The growing cost of health care and lack of specialised staff have set e-Health high on the European political agenda. In a prospective study we evaluated the effect of providing images for remote consultation through an iPad on the number of in-hospital orthopaedic consultations for children with bone fractures.
Within the framework of the EU Life+ project named LIFE09 NAT/IT/000190 ARION, a permanent automated real-time passive acoustic monitoring system for the improvement of the conservation status of the transient and resident population of bottlenose dolphin (Tursiops truncatus) has been implemented and installed in the Portofino Marine Protected Area (MPA), Ligurian Sea. The system is able to detect the simultaneous presence of dolphins and boats in the area and to give their position in real time. This information is used to prevent collisions by diffusing warning messages to all the categories involved (tourists, professional fishermen and so on). The system consists of two gps-synchronized acoustic units, based on a particular type of marine buoy (elastic beacon), deployed about 1 km off the Portofino headland. Each one is equipped with a four-hydrophone array and an onboard acquisition system which can record the typical social communication whistles emitted by the dolphins and the sound emitted by boat engines. Signals are pre-filtered, digitized and then broadcast to the ground station via wi-fi. The raw data are elaborated to get the direction of the acoustic target to each unit, and hence the position of dolphins and boats in real time by triangulation.
The use of point-of-care ultrasonography (POC US) in paediatrics is increasing. This study investigated the diagnostic accuracy of POC US in children accessing the emergency department (ED) when performed by paediatricians under the remote guidance of radiologists (TELE POC). Children aged 0 to 18 years accessing the ED of a third level research hospital with eight possible clinical scenarios and without emergency/severity signs at the triage underwent three subsequent US tests: by a paediatrician guided remotely by a radiologist (TELE POC); by the same radiologist (UNBLIND RAD); by an independent blinded radiologist (BLIND RAD). Tele-radiology was implemented using low cost “commercial off-the-shelf” (COTS) equipment and open-source software. Data were prospectively collected on predefined templates. Fifty-two children were enrolled, for a total of 170 ultrasound findings. Sensitivity, specificity, positive and negative predictive values of TELE POC were: 93.8, 99.7, 96.8, 99.4 when compared to UNBLIND RAD and 88.2, 99.7, 96.8, 98.7 when compared to BLIND RAD. The inter-observers agreement between the paediatricians and either the unblind or blind radiologist was excellent (k = 0.93). The mean duration of TELE POC was 6.3 minutes (95% CI 4.1 to 8.5). Technical difficulties occurred in two (3.8%) cases. Quality of the transmission was rated as fair, good, very good and excellent in 7.7%, 15.4%, 42.3% and 34.6% of cases respectively, while in no case was it rated as poor. POC US performed by paediatricians in ED guided via tele-radiology by an expert radiologist (TELE POC) produced reliable and timely diagnoses. Findings of this study, especially for the rarer conditions under evaluation, need further confirmation. Future research should investigate the overall benefits and the cost savings of using tele-ultrasound to perform US “at children’s bedsides”, under remote guidance of expert radiologists.
Athena (advanced telescope for high-energy astrophysics) is an ESA large-class mission, at present under a re-definition “design-to-cost” phase, planned for a prospective launch at L1 orbit in the second half of the 2030s. It will be an observatory alternatively focusing on two complementary instruments: the X-IFU (X-ray Integral Field Unit), a TES (TransitionEdge Sensor)-based kilo-pixel array which is able to perform simultaneous high-grade energy spectroscopy (~3 eV@7 keV) and imaging over 4′ FoV (field of view), and the WFI (Wide Field Imager), which has good energy spectral resolution (~170 eV@7 keV) and imaging on wide 40′ × 40′ FoV. Athena will be a truly transformational observatory, operating in conjunction with other large observatories across the electromagnetic spectrum available in the 2030s like ALMA, ELT, JWST, SKA, CTA, etc., and in multi-messenger synergies with facilities like LIGO A+, Advanced Virgo+, LISA, IceCube and KM3NeT. The Italian team is involved in both instruments. It has the co-PIship of the cryogenic instrument for which it has to deliver the TES-based Cryogenic AntiCoincidence detector (CryoAC) necessary to guarantee the X-IFU sensitivity, degraded by a primary particle background of both solar and galactic cosmic ray (GCR) origins, and by secondary electrons produced by primaries interacting with the materials surrounding the main detector. The outcome of Geant4 studies shows the necessity for adopting both active and passive techniques to guarantee the residual particle background at 5 × 10−3 cts cm−2 s−1 keV−1 level in 2–10 keV scientific bandwidth. The CryoAC is a four-pixel detector made of Si-suspended absorbers sensed by Ir/Au TESes placed at <1 mm below the main detector. After a brief overview of the Athena mission, we will report on the particle background reduction techniques highlighting the impact of the Geant4 simulation on the X-IFU focal plane assembly design, then hold a broader discussion on the CryoAC program in terms of detection chain system requirements, test, design concept against trade-off studies and programmatic.
We present a device- and network-based solution for automatic passnger counting that operates on the edge in real time. The proposed solution consists of a low-cost WiFi scanner device equipped with custom algorithms for dealing with MAC address randomization. Our low-cost scanner is able to capture and analyze 802.11 probe requests emitted by passengers’ devices such as laptops, smartphones, and tablets. The device is configured with a Python data-processing pipeline that combines data coming from different types of sensors and processes them on the fly. For the analysis task, we have devised a lightweight version of the DBSCAN algorithm. Our software artifact is designed in a modular way in order to accommodate possible extensions of the pipeline, e.g., either additional filters or data sources. Furthermore, we exploit multi-threading and multi-processing for speeding up the entire computation. The proposed solution has been tested with different types of mobile devices, obtaining promising experimental results. In this paper, we present the key ingredients of our edge computing solution.