Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology.

Allergic rhinitis is a symptomatic disorder of the nose induced after allergen exposure by an IgE-mediated inflammation of the membranes lining the nose. It is a global health problem that causes major illness and disability worldwide. Over 600 million patients from all countries, all ethnic groups and of all ages suffer from allergic rhinitis. It affects social life, sleep, school and work and its economic impact is substantial. Risk factors for allergic rhinitis are well identified. Indoor and outdoor allergens as well as occupational agents cause rhinitis and other allergic diseases. The role of indoor and outdoor pollution is probably very important, but has yet to be fully understood both for the occurrence of the disease and its manifestations.

In 1999, during the Allergic Rhinitis and its Impact on Asthma (ARIA) WHO workshop, the expert panel proposed a new classification for allergic rhinitis which was subdivided into 'intermittent' or 'persistent' disease.

This classification is now validated. The diagnosis of allergic rhinitis is often quite easy, but in some cases it may cause problems and many patients are still under-diagnosed, often because they do not perceive the symptoms of rhinitis as a disease impairing their social life, school and work.

The management of allergic rhinitis is well established and the ARIA expert panel based its recommendations on evidence using an extensive review of the literature available up to December 1999. The statements of evidence for the development of these guidelines followed WHO rules and were based on those of Shekelle et al. A large number of papers have been published since 2000 and are extensively reviewed in the 2008 Update using the same evidence-based system. Recommendations for the management of allergic rhinitis are similar in both the ARIA workshop report and the 2008 Update. In the future, the GRADE approach will be used, but is not yet available.

Another important aspect of the ARIA guidelines was to consider co-morbidities. Both allergic rhinitis and asthma are systemic inflammatory conditions and often co-exist in the same patients. In the 2008 Update, these links have been confirmed.

The ARIA document is not intended to be a standard-of-care document for individual countries. It is provided as a basis for physicians, health care professionals and organizations involved in the treatment of allergic rhinitis and asthma in various countries to facilitate the development of relevant local standard-of-care documents for patients.

/pdf/allergic-rhinitis-and-its-impact-on-asthma-aria-2008-update-13eqfzaw4u.pdf

Allergic rhinitis and its impact on asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen)

Authors Jan L. Brozek, MD, PhD – Department of Clinical Epidemiology & Biostatistics and Medicine, McMaster University, Hamilton, Canada Jean Bousquet, MD, PhD – Service des Maladies Respiratoires, Hopital Arnaud de Villeneuve, Montpellier, France, INSERM, CESP U1018, Respiratory and Environmental Epidemiology Team, France, and WHO Collaborating Center for Rhinitis and Asthma Carlos E. Baena-Cagnani, MD – Faculty of Medicine, Catholic University of Cordoba, Cordoba, Argentina Sergio Bonini, MD – Institute of Neurobiology and Molecular Medicine – CNR, Rome, Italy and Department of Medicine, Second University of Naples, Naples, Italy G. Walter Canonica, MD – Allergy & Respiratory Diseases, DIMI, Department of Internal Medicine, University of Genoa, Genoa, Italy Thomas B. Casale, MD – Division of Allergy and Immunology, Department of Medicine, Creighton University, Omaha, Nebraska, USA Roy Gerth van Wijk, MD, PhD – Section of Allergology, Department of Internal Medicine, Erasmus Medical Centre, Rotterdam, the Netherlands Ken Ohta, MD, PhD – Division of Respiratory Medicine and Allergology, Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan Torsten Zuberbier, MD – Department of Dermatology and Allergy, Charite Universitatsmedizin Berlin, Berlin, Germany Holger J. Schunemann, MD, PhD, MSc – Department of Clinical Epidemiology & Biostatistics and Medicine, McMaster University, Hamilton, Canada

/pdf/allergic-rhinitis-and-its-impact-on-asthma-20b4c7y0pr.pdf

Allergic Rhinitis and Its Impact on Asthma

Components of heart rate variability have attracted considerable attention in psychology and medicine and have become important dependent measures in psychophysiology and behavioral medicine. Quantification and interpretation of heart rate variability, however, remain complex issues and are fraught with pitfalls. The present report (a) examines the physiological origins and mechanisms of heart rate variability, (b) considers quantitative approaches to measurement, and (c) highlights important caveats in the interpretation of heart rate variability. Summary guidelines for research in this area are outlined, and suggestions and prospects for future developments are considered.

https://www.onlinelibrary.wiley.com/doi/epdf/10.1111/j.1469-8986.1997.tb02140.x

Heart rate variability: Origins, methods, and interpretive caveats

Electronic Textiles (e-textiles) are fabrics that feature electronics and interconnections woven into them, presenting physical flexibility and typical size that cannot be achieved with other existing electronic manufacturing techniques. Components and interconnections are intrinsic to the fabric and thus are less visible and not susceptible of becoming tangled or snagged by surrounding objects. E-textiles can also more easily adapt to fast changes in the computational and sensing requirements of any specific application, this one representing a useful feature for power management and context awareness. The vision behind wearable computing foresees future electronic systems to be an integral part of our everyday outfits. Such electronic devices have to meet special requirements concerning wearability. Wearable systems will be characterized by their ability to automatically recognize the activity and the behavioral status of their own user as well as of the situation around her/him, and to use this information to adjust the systems' configuration and functionality. This review focuses on recent advances in the field of Smart Textiles and pays particular attention to the materials and their manufacturing process. Each technique shows advantages and disadvantages and our aim is to highlight a possible trade-off between flexibility, ergonomics, low power consumption, integration and eventually autonomy.

/pdf/wearable-electronics-and-smart-textiles-a-critical-review-2oa10tsfxp.pdf

Wearable Electronics and Smart Textiles: A Critical Review

The noise sensitivities of nine different QRS detection algorithms were measured for a normal, single-channel, lead-II, synthesized ECG corrupted with five different types of synthesized noise: electromyographic interference, 60-Hz power line interference, baseline drift due to respiration, abrupt baseline shift, and a composite noise constructed from all of the other noise types. The percentage of QRS complexes detected, the number of false positives, and the detection delay were measured. None of the algorithms were able to detect all QRS complexes without any false positives for all of the noise types at the highest noise level. Algorithms based on amplitude and slope had the highest performance for EMG-corrupted ECG. An algorithm using a digital filter had the best performance for the composite-noise-corrupted data. >

A comparison of the noise sensitivity of nine QRS detection algorithms

Witnessing the swift advances in the electronic means of seeing and hearing, scientists and engineers scent a market for systems mimicking the human nose. Already commercial systems from several companies are targeting applications, present and potential, that range from quality assurance of food and drugs to medical diagnosis, environmental monitoring, safety and security and military use. Here, the authors outline the major transducer technologies-in one sense, the key component of an electronic nose.

The how and why of electronic noses

Odors are sensations that occur when compounds (called odorants) stimulate receptors located in the olfactory epithelium at the roof of the nasal cavity. Odorants are hydrophobic, volatile compounds with a molecular weight of less than 300 daltons. Humans can recognize and distinguish up to 10 000 different substances on the basis of their odor quality. Odorant receptors (ORs) in the nasal cavity detect and discriminate among these thousands of diverse chemical ligands. An individual odorant can bind to multiple receptor types, and structurally different odorants can bind to a single receptor. Specific patterns of activation generate signals that allow us to discriminate between the vast number of distinct smells. The physicochemical attributes of odorants that induce specific odor sensations are not well understood. The genes that code for ORs have been cloned, and results from cloning studies indicate that ORs are members of a superfamily of hundreds of different G-protein-coupled receptors that possess seven transmembrane domains. A complete knowledge of structureodor relationships in olfaction awaits the three-dimensional analysis of this large family of ORs. Ultimately, simultaneous knowledge of the three-dimensional structure of ORs as well as odorants will allow us to develop a pattern recognition paradigm that can predict odor quality.

/pdf/handbook-of-machine-olfaction-4sqbr5ud63.pdf

Handbook of Machine Olfaction

The performance of a pattern recognition system is dependent on, among other things, an appropriate data-preprocessing technique, In this paper, we describe a method to evaluate the performance of a variety of these techniques for the problem of odour classification using an array of gas sensors, also referred to as an electronic nose. Four experimental odour databases with different complexities are used to score the data-preprocessing techniques. The performance measure used is the cross-validation estimate of the classification rate of a K nearest neighbor voting rule operating on Fisher's linear discriminant projection subspace.

A method for evaluating data-preprocessing techniques for odour classification with an array of gas sensors

Respiration monitoring in everyday life enables the early detection of the diseases and disorders that can suddenly manifest in a life threatening episode. Long-term monitoring can extend the capabilities of healthcare providers if reliability can be achieved economically. In this paper, the potential for using capacitive sensing to serve as an inexpensive method for long-term respiration sensing is explored. This paper proposes new designs of capacitive sensors for respiration sensing and describes the design and fabrication of a prototype textile-based capacitive-sensor respiration belt. Two capacitive sensors were designed and fabricated for detecting chest or abdominal circumference changes of up to 60 mm. These sensors gave good linearity, and the respiration measurements obtained with these new sensors show that they are capable of measuring respiration rate, and possibly lung function parameters.

H.T. Nagle

Papers

A comparison of the noise sensitivity of nine QRS detection algorithms

The how and why of electronic noses

Handbook of Machine Olfaction

A method for evaluating data-preprocessing techniques for odour classification with an array of gas sensors

Textile-Based Capacitive Sensors for Respiration Monitoring