The aim of this study was to estimate the incidence of COVID-19 disease in the French national population of dialysis patients, their course of illness and to identify the risk factors associated with mortality. Our study included all patients on dialysis recorded in the French REIN Registry in April 2020. Clinical characteristics at last follow-up and the evolution of COVID-19 illness severity over time were recorded for diagnosed cases (either suspicious clinical symptoms, characteristic signs on the chest scan or a positive reverse transcription polymerase chain reaction) for SARS-CoV-2. A total of 1,621 infected patients were reported on the REIN registry from March 16th, 2020 to May 4th, 2020. Of these, 344 died. The prevalence of COVID-19 patients varied from less than 1% to 10% between regions. The probability of being a case was higher in males, patients with diabetes, those in need of assistance for transfer or treated at a self-care unit. Dialysis at home was associated with a lower probability of being infected as was being a smoker, a former smoker, having an active malignancy, or peripheral vascular disease. Mortality in diagnosed cases (21%) was associated with the same causes as in the general population. Higher age, hypoalbuminemia and the presence of an ischemic heart disease were statistically independently associated with a higher risk of death. Being treated at a selfcare unit was associated with a lower risk. Thus, our study showed a relatively low frequency of COVID-19 among dialysis patients contrary to what might have been assumed.
Nowadays, using mobile computing devices and the Internet of Things (IoT) in networks have posed several challenges to match up the forthcoming technological requirements. Wireless Sensors Network (WSN) is considered as an important component of the IoT which produces a massive amount of data (big data). However, dealing with limited capacities of the elementary components of a network in an IoT enabled WSN, is a key challenge. The existing approaches in the literature are inadequate for large networks and cannot be applied to IoT platform without adaptation. Data Centric Network (DCN) is an important notion for the future Internet architecture to resolve the problems related to big data manipulation. In fact, using a DCN strategy for the resource limited capacities WSN enabled IoT networks is beneficial to manage densely deployed and mobile components to enhance the data gathering mechanism. In this context, this paper proposes an IoT cluster based routing protocol for data centric mobile wireless sensors networks named ICMWSN. The proposed algorithm fits with a WSN belonging a large number of mobile sensors as well as a mobile sink. It is based on a clustering technique to form multi-hops clusters around fixed pre-elected CHs. Besides, an effective tour construction method is involved for the mobile sink to collect data from the eventual cluster heads. The extensive simulation results proved that ICMWSN outperformed the compared methods in terms of energy consumption, network lifetime and data delivery rate.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.