Remote Message Research Articles

An SMS-Guided Basal Insulin Titration in People with Type 2 Diabetes New on Insulin.

The shortage of general practitioners (GPs) and the increasing prevalence of type 2 diabetes create significant pressure on primary healthcare services. To enable that medical services are available to allthat need it, innovative solutions are needed. One of those, a Short Message Service (SMS)-supported basal insulin titration service is investigated in this study. The primary objective was to determine the percentage of subjects who achieved stable fasting blood glucose (FBG) within their individual target range with this service after week 16. This single-arm, 16-week study aimed to enroll 111 adults diagnosed with type 2 diabetes that needed insulin. The study subjects measured their FBG 4 consecutive days to establish a baseline, then received SMS prompts for daily FBG measurements and evening insulin injections until their FBG stabilized within the target range. Adjusting the insulin based on the FBG. Once stabilization was achieved, subjects continued with their optimal insulin dose for the remainder of the study. Sixteen weeks after the baseline, subjects measured FBG for 4days before visit 4, where these values were read by the healthcare provider. Out of the planned 111 subjects, only 30 were enrolled, with one withdrawal prior to service activation. Challenges in subject recruitment were attributed to the COVID-19 outbreak, limited eligibility, competing studies, and new medications delaying insulin initiation. Subjects were on average 59.97years old, had an HbA1c of 9.29% a FBG of 205.64mg/dl, and had diabetes for 10years. Among the 29 subjects who started the service, 72% achieved successful titration at visit 4, with a median time of 49days. Notable improvements were observed in HbA1c levels (decreased by 1.58%) and FBG levels (decreased by 64mg/dl) over the 16-week study period. No adverse events or device-related issues were reported. Despite recruitment challenges, guided basal insulin titration holds promise for insulin therapy initiation in individuals. The findings emphasize the potential of tele-medical approaches, specifically through remote messaging, in managing diabetes and improving therapy adherence.

PRAGMATIC, SUSTAINABLE, AND COST-FEASIBLE TECHNOLOGIES TO ENABLE REMOTE CARE COORDINATION SERVICES

Abstract The aim of this presentation is to communicate the approach and lessons learned in successfully deploying open source smart home and consumer-grade technologies to enable novel remote care coordination services for older adults as part of the CMS-funded ASSETs for Aging in Place demonstration project. Major barriers to use of technologies that enable service reach to rural or home-bound at-risk populations are technology availability, internet connectivity, cost, configuration, installation, ease of management, and usability and usefulness of clinically relevant data displays for decision-making to support personalized care coordination, coaching, and self-management goals. We have pioneered a reusable, innovative approach and infrastructure through partnership with the State of Missouri Department of Social Services and a non-profit hosting partner that facilitates testing and deployment of such remote services with broad goals of scalability and translation as starting principles. The specific focus of this presentation will describe technology selection, configuration, proof-of-concept testing, use of mobile hot spots to overcome broadband availability in rural areas, team composition and skills, introduction and training of the OT/Nurse/Social Worker teams to technology, resources required to stand up the team and transition to independent technology expertise in the field with mobile, video, and remote messaging tools, and user-centered design engagement of the care coordination and informatics teams to drive dashboard features and visual display developments for new work flows. An overview of the approach, technologies, and practical considerations to support research and development of new technology-enabled services for older adults will be presented.

Tora3D: an autoregressive torsion angle prediction model for molecular 3D conformation generation

Three-dimensional (3D) conformations of a small molecule profoundly affect its binding to the target of interest, the resulting biological effects, and its disposition in living organisms, but it is challenging to accurately characterize the conformational ensemble experimentally. Here, we proposed an autoregressive torsion angle prediction model Tora3D for molecular 3D conformer generation. Rather than directly predicting the conformations in an end-to-end way, Tora3D predicts a set of torsion angles of rotatable bonds by an interpretable autoregressive method and reconstructs the 3D conformations from them, which keeps structural validity during reconstruction. Another advancement of our method over other conformational generation methods is the ability to use energy to guide the conformation generation. In addition, we propose a new message-passing mechanism that applies the Transformer to the graph to solve the difficulty of remote message passing. Tora3D shows superior performance to prior computational models in the trade-off between accuracy and efficiency, and ensures conformational validity, accuracy, and diversity in an interpretable way. Overall, Tora3D can be used for the quick generation of diverse molecular conformations and 3D-based molecular representation, contributing to a wide range of downstream drug design tasks.Graphical

Development of Air Purification Facial Shield with Real Time Health Monitoring System

IoT-based healthcare systems can ensure better patient health monitoring conditions especially in remote areas as IoT has found its reach in the daily lives of every person let it be in the way of remote messaging, data transfer, wearable devices monitoring your location, health status or any other. Quick and robust Health monitoring systems has again gained popularity with the advent of Corona Virus in recent times. Nearly everyone in today’s world after attaining an appropriate age is using the health monitoring system to measure vital parameters of the body. In rural areas, monitoring systems are not easily available, and even if acquired, they are largely very bulky and require expertise to use. So, the need is for small, remote and easily available and usable devices which have extra features to measure and display vital health parameters that can be integrated with a system to broadcast the live data to central station which can be monitored by experts. In this work, health vital signs like body temperature and pulse are measured using sensors like MAX30102 and the measured data is sent to the IoT cloud for scheduling a patient’s recorded history. We have utilized Wi-Fi convention IEEE 802.11, standard IPv4 address, next to a 3G cellular arrangement to send information from sensors to versatile application “Blynk”. Besides, Node MCU and Arduino UNO microcontrollers are also connected to the facial shield.

1009-P: The Association between Patient Characteristics and the Efficacy of Remote Patient Monitoring and Messaging

In the Pilot 4T study (n=135) , remote patient monitoring (RPM) was associated with improved time in range (TIR) and lower A1c. Measuring differences in how patients respond to messages from the care team is essential for the design of effective, personalized care models. We analyzed electronic health record (EHR) and continuous glucose monitor (CGM) data to estimate the week-over-week impact of RPM messages on patients’ TIR. We applied statistical clustering methods to divide patients who received messages into two groups based on their changes in TIR and compared the characteristics of these groups. Receiving a message was associated with a greater mean week-to-week improvement in TIR after a low-TIR week [4.9 percentage points (pp) after a message vs. 2.5pp without a message; p < 0.001]. A patient’s TIR improvement after receiving a message is greater on average if the same patient’s TIR improved following previous messages. We identified two groups of patients with significantly different responses to messages. The group with greater mean TIR improvement after messages contains a larger proportion of non-white, non-English speaking, and publicly insured patients. We found that messages were associated with different magnitudes of TIR improvement across two clusters of patients. Identifying patients who benefit more from RPM could facilitate the personalization of management strategies. Disclosure J.Ferstad: None. P.Prahalad: None. D.M.Maahs: Advisory Panel; Abbott Diabetes, Eli Lilly and Company, Medtronic, Novo Nordisk, Sanofi, Consultant; Aditx Therapeutics, Inc., Biospex. E.Fox: None. R.Johari: None. D.Scheinker: None. Funding Helmsley Charitable Trust, ISPAD-JDRF Fellowship,NIH R18DK122422,Stanford Diabetes Research Center,LPCH Auxiliaries,Stanford Maternal and Child Health Research Institute, The Stanford REDCap platform (http://redcap.stanford.edu) is developed and operated by Stanford Medicine Research IT team. The REDCap platform services at Stanford are subsidized by a) Stanford School of Medicine Research Office, and b) the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, through grant UL1 TR001085.

Working with readers under quarantine conditions

The main purpose of the article is to present the experience in organizing users’ services at the Universal Literature Circulation Department of the Central Scientific Library (CSL) of the Federal Research Center “Krasnoyarsk Science Center” of the Siberian Branch of the Russian Academy of Sciences (FRC KSC SB RAS) in the period of spring - summer of 2020. Ways of solving the problems that arose in the libraries’ work due to restrictions caused by the COVID-19 pandemic are considered.During the quarantine period, it became necessary to ensure the return and extension of literature in the conditions of limited contacts between the librarian and the reader. The following mechanisms for solving the problems were proposed: the possibility of remote extension of the period of documents usage with the help of a mobile communication device as well as of books return through the “book-box” at the checkpoint of the FRC KSC. When informing users in a remote mode, telephone calls, SMS and e-mail messages were used.The preferences of readers when using various communication systems were analyzed: among the subscribers who used the remote method of extending books usage period, about half of the readers used Viber, one third used WhatsApp and about a fifth – e-mail. The efficiency of the work performed was determined: almost all users settled the matters with the library before August 31. At the same time, most of the books were returned or the period of usage was extended. Several reasons for effective work were highlighted: convenience of online renewal; no time limits for returning books; prompt notification of readers about new opportunities. The advantages of the proposed technology (the fulfillment of quarantine requirements, convenience of remote work for readers, and, as a result, promptness of performing actions on their part) and disadvantages (additional work to preserve information when using the employee’s personal smartphone, lack of personal contact between the librarian and the reader are emphasized.The activity of the Circulation Department is assessed as satisfactory according to the selected set of criteria. The considered method of the Department work, taking into account the quarantine requirements, is recognized as promising.

Multilevel mobile health approach to improve cardiovascular health in resource-limited communities with Step It Up: a randomised controlled trial protocol targeting physical activity

IntroductionAlthough physical activity (PA) reduces cardiovascular disease (CVD) risk, physical inactivity remains a pressing public health concern, especially among African American (AA) women in the USA. PA interventions focused on...

Exploratory Study of Psychosocial Therapies with Text Messages to Mobile Phones in Groups of Vulnerable Immigrant Women.

Various experimental studies on psychosocial therapy have been carried out through text messages with groups of people suffering from depression, anxiety, alcoholism, addictions, etc., but without distinguishing between men and women or highly vulnerable groups such as immigrants. We present an exploratory study of a mobile communication system which intends to improve the mental, physical and social health of a group of vulnerable immigrant women in Spain (n = 71), distinguishing between an intervention group and a non-equivalent control group. We sent automatic text messages (SMS) to the mobile phones of an intervention group formed by immigrant women who used the social services (n = 44). During a 26-day intervention period, the women received 4 daily automatic text messages on their phones, at a predetermined time. We measured mood and depression symptoms at the beginning and end of the intervention, and analysed the qualitative data to determine the acceptance level of a remote message program. The mood and depression symptoms were measured with the personal health questionnaire-9 (PHQ-9) and were significantly better in the intervention group; they evolved from an initial 9.4 (DS = 6.4, range 1-25) to a 5.0 score at the end of the message period (DS = 4.8); with a significant difference (t (44) = 2.01, p = 7.80). Most women stated that the messages had improved their mood (86.3%), which made them feel more connected to their social environment (65.9%) and that they would like to continue receiving more messages (86.6%).

English

The cultivation of maize round the year is a great challenge to both subsistence and mechanized farmers in Abia State owing to the changes in climatic conditions especially precipitation, relative humidity, and temperature during the two traditional seasons, which affect the growth and yield of the cereal crop. This paper is the first of a two-part study aimed to evolving an internet-based remote monitoring and messaging system for farmers in the Umueze-Umuchi communities and other connected areas in Osisioma Ngwa Local Government of Abia State to enable monitoring of vital climatic conditions that are much likely to affect their maize farms during the dry season. This study is descriptive and presents succinct information on maize cultivation in the communities with recourse to topography, relief and drainage, climate, soil and vegetation of the area. Data were collected through observation and interview of selected farmers. The vital atmospheric conditions required for maize farming such as temperature, vapour pressure, and relative humidity were noted to vary during the seasons: rainy and dry seasons, respectively. Data from farmers showed that maize cultivation begins in early march following early rainfall and actively ends around June when the volume of precipitation is at its peak. No maize cultivation is done during the dry season beginning from early November owing to low precipitation regardless of the presence of the Aba River across these communities. Consequent upon the findings, the authors are led to examining the option of all year-round maize cultivation aided by an internet of things (IoT)-enabled climate monitoring system in order to boost maize production in the aforementioned communities. It is submitted that the use of the monitoring device will enable the farmer know when to complement the adverse climatic conditions during the dry season thereby enhancing maize cultivation round the year. Key words: Osisioma Ngwa, Abia State, maize farming, internet of things (IoT), food production, climate monitoring system.

Monitoring Progress and Adherence with PAP Therapy for OSA: the Roles of Telemedicine and Mobile Health Applications

Given the challenge of optimizing continuous positive airway pressure (CPAP) therapy adherence in patients with obstructive sleep apnea (OSA), this paper discusses implementation of telemedicine-based mechanisms and other health-related technologies in order to develop a comprehensive and cost-effective solution for OSA management. Technology is changing every aspect of health care by empowering patients while changing the approach of providers and the health system of delivering care. Key elements include the use of electronic messaging, remote monitoring, automated care mechanisms, and patient self-management platforms. Follow-up care mechanisms involving automated remote monitoring and direct patient messaging have been proven to improve therapy adherence. Additional sleep-related telemedicine platforms that can be practically adopted include the use of web-based educational programs, patient applications that promote self-management, and peer-based patient-driven platforms. This paper discusses sleep-related telemedicine mechanisms that can be used to improve CPAP adherence and discusses emerging trends within the health information technology ecosystem, including electronic health record integration and their potential impact on OSA and clinical outcomes.

Cooperative Web Caching Using Dynamic Interest-Tagged Filtered Bloom Filters

Although cooperative Web caching has been widely researched, comparatively little has been done to reduce inter-proxy network overhead whilst allowing for a high percentage of requested documents to be retrieved from the cache. Alleviating these issues can substantially reduce Web traffic, increase scalability and enhance a user’s browsing experience. This paper introduces a novel cache sharing system employing data structures called Dynamic Interest-Tagged Filtered Bloom Filters (DITFBFs). DITFBFs are capable of representing the cache content of a proxy in a compact form, which is then shared with other proxies in the cooperative Web caching system. What distinguishes the proposed system from others is that DITFBFs only represent the portion of a proxy’s cache content that will be of interest to another proxy. This then results in a reduction of inter-proxy overhead. Experimental simulations indicate that, when compared with existing protocols, the proposed system is capable of multiple improvements. Namely, lowering the number of remote cache search messages by at least 60 percent, decreasing user-perceived latency by at least 65 percent and appreciably reducing the overall inter-proxy network overhead. The proposed system accomplishes this whilst maintaining a cache hit ratio as high as the other protocols.

Development of Novel Fire Alarm Warning System Using Automated Remote Messaging Method

This paper discussed on design and development of fire warning system using automated remote messaging method. This device enables to alert the owner whenever fire occur that need rapid attention towards the building. This is maybe due to carelessness of user or gas leakage. Fire warning system is an existing project but it will be enhanced. This project discussed the design and implementation of a fire alarm system using the microcontroller which controlled the entire system. This system comprised of smoke detector that linked to PIC and GSM Modem. When smoke detected, the fire alarm will triggered and send a signal to the PIC. The PIC will process the data and transmit the signal to the GSM modem. The GSM modem will send message to alert the building owner. The owner can make further action by informing the nearest fire department. This module is applied for transferring of GSM SMS message to the owner mobile number. The devices can be the early and fast prevention system for building owner.

PAGE: A Partition Aware Engine for Parallel Graph Computation

Graph partition quality affects the overall performance of parallel graph computation systems. The quality of a graph partition is measured by the balance factor and edge cut ratio. A balanced graph partition with small edge cut ratio is generally preferred since it reduces the expensive network communication cost. However, according to an empirical study on Giraph, the performance over well partitioned graph might be even two times worse than simple random partitions. This is because these systems only optimize for the simple partition strategies and cannot efficiently handle the increasing workload of local message processing when a high quality graph partition is used. In this paper, we propose a novel partition aware graph computation engine named PAGE, which equips a new message processor and a dynamic concurrency control model. The new message processor concurrently processes local and remote messages in a unified way. The dynamic model adaptively adjusts the concurrency of the processor based on the online statistics. The experimental evaluation demonstrates the superiority of PAGE over the graph partitions with various qualities.

PARALLEL SIMULATION OF LARGE-SCALE ARTIFICIAL SOCIETY WITH GPU AS COPROCESSOR

Large-scale artificial societies with millions or billions of agents call for high-performance parallel simulation. Prevailing supercomputers with thousands of CPUs and GPUs make it possible to carry out such simulation. The key is to distribute large-scale agents to massive cores of CPUs and GPUs properly for parallel computing with efficient communication and synchronization. For simplicity and efficiency, a modified discrete event system specification (DEVS) is proposed for large-scale artificial society modeling and parallelism is exploited in agent models because similar agents usually share similar behaviors. Through phased synchronization, a two-tier parallel simulation engine is designed with support of MPI and OpenCL where GPU is used as coprocessor. One-sided communication is used for reflection of remote simulation objects and message passing between processes. A general kernel function prototype is elaborately designed and conditionally compiled for execution on both CPU and GPU. An artificial society for epidemic study is used to test the performance on a supercomputer with 1024 CPU cores and 1792 GPU cores. The speedup reaches 3512 for even 2 billion agents with GPU acceleration which is far over 701 when only CPUs are used. It turns out feasible for parallel simulation of large-scale artificial society with GPU as coprocessor.

Design and Implementation of Fault Tolerance in the BACnet/IP Protocol

Digital communication networks have become a core technology in advanced building automation systems. The building automation and control network (BACnet) is a standard data communication protocol designed specifically for building automation and control systems. BACnet provides the BACnet/IP (B/IP) protocol for data communication through the Internet. Every B/IP device uses a B/IP broadcast management device (BBMD) to deliver remote or global BACnet broadcast messages. In this paper, we propose a fault-tolerant BBMD for the B/IP protocol. The fault-tolerant BBMD improves the connectivity of B/IP networks because a backup BBMD automatically inherits the role of a defective primary BBMD. The fault-tolerant BBMD was designed to provide backward compatibility with existing B/IP devices. In this paper, we implemented the fault-tolerant BBMD and examined its validity using an experimental model.

Safety technologies impacts survey in M-services security provision

Nowadays, Effectiveness and benefits of mobile phone technologies appeared more than expected. During the recent decade, using of mobile phone improved from telephone call tools to a remote control, transfer messages and financial transactions tools. One of the most important challenges in the mservices area is the security issue. Different papers have discussed various aspects of secured networks. But, until now a extensive ranking approach has not been presented to overcome the security issues. In this paper, first the security technologies and their applications have reviewed. Then the future trends of mobile technology in the world and current condition of mobile users in Iran have investigated. The result of literature reviews showed 13 security technologies and 6 groups of applications. In the next step, with designing a questionnaire for collecting and analyzing the opinion of experts, the importance of different security technologies within six types of mobile service have scrutinized.

Small steps are easier together: A goal-based ecological intervention to increase walking by women in rural worksites

Objective Small Steps Are Easier Together (SmStep) was a locally-instituted, ecologically based intervention to increase walking by women. Methods Participants were recruited from 10 worksites in rural New York State in collaboration with worksite leaders and Cooperative Extension educators. Worksite leaders were oriented and chose site specific strategies. Participants used pedometers and personalized daily and weekly step goals. Participants reported steps on web logs and received weekly e-mail reports over 10 weeks in the spring of 2008. Results Of 188 enrollees, 114 (61%) reported steps. Weekly goals were met by 53% of reporters. Intention to treat analysis revealed a mean increase of 1503 daily steps. Movement to a higher step zone over their baseline zone was found for: 52% of the sedentary (n = 80); 29% of the low active (n = 65); 13% of the somewhat active (n = 28); and 18% of the active participants (n = 10). This placed 36% of enrollees at the somewhat active or higher zones (23% at baseline, p < 0.005). Conclusion Workers increased walking steps through a goal-based intervention in rural worksites. The SmStep intervention provides a model for a group-based, locally determined, ecological strategy to increase worksite walking supported by local community educators and remote messaging using email and a web site.

Towards a routing framework in ad hoc space networks

A routing framework called Space Gateway Routing (SGR) is proposed for routing through Autonomous Regions (ARs) in ad hoc space networks. SGR has two integral parts: External SGR (ESGR) and Interior SGR (ISGR). ESGR addresses the delivery of different traffic types through ARs. Location-Predicted Directional Broadcast is proposed for fast delivery of remote control messages and automatic data delivery, and Receiver-Initiated On-demand Routing is for controlled data delivery. ISGR exchanges inter-AR routing information among border routers within an AR and schedules inter-AR message transmissions. Longest Queues and Minimum Waiting policies are proposed for contact allocation and inter-region message scheduling, respectively.

English

MMS is the popular technology that is being misused heavily in the present times. In this paper, we are suggested MMSSEC algorithm to prevent unauthorized users from viewing messages which are not meant for them. This algorithm uses encryption and decryption technique for securing communication. Introduction The Multimedia Messaging Service (MMS) can be seen as the ‘best of the breed’ of several messaging services such as the Short Message Service (SMS), the Enhanced Messaging Service (EMS) and the Internet mail. Since 2002, the first MMS wave offers basic messaging features to mobile users and a second MMS wave is already appearing. This second wave builds up from basic messaging functions to offer more sophisticated features, from photo messaging to video messaging. The roots of the MMS lie in the textbased SMS and the Internet electronic mail. Indeed, features already supported by these services have not been forgotten in MMS. MMS supports the management of reports (delivery and read reports), message classes and priorities and group sending. In addition, MMS differs from other messaging services with its multimedia capabilities, its support for email and phone number addressing modes, its efficient transport mechanism and flexible charging framework. MMS architecture The MMS client is the software application shipped with the mobile handset, which allows the composition, viewing, sending, retrieval of multimedia messages and the management of reports. For the exchange of a multimedia message, the MMS client that generates and sends it is known as the originator MMS client, whereas the MMS client that receives the multimedia message is known as the recipient MMS client. The MMS Environment (MMSE) refers to the set of MMS elements, under the control of a single administration (MMS provider), in charge of providing the service to MMS subscribers. Recipient and originator MMS clients are attached respectively to the recipient and originator MMSEs. A key element in the MMS architecture is the MMS Centre (MMSC). The MMSC is composed of an MMS relay and an MMS server. The relay is responsible for routing messages not only within the MMSE but also outside the MMSE, whereas the server is in charge of storing messages [1]. MMS Interfaces: In an MMSE, network elements communicate via a set of interfaces. Each interface supports a number of transactions such as message submission, message retrieval and message forwarding. Each operation is associated with a set of protocol data units with corresponding parameters. MMS Client: The MMS client is the software application that resides in MMS-enabled mobile devices and which offers the following features: a. Management of message, notification and reports: Devices are commonly shipped with a unified message box for the management of MMS elements (messages, notifications and reports) and other elements such as SMS/EMS messages, WAP push messages, and so on. b. Message composition: The message composer is used for creating new multimedia messages. c. Message viewing: The message viewer is used to render received messages or to preview newly created messages before sending. d. Configuration of MMS preferences and connectivity parameters. e. Handling of a remote message box stored in the user personal network-based storage space. Such storage space is known as a Multimedia Message Box (MMBox). The support of an MMBox is optional. f. MMS Centre: The MMS Centre (MMSC) is a key element in the MMS architecture. The MMSC is responsible for handling transactions from MMS phones and transactions from other messaging systems (e.g. other MMS systems, email systems, etc.). The server is also in charge of temporarily storing messages that are awaiting retrieval from recipient MMS clients. Optionally, the server may also support a persistent message store where users can store messages persistently in their MMBoxes. This feature is particularly useful when devices have limited storage capabilities. Working Of MMS through MULIPART In the MMS Environment (MMSE), a multimedia message can take multiple forms in order to be efficiently conveyed over the various transport bearers composing the full message transfer path. The link between an MMS client and the MMSSEC Algorithm for securing MMS International Journal of Machine Intelligence, ISSN: 0975–2927, Volume 1, Issue 2, 2009 31 MMS Centre (MMSC) is often bandwidth-limited (particularly over the radio part); therefore, multimedia messages are binary-encoded for efficient transfer over this link. Alternatively, the multimedia message is text-encoded for transfers over Internet protocols between MMSCs, from an MMSC towards the Internet domain or from/to Value Added Service (VAS) servers.

Remote messaging: exploring graphic manifestations of human relationships to the terrain through site markers and cognitive mapping in Ladakh, India

This article explores the role of design in Ladakh, a remote region in northwestern India that was opened to tourism and trade only 35 years ago. The shift in the prevailing socio-economic structure is manifested within the region's forms of visual communication, spanning a continuum from photographic advertising to hand-painted wayfinding systems. One questions the cumulative effects these graphic artifacts have on local people's perception of the region and their identities integrated with it.Workshops were conducted in which participants were introduced to the abstract visual language of maps then sketched their home villages. Content analysis of these externalized cognitive maps reveals a consistency of visual representation strategies across all participants. References to natural and man-made features reflect reverence for the land and an understanding of agrarian systems. Currently graphic design in Ladakh is in service to profit outside interests. The author seeks a role for design that values the local constituency as well.