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  • 文章类型: Journal Article
    目的:通过下腔静脉(IVC)的超声(US)成像评估患者的体积状态对于各种临床状况的诊断和预后很重要。为了提高IVC的临床研究,它主要基于单向US(在M模式下),2-DUS扫描的自动处理(在B模式下)已经实现了在可视化平面上的组织运动跟踪,并且可以在各个方向上对此进行平均。然而,可视化平面外的IVC几何结构不受控制,可能会导致尚未评估的错误。
    方法:我们使用了一种方法,该方法整合了来自长轴和短轴IVC视图(同时在X平面中获得)的信息,以使用二维US扫描评估8名健康受试者的IVC直径估计中的挑战。
    结果:通过二维视图评估IVC直径时,US探头和IVC之间的相对运动引起以下问题:中值误差(即,在X平面内测得的直径的绝对差)为17%,使用二维US扫描在受中-横向位移影响的IVC的长轴视图(中位数:4mm);在俯仰角(中位数:0.12弧度)和颅尾运动(中位数:15mm)存在的情况下,从短轴视图测量IVC直径时,中位数误差为7%和9%,分别。
    结论:无法检测B模式扫描视野之外的IVC中的相对运动,这导致了IVC直径估计的挑战。
    OBJECTIVE: Volume status assessment of a patient by ultrasound (US) imaging of the inferior vena cava (IVC) is important for the diagnosis and prognosis of various clinical conditions. In order to improve the clinical investigation of IVC, which is mainly based on unidirectional US (in M-mode), automated processing of 2-D US scans (in B-mode) has enabled tissue movement tracking on the visualized plane and can average this in various directions. However, IVC geometry outside of the visualized plane is not under control and could result in errors that have not yet been evaluated.
    METHODS: We used a method that integrates information from long- and short-axis IVC views (simultaneously acquired in the X-plane) to assess challenges in IVC diameter estimations using 2-D US scans in eight healthy subjects.
    RESULTS: Relative movements between the US probe and IVC induced the following problems when assessing IVC diameter via 2-D view: a median error (i.e., absolute difference with respect to diameter measured in the X-plane) of 17% using 2-D US scans in the long-axis view of the IVC affected by medio-lateral displacements (median: 4 mm); and a median error of 7% and 9% when measuring the IVC diameter from a short-axis view in the presence of pitch angle (median: 0.12 radians) and cranio-caudal movement (median: 15 mm), respectively.
    CONCLUSIONS: Relative movements in the IVC that are out of view of B-mode scans cannot be detected, which results in challenges in IVC diameter estimation.
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  • 文章类型: Journal Article
    背景:关于经验得出的饮食模式(DP)与青少年生活满意度之间的前瞻性关联知之甚少。这项PUTRA-Adol后续研究旨在评估经验得出的DP与青春期生活满意度之间的前瞻性关联。
    方法:共有585名和262名青少年分别参加了2016年的PUTRA-Adol基线研究和2019-2020年的PUTRA-Adol随访研究。这些青少年是从马来西亚半岛的三个南部州招募的,也就是森美兰,马六甲和柔佛.饮食评估使用经过验证的食物频率问卷(FFQ)进行评估,而多维学生生活满意度量表(MSLSS)用于测量2016年基线以及2019-2020年随访时的生活满意度。使用降阶回归(RRR)鉴定了以游离糖含量高且能量密集的食物为特征的DP,在基线时进行横断面检查,并在其他地方报告。使用类似的RRR分析来找到一个DP,该DP最好地解释了与较差的生活满意度相关的响应变量的变化。包括膳食能量密度(DED),纤维密度,在PUTRA-Adol随访研究中,总脂肪和糖中的能量百分比。使用广义估计方程模型(GEE)评估了对已确定的DP的依从性与2016年至2019年之间的总体生活满意度得分及其领域之间的前瞻性关系。
    结果:一种DP的特征是从糖中摄取高百分比能量,在2019-2020年的随访中,确定了纤维和低DED和总脂肪中的能量百分比。确定的DP解释了响应变量中总变化的11%,并且以糖果的高摄入量为特征。含糖饮料(SSB)和水果。2019-2020年,女性青少年[67.6(8.9)]的生活满意度平均值(SD)高于男性青少年[67.5(10.8)],p<0.05。前瞻性分析发现,已识别的DP和学校领域之间存在显著的正相关,在2016年至2019年至2020年期间,男性青少年(β=0.117;95%CI0.001,0.234)和所有青少年的DPz得分与自我领域之间呈负相关(β=-0.060;95%CI-0.115,-0.005)。
    结论:主要的“高糖和高纤维”DP得分的增加与男性青少年学校领域的生活满意度得分的增加和自我领域得分的降低有关青春期男性和女性。以减少饮食摄入量为目标的生活方式干预,特别是糖,可以提高青少年的生活满意度,促进更健康的未来,而不会影响以后生活中慢性疾病预防的饮食摄入量。
    BACKGROUND: Little is known on the prospective associations between an empirically derived dietary pattern (DP) and life satisfaction among adolescents. This PUTRA-Adol follow-up study aimed to assess the prospective associations between the empirically derived DP and life satisfaction during adolescence.
    METHODS: A total of 585 and 262 adolescents participated in the baseline PUTRA-Adol study in 2016 and PUTRA-Adol follow-up study in 2019-2020, respectively. These adolescents were recruited from three southern states in peninsular Malaysia, namely Negeri Sembilan, Melaka and Johor. Dietary assessments were estimated using a validated food frequency questionnaire (FFQ) while a Multidimensional Students\' Life Satisfaction Scale (MSLSS) was used to measure life satisfaction at baseline in 2016 as well as at follow-up in 2019-2020. A DP characterised by foods high in free sugar and energy dense was identified using reduced rank regression (RRR), cross-sectionally at baseline and was reported elsewhere. Similar RRR analysis was used to find a DP that best explained the variation in response variables linked to poorer life satisfaction, including dietary energy density (DED), fiber density, and percentage of energy from total fat and sugar at the PUTRA-Adol follow-up study. Prospective relationship between adherence to the identified DPs and overall life satisfaction scores as well as its domains between 2016 and 2019-2020 were evaluated using generalized estimating equation models (GEE).
    RESULTS: A DP characterized by high intakes of percentage energy from sugar, fibre and low in DED and percentage energy from total fat was identified at the 2019-2020 follow-up. The identified DP explained 11% of total variations in the response variables and was characterized by high intakes of sweets, sugar sweetened beverages (SSB) and fruits. Female adolescents [67.6(8.9)] had a mean (SD) of life satisfaction that was higher than male adolescents [67.5(10.8)] p < 0.05 in 2019-2020. Prospective analysis found a significant positive association between the identified DP and school domain, in male adolescents (β = 0.117; 95% CI 0.001, 0.234) and an inverse relationship between the DP z-score and self-domain in all adolescents (β = - 0.060; 95% CI - 0.115, - 0.005) from 2016 to 2019-2020.
    CONCLUSIONS: An increasing score for the predominant \'High sugar and High fibre\' DP was prospectively associated with increasing life satisfaction score for the school domain in male adolescents and decreasing score for self-domain in both male and females during adolescence. A lifestyle intervention targeting reduced dietary intakes, particularly sugar, may improve life satisfaction in adolescents and promote healthier future without compromising dietary intakes for chronic disease prevention later in life.
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  • 文章类型: Journal Article
    背景:通常使用计算对象跟踪工具对“滑翔测定”中的体外重构运动驱动微管(MT)运输的显微镜时间序列进行定量。然而,这些限于非交叉和棒状细丝。
    结果:这里,我们描述了一种新颖的计算图像分析管道,KnotResolver,通过解决交叉来跟踪高度弯曲的自相交环状细丝(结)的图像时间序列。该代码集成了基于有向图表示的细丝分割和交叉或“结”识别,其中节点表示交叉,边表示连接它们的路径。这些图被映射回轮廓,并且到参考的距离被最小化。轮廓检测的精度为子像素,对噪声具有鲁棒性。我们通过在“滑动测定”中自动量化“鞭毛样”曲率动力学和被夹持微管的波状振荡来证明KnotResolver的实用性。
    方法:基于MATLAB的源代码作为OpenSource发布,可在https://github.com/CyCelsLab/MTKnotResolver上获得。
    背景:生物信息学有补充数据。
    BACKGROUND: Quantification of microscopy time-series of in vitro reconstituted motor driven microtubule (MT) transport in \'gliding assays\' is typically performed using computational object tracking tools. However, these are limited to non-intersecting and rod-like filaments.
    RESULTS: Here, we describe a novel computational image-analysis pipeline, KnotResolver, to track image time-series of highly curved self-intersecting looped filaments (knots) by resolving cross-overs. The code integrates filament segmentation and cross-over or \'knot\' identification based on directed graph representation, where nodes represent cross-overs and edges represent the path connecting them. The graphs are mapped back to contours and the distance to a reference minimized. The accuracy of contour detection is sub-pixel with a robustness to noise. We demonstrate the utility of KnotResolver by automatically quantifying \'flagella-like\' curvature dynamics and wave-like oscillations of clamped microtubules in a \'gliding assay\'.
    METHODS: The MATLAB based source code is released as OpenSource and is available at https://github.com/CyCelsLab/MTKnotResolver.
    BACKGROUND: Supplementary data are available at Bioinformatics.
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  • 文章类型: Journal Article
    背景:最近的技术进步导致了低成本的GPS记录仪,这些记录仪足够小,可以在一系列海鸟上使用,以低至1s的采样间隔产生准确的位置估计(±5m)。然而,电池寿命和采样频率之间的权衡导致在飞行海鸟上使用GPS记录器进行研究,从而在宽范围的采样间隔内产生位置数据。已知从这些数据得出的指标是规模敏感的,但是这些错误的量化很少可用。非常频繁的采样,加上有限的运动,会导致测量误差,高估运动,但是长时间采样会导致一个更普遍的问题,严重低估了路径长度。
    方法:我们使用来自一系列信天翁和海燕的精细尺度(1Hz)GPS数据来研究采样间隔对数据得出的指标的影响。GPS路径以增加的间隔进行二次采样,以显示对路径长度(即地面速度)的影响,转动角度,总行驶距离,以及推断的行为状态。
    结果:我们表明距离(和每个隐含的地速)被高估了(平均4%,但在最短的采样间隔(1-5s)下高达20%),而在更长的间隔下则被低估。与直线飞行(11%)相比,对于更多的弯曲飞行(当采样>1分钟间隔时平均低估了40%),后者的偏差更大。尽管样本量适中,偏见的影响似乎随物种而变化,具有更弯曲飞行模式的物种具有更大的偏差。从路径长度和转向角度推断行为状态时,采样间隔也起着很大的作用。
    结论:低成本GPS记录仪的位置估计适用于使用粗采样间隔研究海鸟的大规模运动,但实际飞行距离被低估了.当从路径长度和转向角度推断行为状态时,适度的采样间隔(10-30分钟)可以提供更稳定的模型,但是推断行为状态的准确性将取决于与特定行为相关的时间段。在比较使用不同采样间隔得出的行为时,必须考虑采样率,并鼓励使用偏倚分析。
    BACKGROUND: Recent technological advances have resulted in low-cost GPS loggers that are small enough to be used on a range of seabirds, producing accurate location estimates (± 5 m) at sampling intervals as low as 1 s. However, tradeoffs between battery life and sampling frequency result in studies using GPS loggers on flying seabirds yielding locational data at a wide range of sampling intervals. Metrics derived from these data are known to be scale-sensitive, but quantification of these errors is rarely available. Very frequent sampling, coupled with limited movement, can result in measurement error, overestimating movement, but a much more pervasive problem results from sampling at long intervals, which grossly underestimates path lengths.
    METHODS: We use fine-scale (1 Hz) GPS data from a range of albatrosses and petrels to study the effect of sampling interval on metrics derived from the data. The GPS paths were sub-sampled at increasing intervals to show the effect on path length (i.e. ground speed), turning angles, total distance travelled, as well as inferred behavioural states.
    RESULTS: We show that distances (and per implication ground speeds) are overestimated (4% on average, but up to 20%) at the shortest sampling intervals (1-5 s) and underestimated at longer intervals. The latter bias is greater for more sinuous flights (underestimated by on average 40% when sampling > 1-min intervals) as opposed to straight flight (11%). Although sample sizes were modest, the effect of the bias seemingly varied with species, where species with more sinuous flight modes had larger bias. Sampling intervals also played a large role when inferring behavioural states from path length and turning angles.
    CONCLUSIONS: Location estimates from low-cost GPS loggers are appropriate to study the large-scale movements of seabirds when using coarse sampling intervals, but actual flight distances are underestimated. When inferring behavioural states from path lengths and turning angles, moderate sampling intervals (10-30 min) may provide more stable models, but the accuracy of the inferred behavioural states will depend on the time period associated with specific behaviours. Sampling rates have to be considered when comparing behaviours derived using varying sampling intervals and the use of bias-informed analyses are encouraged.
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  • 文章类型: Journal Article
    背景:乳腺癌是全世界最常见的癌症类型。如果早期诊断和治疗,它很有可能治愈,为此,筛查测试是必要的,也就是乳房X线照片,这是最常用的。这项研究的目的是分析筛查和诊断乳房X线照片的数量与乳腺癌住院和死亡人数之间的关系。
    方法:这是一个横截面,分析,采用卫生部提供的次要数据进行回顾性研究。Pearson相关性分析用于评估乳房X线照片的数量是否与死亡和住院的数量相关。泊松回归用于评估乳房X线照片和住院次数的增加是否与死亡人数有关,采用Cox-Stuart检验分析研究变量的时间趋势和时间序列的预测。
    结果:将住院和死亡的变量相关联时,所有年龄组都有很强的正相关性,乳房X线照相术和住院变量的中强相关性,乳房X线照相术和死亡变量的相关性较弱。乳房X线照片数量与死亡的关系无统计学意义,而住院变量对死亡有显著影响,机会增加0.015%。多年来,巴西的死亡和住院变量也呈显著增长趋势。
    结论:从2013年到2021年,住院和死亡人数呈增长趋势,因此表明,旨在重新制定公共卫生政策的策略对于早期诊断是必要的,以改善乳腺癌的治疗和疾病的预后。
    BACKGROUND: Breast cancer is the most common type of cancer worldwide. If diagnosed and treated early, it has a high chance of cure, and for this, screening tests are necessary, namely mammograms, which are the most commonly used. The objective of this study was to analyze the association between the number of screening and diagnostic mammograms and the number of hospitalizations and deaths from breast cancer.
    METHODS: This is a cross-sectional, analytical, retrospective study with secondary data made available by the Ministry of Health. Pearson correlation analysis was employed to assess whether the number of mammograms is associated with the number of deaths and hospitalizations, Poisson regression was used to assess whether an increase in the number of mammograms and hospitalizations is related to the number of deaths, and the Cox-Stuart test was used to analyze the temporal trend of the variables under study and the projection of time series.
    RESULTS: There was a strong positive correlation for all age groups when relating the variables hospitalizations and deaths, a moderate-to-strong correlation for the variables mammography and hospitalization, and a weak correlation for the variables mammography and death. There was no statistical significance in the relationship between the number of mammograms and deaths, whereas the hospitalization variable had a significant impact in relation to death, increasing the chance by 0.015%. There has also been a significant growth trend in the variables deaths and hospitalizations in Brazil over the years.
    CONCLUSIONS: A growing trend was identified from 2013 to 2021, both in hospitalizations and deaths, thus suggesting that strategies aimed at reformulating public health policies are necessary for earlier diagnosis in order to improve the treatment of breast cancer and the prognosis of the disease.
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  • 文章类型: Journal Article
    咸鸭蛋黄,中国各种特色食品的关键成分,由于高速破壳过程,蛋黄中经常含有破碎的蛋壳碎片,构成重大食品安全风险。本文提出了一种在线检测方法,YOLOv7-SEY-DeepSORT(咸蛋黄,SEY),旨在将增强的YOLOv7与DeepSORT集成在一起,以实时准确地识别生产线上带有杂质的咸蛋黄。所提出的方法利用YOLOv7作为核心网络,在其颈部部分中合并多个协调注意(CA)模块,以增强对细微蛋壳杂质的提取。为了解决样品比例不平衡对检测准确性的影响,采用焦点-EIoU损失函数,自适应调整边界框损失值,以确保图像中带有杂质的蛋黄的精确定位。将骨干网络替换为轻量级的MobileOne神经网络,以减少模型参数并提高实时检测性能。DeepSORT用于跨帧匹配和跟踪蛋黄目标,适应旋转的变化。实验结果表明,YOLOv7-SEY-DeepSORT的平均精度(mAP)为0.931,比原始YOLOv7提高了0.53%。该方法还显示出增强的跟踪性能,多目标跟踪精度(MOTA)和多目标跟踪精度(MOTP)得分分别为87.9%和73.8%,分别,分别比SORT增长17.0%和9.8%,比Tracktor增长2.9%和4.7%。总的来说,所提出的方法平衡了高检测精度和实时性,在综合性能上超越了其他主流的目标检测方法。因此,它为快速准确地检测不合格咸蛋黄提供了可靠的解决方案,为今后蛋制品自动化安全加工研究提供了技术基础和参考。
    Salted duck egg yolk, a key ingredient in various specialty foods in China, frequently contains broken eggshell fragments embedded in the yolk due to high-speed shell-breaking processes, which pose significant food safety risks. This paper presents an online detection method, YOLOv7-SEY-DeepSORT (salted egg yolk, SEY), designed to integrate an enhanced YOLOv7 with DeepSORT for real-time and accurate identification of salted egg yolks with impurities on production lines. The proposed method utilizes YOLOv7 as the core network, incorporating multiple Coordinate Attention (CA) modules in its Neck section to enhance the extraction of subtle eggshell impurities. To address the impact of imbalanced sample proportions on detection accuracy, the Focal-EIoU loss function is employed, adaptively adjusting bounding box loss values to ensure precise localization of yolks with impurities in images. The backbone network is replaced with the lightweight MobileOne neural network to reduce model parameters and improve real-time detection performance. DeepSORT is used for matching and tracking yolk targets across frames, accommodating rotational variations. Experimental results demonstrate that YOLOv7-SEY-DeepSORT achieves a mean average precision (mAP) of 0.931, reflecting a 0.53% improvement over the original YOLOv7. The method also shows enhanced tracking performance, with Multiple Object Tracking Accuracy (MOTA) and Multiple Object Tracking Precision (MOTP) scores of 87.9% and 73.8%, respectively, representing increases of 17.0% and 9.8% over SORT and 2.9% and 4.7% over Tracktor. Overall, the proposed method balances high detection accuracy with real-time performance, surpassing other mainstream object detection methods in comprehensive performance. Thus, it provides a robust solution for the rapid and accurate detection of defective salted egg yolks and offers a technical foundation and reference for future research on the automated and safe processing of egg products.
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  • 文章类型: Journal Article
    这篇综述的总体目标是总结目前已知的从儿童早期到成年后期的血压水平追踪,并描述导致整个生命周期中高血压患病率增加的因素。这篇综述描述了整个生命周期中血压轨迹的4种理论构造:向前发展,向前跟踪,正向反转,维持正常的血压水平。
    The overall goal of this review is to summarize what is currently known regarding the tracking of blood pressure levels from early childhood into later adulthood and to describe the factors contributing to increased hypertension prevalence across the lifespan. This review describes 4 theoretical constructs of blood pressure trajectory across the lifespan: forward development, forward tracking, forward reversal, and maintenance of normal blood pressure levels.
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  • 文章类型: Journal Article
    一半的幼儿园老师将孩子分为阅读或数学能力较高和较低的小组。在国家数据中,我们使用具有教室固定效应的线性和有序逻辑回归来预测幼儿园能力小组的安置。在秋天,考试成绩是小组安置的最佳预测因子,但是有偏见偏爱女孩,高SES(社会经济地位)儿童,亚裔美国人,谁获得的位置比他们单独的分数所预测的要高。净SES,没有偏见将黑人儿童置于更高的群体中。到了春天,三分之一的幼儿园学生搬家,高SES儿童的升幅超过了他们单独的分数增长所能预测的。教师报告的行为(例如,注意力,学习方法)帮助解释了女孩更高的位置,但没有解释亚裔美国人和高SES儿童的较高位置。
    Half of kindergarten teachers split children into higher and lower ability groups for reading or math. In national data, we predicted kindergarten ability group placement using linear and ordinal logistic regression with classroom fixed effects. In fall, test scores were the best predictors of group placement, but there was bias favoring girls, high-SES (socioeconomic status) children, and Asian Americans, who received higher placements than their scores alone would predict. Net of SES, there was no bias against placing black children in higher groups. By spring, one third of kindergartners moved groups, and high-SES children moved up more than their score gains alone would predict. Teacher-reported behaviors (e.g., attentiveness, approaches to learning) helped explain girls\' higher placements, but did little to explain the higher placements of Asian American and high-SES children.
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  • 文章类型: Journal Article
    目的:在光学显微镜中集成手术机器人器械跟踪模块具有推进显微手术实践的潜力,因为它促进了相机的自动移动,从而增强外科医生执行外科手术的能力。
    方法:在目前的工作中,实现了基于空间注意力模块的创新检测骨干,以提高图像中小物体的检测精度。此外,我们引入了一种强大的数据关联技术,能够重新跟踪手术器械,主要基于双仪器机器人系统的知识,联合度量和卡尔曼滤波器的交集。
    结果:通过对包含十个手动注释的涉及动物或幻影血管的吻合程序视频的数据集进行测试,评估了该管道的有效性。利用Symani®手术系统-一种专为显微外科设计的专用机器人平台。多目标跟踪精度(MOTP)和多目标跟踪精度(MOTA)用于评估所提出的方法的性能,并且计算新的度量来证明沿着视频帧稳定跟踪结果的功效。在测试视频中发现74±0.06%的平均MOTP和99±0.03%的MOTA。
    结论:这些结果证实了所提出的方法在提高显微外科器械跟踪的精度和可靠性方面的潜力。因此,注意力机制和量身定制的数据关联模块的集成可能是自动化光学显微镜运动的坚实基础。
    OBJECTIVE: The integration of a surgical robotic instrument tracking module within optical microscopes holds the potential to advance microsurgery practices, as it facilitates automated camera movements, thereby augmenting the surgeon\'s capability in executing surgical procedures.
    METHODS: In the present work, an innovative detection backbone based on spatial attention module is implemented to enhance the detection accuracy of small objects within the image. Additionally, we have introduced a robust data association technique, capable to re-track surgical instrument, mainly based on the knowledge of the dual-instrument robotics system, Intersection over Union metric and Kalman filter.
    RESULTS: The effectiveness of this pipeline was evaluated through testing on a dataset comprising ten manually annotated videos of anastomosis procedures involving either animal or phantom vessels, exploiting the Symani®Surgical System-a dedicated robotic platform designed for microsurgery. The multiple object tracking precision (MOTP) and the multiple object tracking accuracy (MOTA) are used to evaluate the performance of the proposed approach, and a new metric is computed to demonstrate the efficacy in stabilizing the tracking result along the video frames. An average MOTP of 74±0.06% and a MOTA of 99±0.03% over the test videos were found.
    CONCLUSIONS: These results confirm the potential of the proposed approach in enhancing precision and reliability in microsurgical instrument tracking. Thus, the integration of attention mechanisms and a tailored data association module could be a solid base for automatizing the motion of optical microscopes.
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  • 文章类型: Journal Article
    将来自各种可穿戴设备的健康和活动数据集成到研究中,提出了技术和操作挑战。真棒数据采集方法(ADAM)是一种通用的,基于Web的系统,旨在集成来自各种来源的数据并管理大规模的多阶段研究研究。作为一个数据收集系统,ADAM允许通过设备的应用程序可编程接口和移动应用程序的自适应实时问卷从可穿戴设备收集实时数据。作为临床试验管理系统,ADAM集成了临床试验管理流程,并有效地支持招聘,筛选,随机化,数据跟踪,数据报告,和整个研究过程中的数据分析。我们使用行为减肥干预研究(SMARTER试验)作为测试案例来评估ADAM系统。SMARTER是一项随机对照试验,筛选了1741名参与者,招募了502名成年人。因此,ADAM系统被有效且成功地部署,以组织和管理SMARTER试验.此外,凭借其通用的集成能力,当COVID-19大流行停止面对面接触时,ADAM系统进行了必要的切换,以无缝,及时地进行完全远程评估和跟踪。ADAM系统提供的远程原生功能将COVID-19锁定对SMARTER试验的影响降至最低。SMARTER的成功证明了ADAM系统的全面性和高效性。此外,ADAM被设计为可推广和可扩展的,以适应其他研究,只需最少的编辑,再开发,和定制。ADAM系统可以使各种行为干预和不同人群受益。
    UNASSIGNED: The integration of health and activity data from various wearable devices into research studies presents technical and operational challenges. The Awesome Data Acquisition Method (ADAM) is a versatile, web-based system that was designed for integrating data from various sources and managing a large-scale multiphase research study. As a data collecting system, ADAM allows real-time data collection from wearable devices through the device\'s application programmable interface and the mobile app\'s adaptive real-time questionnaires. As a clinical trial management system, ADAM integrates clinical trial management processes and efficiently supports recruitment, screening, randomization, data tracking, data reporting, and data analysis during the entire research study process. We used a behavioral weight-loss intervention study (SMARTER trial) as a test case to evaluate the ADAM system. SMARTER was a randomized controlled trial that screened 1741 participants and enrolled 502 adults. As a result, the ADAM system was efficiently and successfully deployed to organize and manage the SMARTER trial. Moreover, with its versatile integration capability, the ADAM system made the necessary switch to fully remote assessments and tracking that are performed seamlessly and promptly when the COVID-19 pandemic ceased in-person contact. The remote-native features afforded by the ADAM system minimized the effects of the COVID-19 lockdown on the SMARTER trial. The success of SMARTER proved the comprehensiveness and efficiency of the ADAM system. Moreover, ADAM was designed to be generalizable and scalable to fit other studies with minimal editing, redevelopment, and customization. The ADAM system can benefit various behavioral interventions and different populations.
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