We conducted a systematic review of large, well-conducted randomised trials designed to evaluate the effectiveness of telemonitoring on patients with congestive heart failure (CHF). Two people reviewed 125 articles independently and selected 13 articles for final review. These studies concerned 3480 patients. The follow-up period of the studies was 3–15 months. Pooled estimate results showed that there was an overall reduction in all-cause mortality ( P = 0.02). There was no overall reduction in all-cause hospital admission ( P = 0.84), although there was a reduction in CHF hospital admission ( P = 0.0004). There was no reduction in all-cause emergency admission ( P = 0.67). There was no significant difference in length of stay in hospital, medication adherence or cost. Telemonitoring in conjunction with nurse home visiting and specialist unit support can be effective in the clinical management of patients with CHF and help to improve their quality of life.

Objective: This review was designed to determine whether telemonitoring activities of daily living (ADL) of elderly people can improve quality of life and be beneficial to their healthcare. Materials and Methods: Electronic databases were searched for studies that monitored ADL of elderly people and preferably measured some clinical outcomes such as ability to predict key events that require intervention and for studies that assessed perception of elderly people of such telemonitoring systems. The articles were reviewed and assessed independently by two reviewers. Results: One hundred seventy-five unique studies were found. Sixty-seven of these were identified for potential inclusion, and 25 studies were finally included. Study characteristics, parameters monitored, outcomes, and problems encountered were summarized and discussed. The main focus was on the potential benefits of ADL monitoring on the care of elderly people. Conclusions: Although most studies reported on technical improvements in methods for detecting changes in ADL, few, if any, determined the benefits to the patient of telemonitoring for changes in ADL or correlation with any physiological changes. We propose sensor and system characteristics for improved user acceptance and deployment in a large-scale care plan. We present areas requiring further investigation.

Introduction of telehealth into the healthcare setting has been recognised as a service that might be experienced as disruptive. This paper explores how this disruption is experienced.

The spontaneous electrification of marble samples was studied while they were subjected to uniaxial stress. The Pressure Stimulated Current (PSC) technique was applied to measure the charge released from compressed Dionysos marble samples, while they were subjected to cyclic loading. The experimental results demonstrate that, in the linear elastic region of the sample, no PSC is recorded, while beyond the stress limit (s>0.60), observable variations appear, which increase considerably in the vicinity of sample failure, reaching a maximum value just before the failure. The emitted current is reduced on each loading cycle and it has a reciprocal dependence to the normalized Young modulus. The MCD model, applied out of the vicinity of sample failure explains successfully the above findings. The existence of a "memory-like" behavior of the sample, could justify the weakness or absence of electrical earthquake precursors, during an aftershock sequence.

This paper describes the implementation of an end-to-end remote monitoring platform based on the IEEE 11073 standards for personal health devices (PHD). It provides an overview of the concepts and approaches and describes how the standard has been optimized for small devices with limited resources of processor, memory, and power that use short-range wireless technology. It explains aspects of IEEE 11073, including the domain information model, state model, and nomenclature, and how these support its plug-and-play architecture. It shows how these aspects underpin a much larger ecosystem of interoperable devices and systems that include IHE PCD-01, HL7, and BlueTooth LE medical devices, and the relationship to the Continua Guidelines, advocating the adoption of data standards and nomenclature to support semantic interoperability between health and ambient assisted living in future platforms. The paper further describes the adaptions that have been made in order to implement the standard on the ZigBee Health Care Profile and the experiences of implementing an end-to-end platform that has been deployed to frail elderly patients with chronic disease(s) and patients with diabetes.