Ultrasonic transcutaneous energy transfer (UTET) is used to wirelessly energize low-power miniature implanted devices. Whenever backward data transfer from the implant is of interest, load modulation may be utilized. With load modulation, data is sent backward by imposing ultrasonic reflections from the implant-tissue contact surface. This may be achieved by imposing unmatched electrical load over the implanted transducer electrical terminals. In order to sustain sufficient ultrasonic average power harvesting also during backward data transfer, only a small portion of the impinging ultrasonic energy is allowed to reflect backward. Previous work focused primarily on load modulation via ON- OFF keying (OOK). Herein, it is further shown that phase shift keying can be realized by exploiting the phase characteristics of a matched transducer around its vibration resonance. Load amplitude shift keying (ASK) properly combined with load phase shift keying (LPSK) may be applied, for introducing energy-efficient, high-order signaling schemes, thus improving utilization of the ultrasonic channel. LPSK is realized by momentary imposing reactive loads across the implanted transducer electrical terminals, according to the bit stream of the data to be sent. In this work, LPSK with various constellations and coding are demonstrated, exploiting the acoustic impedance dependency of the implanted piezoelectric resonator on its electrical loading. To support the theoretical notion, a backward data transfer using two-state phase modulation at a bit rate of 20 kbit/s over an ultrasonic carrier frequency of 250 kHz is demonstrated, using finite-element simulation. In the simulation, an implanted transducer was constructed of a 4-mm-diameter hard lead-zirconate-titanate (PZT) disk (PZT8, unloaded mechanical quality property Q of 1000). The PZT resonator was acoustically matched to the tissue impedance, using a layer of 2.72-mm epoxy filled glue and a 2-mm-thick layer of polyethylene.
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http://dx.doi.org/10.1109/TUFFC.2021.3118722 | DOI Listing |
Mult Scler Relat Disord
March 2025
Department of Physical Medicine & Rehabilitation, Rutgers - New Jersey Medical School, 183 South Orange Avenue, Suite F-1560, Newark, NJ 07101, USA; Center for Neuropsychology and Neuroscience Research, Kessler Foundation, 120 Eagle Rock Avenue, Suite 100, East Hanover, NJ 07936, USA. Electronic address:
Background: Cognitive impairment and fatigue are two prevalent symptoms of multiple sclerosis (MS). Fatigue is often thought to be associated with slower processing speed. The Symbol Digit Modalities Test (SDMT) is a widely used assessment of processing speed in MS, but it has also been shown to tap into working memory as well.
View Article and Find Full Text PDFJ Otolaryngol Head Neck Surg
March 2025
Department of Otolaryngology, Jackson Memorial Hospital, Miami, FL, USA.
ImportanceSelective, modified radical, and radical neck dissections are common surgical procedures that can result in significant musculoskeletal issues of the neck and shoulder. Quality-of-life evaluations after neck dissection must assess and quantify these dysfunctions to allow subsequent comparison of outcomes after different treatments.ObjectiveThere is no validated Spanish-language questionnaire designed to evaluate neck and shoulder dysfunction after cervical lymphadenectomy.
View Article and Find Full Text PDFEClinicalMedicine
March 2025
VA Boston Cooperative Studies Program, Boston, MA, USA.
Background: Novel strategies that account for population-level changes in dominant variants, immunity, testing practices and changes in individual risk profiles are needed to identify patients who remain at high risk of severe COVID-19. The aim of this study was to develop and prospectively validate a tool to predict absolute risk of severe COVID-19 incorporating dynamic parameters at the patient and population levels that could be used to inform clinical care.
Methods: A retrospective cohort of vaccinated US Veterans with SARS-CoV-2 from July 1, 2021, through August 25, 2023 was created.
JMIR Aging
March 2025
Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Background: The rapid advancement of technology has made mobile health (mHealth) a promising tool to mitigate health problems, particularly among older adults. Despite the numerous benefits of mHealth, assessing individual acceptance is required to address the specific needs of older people and promote their intention to use mHealth.
Objective: This study aims to adapt and validate the senior technology acceptance model (STAM) questionnaire for assessing mHealth acceptance in the Thai context.
Int J Gen Med
March 2025
Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.
Background: Western dietary patterns are well-established risk factors for coronary heart disease (CHD); however, the potential role of Traditional Chinese Medicine (TCM) dietary theory in exacerbating specific TCM syndromes among CHD patients remains a significant knowledge gap. To address this gap, our study aimed to investigate the relationship between dietary patterns, encompassing diet tastes and eating habits, and the occurrence of Heart-Related Blood Vessel Syndromes (HRBVS) in Chinese patients with CHD.
Methods: Data from 4428 patients with CHD were collected, including 2,973 stable angina pectoris (SAP) cases, 614 acute coronary syndrome (ACS) cases, and 841 heart failure (HF) cases.
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