Question: Does self-monitoring of blood pressure by pregnant individuals at higher risk of preeclampsia lead to earlier detection of pregnancy hypertension compared to usual antenatal care? Findings: In this randomized clinical trial that included 2441 pregnant individuals at increased risk for pre-eclampsia, use of self-monitoring of BP with telemonitoring compared with usual care resulted in a mean time to clinic-based detection of hypertension of 104 vs 106 days, a difference that was not statistically significant.Meaning: Among pregnant individuals at higher risk of pre-eclampsia, blood pressure selfmonitoring with telemonitoring did not lead to earlier clinic-based detection of hypertension.
In recent years, the use of radar technology has been proposed in a wide range of subsurface imaging applications. Traditionally, linear scan trajectories are used to acquire data in most subsurface radar applications. However, novel applications, such as breast microwave imaging and wood inspection, require the use of nonlinear scan trajectories in order to adjust to the geometry of the scanned area. This paper proposes a novel reconstruction algorithm for subsurface radar data acquired along cylindrical scan trajectories. The spectrum of the collected data is processed in order to locate the spatial origin of the target reflections and remove the spreading of the target reflections which results from the different signal travel times along the scan trajectory. The proposed algorithm was successfully tested using experimental data collected from phantoms that mimic high contrast subsurface radar scenarios, yielding promising results. Practical considerations such as spatial resolution and sampling constraints are discussed and illustrated as well.
During lung sound recordings, heart sounds (HS) interfere with clinical interpretation of lung sounds over the low frequency components which is significant especially at low flow rates. Hence, it is desirable to cancel the effect of HS on lung sound records. In this paper, a novel HS cancellation method is presented. This method first localizes HS segments using multiresolution decomposition of the wavelet transform coefficients, then removes those segments from the original lung sound record and estimates the missing data via a 2D interpolation in the time-frequency (TF) domain. Finally, the signal is reconstructed into the time domain. To evaluate the efficiency of the TF filtering, the average power spectral density (PSD) of the original lung sound segments with and without HS over four frequency bands from 20 to 300 Hz were calculated and compared with the average PSD of the filtered signals. Statistical tests show that there is no significant difference between the average PSD of the HS-free original lung sounds and the TF-filtered signal for all frequency bands at both low and medium flow rates. It was found that the proposed method successfully removes HS from lung sound signals while preserving the original fundamental components of the lung sounds.
This paper presents a novel method for Heart Sound (HS) cancellation from Lung Sound (LS) records. The method uses the multiscale product of the wavelet coefficients of the original signal to detect HS-included segments. Once the HS segments are identified, the method removes them from the wavelet coefficients at every level and estimates the created gaps by using a set of linear prediction filters. It is shown that if the segment to be predicted is stationary, a final record with no audible artifacts such as clicks can be reconstructed using this approach. The results were promising for HS removal from LS records and showed no hampering of the main components of the LS. The results were confirmed both qualitatively by listening to the reconstructed signal and quantitatively by spectral analysis.
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