and assistance [1]. The World Health Organization reports that the world's population over 60 years old will double between 2000 and 2050 and quadruple for seniors older than 80 years, reaching 400 million [2]. In addition, strokes, traffic-related and other accidents, and seemingly endless wars and acts of terrorism contribute to an increasing number of disabled younger people.

Intravehicular, Short- and Long-Range Communication Information Fusion for Providing Safe Speed Warnings.

Inappropriate speed is a relevant concurrent factor in many traffic accidents. Moreover, in recent years, traffic accidents numbers in Spain have fallen sharply, but this reduction has not been so significant on single carriageway roads. These infrastructures have less equipment than high-capacity roads, therefore measures to reduce accidents on them should be implemented in vehicles.

Customized device for pediatric upper limb rehabilitation in obstetric brachial palsy.

A 12-yr-old child, with a history of gestational Erb-Duchenne palsy and, later, musculoskeletal injuries in the left arm caused by a car accident, inspired the design of a customized exoskeleton-like device. Such piece, intended for rehabilitation, has one degree of freedom because the exercise routine involves elbow flexion-extension, which was indicated for the damaged muscular group. The device has two functioning modes, passive and assisted, in which the patient can trigger the movement by a biceps contraction, thus promoting the active role of the user in the rehabilitation process.

Robust human machine interface based on head movements applied to assistive robotics.

This paper presents an interface that uses two different sensing techniques and combines both results through a fusion process to obtain the minimum-variance estimator of the orientation of the user's head. Sensing techniques of the interface are based on an inertial sensor and artificial vision. The orientation of the user's head is used to steer the navigation of a robotic wheelchair.

[Acute encephalitis anti-ionotropic glutamate receptor activated N-methyl-D-aspartate (NMDAR): analysis of eleven pediatric cases in Argentina (Benito Yelín Award)].

Encephalitis are an inflammatory processes of various origin, among which include autoimmune origin. The identification of antibodies against the N-methyl-D- aspartate, allowed clinical immunological characterization of an entity susceptible to immunomodulatory therapy. Originally described in young women associated with ovarian teratoma, is now a recognized entity in children even in the absence of detectable tumors.

Towards a new modality-independent interface for a robotic wheelchair.

This work presents the development of a robotic wheelchair that can be commanded by users in a supervised way or by a fully automatic unsupervised navigation system. It provides flexibility to choose different modalities to command the wheelchair, in addition to be suitable for people with different levels of disabilities. Users can command the wheelchair based on their eye blinks, eye movements, head movements, by sip-and-puff and through brain signals.

Vision based interface: an alternative tool for children with cerebral palsy.

In this paper a new vision based interface (VBI) for children with cerebral palsy is presented. The VBI is implemented for the interaction between children and computer. The VBI detects and tracks the movement of the hand, foot or head of the user.

Mental workload and visual impairment: differences between pupil, blink, and subjective rating.

This research has two aims: (a) To study the concurrent validity of three measures of mental workload, NASA TLX rating scale, pupil dilation and blink rate, testing the hypothesis that they will provide convergent results using a single-task, and dissociative results for dual-task; and (b) To analyse their capability to predict visual search impairment. These three measures were analyzed in the same cognitive tasks in single-task and dual-task (cognitive task and visual search) conditions in a within-subjects experiment with twenty-nine participants. Mental workload measures showed concurrent validity under single-task condition, but a complex pattern of results arose in the dual-task condition: it is suggested that NASA TLX would be a subjective addition of the rating of each task; pupil dilation would measure the average arousal underlying the cognitive tasks; and the blink rate would produce opposite effects: whereas mental workload of cognitive tasks would increase blink rate, visual demand would inhibit it.