Objective: Hot flashes are the classic menopausal symptom. Emerging data links hot flashes to cardiovascular disease (CVD) risk, yet how hot flashes are related to brain health is poorly understood. We examined the relationship between hot flashes measured via physiologic monitor and self-report and white matter hyperintensities (WMH) among midlife women. Methods: Twenty midlife women ages 40-60 without clinical CVD, with their uterus and both ovaries, and not taking hormone therapy were recruited. Women underwent 24 hours of ambulatory physiologic and diary hot flash monitoring to quantify hot flashes; magnetic resonance imaging to assess WMH burden; 72 hours of actigraphy and questionnaires to quantify sleep; and a blood draw, questionnaires, and physical measures to quantify demographics and CVD risk factors. Test of a priori hypotheses regarding relations between physiologically-monitored and self-reported wake and sleep hot flashes and WMH were conducted in linear regression models. Results: More physiologically-monitored hot flashes during sleep were associated with greater WMH, controlling for age, race, and body mass index [beta(standard error)=.0002 (.0001), p=.03]. Findings persisted controlling for sleep characteristics and additional CVD risk factors. No relations were observed for self-reported hot flashes. Conclusions: More physiologically-monitored hot flashes during sleep were associated with greater WMH burden among midlife women free of clinical CVD. Results suggest that relations between hot flashes and CVD risk observed in the periphery may extend to the brain. Future work should consider the unique role of sleep hot flashes in brain health.

We review the techniques of below-ground wireless communication in the oil and gas industry. A historical and theoretical analysis of pressure wave and electromagnetic communication is presented. Case studies for both technologies and their current applications are evaluated to identify the limitations of each method and opportunities for innovation. Finally, the possibilities of smart well technology are discussed with focus on sensors powered wirelessly for the continuous monitoring of shale oil/gas reservoirs using electromagnetic methods. We conclude that the critical challenges are associated with powering the devices, which must perform for periods of months to years and must be able to generate sufficiently powerful signals to overcome the large signal attenuation associated with electromagnetic wave propagation through geological media.

BACKGROUND: Microvascular anastomotic failure remains an uncommon but potentially devastating problem in free tissue transfer. Implantable vascular Doppler monitoring results in increased fl ap salvage rates. However, these devices are cumbersome, have easily dislodged wire, possible pedicle compromise upon probe removal, and false positives due to gapping between probe head and vessel. In an effort to circumvent these shortcomings, we have developed an entirely implantable wireless Doppler sensor and tested this prototype in a pig femoral vein model.

The strength of time-dependent correlations known as stride interval (SI) dynamics has been proposed as an indicator of neurologically healthy gait. Most recently, it has been hypothesized that these dynamics may be necessary for gait efficiency although the supporting evidence to date is scant. The current study examines over-ground SI dynamics, and their relationship with the cost of walking and physical activity levels in neurologically healthy children aged nine to 15 years. Twenty participants completed a single experimental session consisting of three phases: 10 min resting, 15 min walking and 10 min recovery. The scaling exponent (α) was used to characterize SI dynamics while net energy cost was measured using a portable metabolic cart, and physical activity levels were determined based on a 7-day recall questionnaire. No significant linear relationships were found between a and the net energy cost measures (r < .07; p > .25) or between α and physical activity levels (r = .01, p = .62). However, there was a marked reduction in the variance of α as activity levels increased. Over-ground stride dynamics do not appear to directly reflect energy conservation of gait in neurologically healthy youth. However, the reduction in the variance of α with increasing physical activity suggests a potential exercise-moderated convergence toward a level of stride interval persistence for able-bodied youth reported in the literature. This latter finding warrants further investigation.

Background Decline in cognitive performance is associated with gait deterioration. Our objectives were: 1) to determine, from an original study in older community-dwellers without diagnosis of dementia, which gait parameters, among slower gait speed, higher stride time variability (STV) and Timed Up & Go test (TUG) delta time, were most strongly associated with lower performance in two cognitive domains (i.e., episodic memory and executive function); and 2) to quantitatively synthesize, with a systematic review and meta-analysis, the association between gait performance and cognitive decline (i.e., mild cognitive impairment (MCI) and dementia). Methods Based on a cross-sectional design, 934 older community-dwellers without dementia (mean±standard deviation, 70.3±4.9years; 52.1% female) were recruited. A score at 5 on the Short Mini-Mental State Examination defined low episodic memory performance. Low executive performance was defined by clock-drawing test errors. STV and gait speed were measured using GAITRite system. TUG delta time was calculated as the difference between the times needed to perform and to imagine the TUG. Then, a systematic Medline search was conducted in November 2013 using the Medical Subject Heading terms “Delirium,” “Dementia,” “Amnestic,” “Cognitive disorders” combined with “Gait” OR “Gait disorders, Neurologic” and “Variability.” Findings A total of 294 (31.5%) participants presented decline in cognitive performance. Higher STV, higher TUG delta time, and slower gait speed were associated with decline in episodic memory and executive performances (all P-values <0.001). The highest magnitude of association was found for higher STV (effect size  =  −0.74 [95% Confidence Interval (CI): −1.05;−0.43], among participants combining of decline in episodic memory and in executive performances). Meta-analysis underscored that higher STV represented a gait biomarker in patients with MCI (effect size  =  0.48 [95% CI: 0.30;0.65]) and dementia (effect size  = 1.06 [95% CI: 0.40;1.72]). Conclusion Higher STV appears to be a motor phenotype of cognitive decline.

Analog sparse signals resulting from biomedical and sensing network applications are typically non–stationary with frequency–varying spectra. By ignoring that the maximum frequency of their spectra is changing, uniform sampling of sparse signals collects unnecessary samples in quiescent segments of the signal. A more appropriate sampling approach would be signal–dependent. Moreover, in many of these applications power consumption and analog processing are issues of great importance that need to be considered. In this paper we present a signal dependent non–uniform sampler that uses a Modified Asynchronous Sigma Delta Modulator which consumes low–power and can be processed using analog procedures. Using Prolate Spheroidal Wave Functions (PSWF) interpolation of the original signal is performed, thus giving an asynchronous analog to digital and digital to analog conversion. Stable solutions are obtained by using modulated PSWFs functions. The advantage of the adapted asynchronous sampler is that range of frequencies of the sparse signal is taken into account avoiding aliasing. Moreover, it requires saving only the zero–crossing times of the non–uniform samples, or their differences, and the reconstruction can be done using their quantized values and a PSWF–based interpolation. The range of frequencies analyzed can be changed and the sampler can be implemented as a bank of filters for unknown range of frequencies. The performance of the proposed algorithm is illustrated with an electroencephalogram (EEG) signal.

Swallowing accelerometry is a promising tool for non-invasive assessment of swallowing difficulties. A recent contribution showed that swallowing accelerometry signals for healthy swallows and swallows indicating laryn- geal penetration or tracheal aspiration have different time-frequency structures, which may be problematic for compressive sensing schemes based on time-frequency dictionaries. In this paper, we examined the effects of dif- ferent swallows on the accuracy of a compressive sensing scheme based on modulated discrete prolate spheroidal sequences. We utilized tri-axial swallowing accelerometry signals recorded from four patients during routinely schedule videofluoroscopy exams. In particular, we considered 77 swallows approximately equally distributed between healthy swallows and swallows presenting with some penetration/aspiration. Our results indicated that the swallow type does not affect the accuracy of a considered compressive sensing scheme. Also, the results con- firmed previous findings that each individual axis contributes different information. Our findings are important for further developments of a device which is to be used for long-term monitoring of swallowing difficulties.

Unlike synchronous processing, asynchronous processing is more efficient in biomedical and sensing networks applications as it is free from aliasing constraints and quantization error in the amplitude, it allows continuous-time processing and more importantly data is only acquired in significant parts of the signal. We consider signal decomposers based on the asynchronous sigma delta modulator (ASDM), a non-linear feedback system that maps the signal amplitude into the zero-crossings of a binary output signal. The input, the zero-crossings and the ASDM parameters are related by an integral equation making the signal reconstruction difficult to implement. Modifying the model for the ASDM, we obtain a recursive equation that permits to obtain the non-uniform samples from the zero-time crossing values. Latticing the joint time-frequency space into defined frequency bands, and time windows depending on the scale parameter different decompositions are possible. We present two cascade low- and high-frequency decomposers, and a bank-of-filters parallel decomposer. This last decomposer using the modified ASDM behaves like a asynchronous analog to digital converter, and using an interpolator based on Prolate Spheroidal Wave functions allows reconstruction of the original signal. The asynchronous approaches proposed here are well suited for processing signals sparse in time, and for low-power applications.

An implantable wireless Doppler device used in microsurgical free flap surgeries can suffer from lost data points. To recover the lost samples, the authors considered the approaches based on a recently proposed compressive sensing. In this paper, they performed a comparative analysis of several different approaches by using synthetic and real signals obtained during blood flow monitoring in four pigs. They considered three different bases functions: Fourier bases, discrete prolate spheroidal sequences and modulated discrete prolate spheroidal sequences, respectively. To avoid the computational burden, they considered the approaches based on the l 1 minimisation for all the three bases. To understand the trade-off between the computational complexity and the accuracy, they also used a recovery process based on a matching pursuit and modulated discrete prolate spheroidal sequences bases. For both the synthetic and the real signals, the matching approach with modulated discrete prolate spheroidal sequences provided the most accurate results. Future studies should focus on the optimisation of the modulated discrete prolate spheroidal sequences in order to further decrease the computational complexity and increase the accuracy.

Gait accelerometry is a promising tool to assess human walking and reveal deteriorating gait characteristics in patients and can be a rich source of clinically relevant information about functional declines in older adults. Therefore, in this paper, we present a comprehensive set of signal features that may be used to extract clinically valuable information from gait accelerometry signals. To achieve our goal, we collected tri-axial gait accelerometry signals from 35 adults 65 years of age and older. Fourteen subjects were healthy controls, 10 participants were diagnosed with Parkinson's disease, and 11 participants were diagnosed with peripheral neuropathy. The data were collected while the participants walked on a treadmill at a preferred walking speed. Accelerometer signal features in time, frequency and time-frequency domains were extracted. The results of our analysis showed that some of the extracted features were able to differentiate between healthy and clinical populations. Signal features in all three domains were able to emphasize variability among different groups, and also revealed valuable information about variability of the signals between anterior-posterior, mediolateral, and vertical directions within subjects. The current results imply that the proposed signal features can be valuable tools for the analysis of gait accelerometry data and should be utilized in future studies.