Background
Dementia is a global epidemic and incurs substantial burden on the affected families and the health care system. A window of opportunity for intervention is the predementia stage known as mild cognitive impairment (MCI). Individuals often present to services late in the course of their disease and more needs to be done for early detection; sensor technology is a potential method for detection.
Objective
The aim of this cross-sectional study was to establish the feasibility and acceptability of utilizing sensors in the homes of senior citizens to detect changes in behaviors unobtrusively.
Methods
We recruited 59 community-dwelling seniors (aged >65 years who live alone) with and without MCI and observed them over the course of 2 months. The frequency of forgetfulness was monitored by tagging personal items and tracking missed doses of medication. Activities such as step count, time spent away from home, television use, sleep duration, and quality were tracked with passive infrared motion sensors, smart plugs, bed sensors, and a wearable activity band. Measures of cognition, depression, sleep, and social connectedness were also administered.
Results
Of the 49 participants who completed the study, 28 had MCI and 21 had healthy cognition (HC). Frequencies of various sensor-derived behavior metrics were computed and compared between MCI and HC groups. MCI participants were less active than their HC counterparts and had more sleep interruptions per night. MCI participants had forgotten their medications more times per month compared with HC participants. The sensor system was acceptable to over 80% (40/49) of study participants, with many requesting for permanent installation of the system.
Conclusions
We demonstrated that it was both feasible and acceptable to set up these sensors in the community and unobtrusively collect data. Further studies evaluating such digital biomarkers in the homes in the community are needed to improve the ecological validity of sensor technology. We need to refine the system to yield more clinically impactful information.
We studied annealing effects on perpendicular anisotropy in CoFeB-MgO magnetic tunnel junctions. The results show that annealing is an effective method to improve the perpendicular anisotropy of a CoFeB-MgO system. It is found that a thicker CoFeB layer requires a higher annealing temperature to buildup its perpendicular anisotropy. However, perpendicular anisotropy could be seriously degraded if the annealing temperature is more than 350 °C. Our study suggests that CoFeB thickness should be optimized so that the required annealing temperature window for perpendicular anisotropy could match the annealing temperature for high magnetoresistance. In this work, the perpendicular anisotropy energy density of 2.5 × 106 erg/cm3 was achieved with tunnel magnetoresistive value exceeding 70%. The use of CoFeB films will enable the development of high density nonvolatile memory with size down to 30 nm.
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