A long-range UHF RF identification (RFID) sensor has been designed using a 0.35-µm CMOS standard process. The power-optimized tag, combined with the ultralow-power temperature sensor, allows an ID and a temperature reading range of 2 m from a 2-W effective radiated power output power reader. The temperature sensor is based on a ring oscillator, where the temperature dependence of the oscillation frequency is used for thermal sensing. The temperature sensor exhibits a resolution of 0.035 • C and an inaccuracy value lower than 0.1 • C in the range from 35 • C to 45 • C after two-point calibration. The average power consumption of the temperature sensor is only 110 nW at ten conversions per second while keeping a high resolution and accuracy. These properties allow the use of the RFID as a batteryless sensor in a wireless human body temperature monitoring system. Index Terms-CMOS analog front end, digital core, high accuracy, low power, RF identification (RFID), temperature sensor, ultrahigh frequency (UHF).
Background: Short-bowel syndrome remains the primary cause of intestinal failure (IF) in adult patients. We aim to report the long-term results of medical and surgical rehabilitation in a cohort of patients with type III IF (III-IF) and develop a formula to predict parenteral nutrition (PN) independency. Methods: We used a retrospective analysis of a prospective database for III-IF patients undergoing autologous gastrointestinal reconstruction surgery (AGIRS) from March 2006 to August 2018. Analyzed variables included demographic data, postsurgical intestinal length (PSIL), postsurgical anatomy, teduglutide (TED) treatment, and PN volume reduction. Univariate analysis, Cox regression, logistic regression forward stepwise models, and receiver operating characteristic (ROC) curve were done using SPSS v20. Results: AGIRS was performed in 88 patients. The most frequent anatomy at first visit was type 1. Prevailing anatomy after surgery was type 3. Eight patients started TED; 6 achieved freedom from PN. At a mean follow-up time of 1606.1 ± 1190.25 days, freedom from PN survival was achieved in 83%. Variables identified at the logistic regression analysis led to a novel formula to predict intestinal rehabilitation, including PSIL, presence of ileocecal valve, and use of TED as part of postsurgical treatment. Conclusions: AGIRS in this group of patients enabled intestinal length increase and also intestinal anatomy conversion into a more favorable type for intestinal rehabilitation. TED treatment was useful to discontinue PN in patients with classical negative anatomical predictors. The novel predicting formula has an ROC area under the curve = 0.82. Further studies are necessary to validate this formula.
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