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      An Internet of Medical Things-Based Model for Real-Time Monitoring and Averting Stroke Sensors

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          Abstract

          In recent years, neurological diseases have become a standout amongst all the other diseases and are the most important reasons for mortality and morbidity all over the world. The current study's aim is to conduct a pilot study for testing the prototype of the designed glove-wearable technology that could detect and analyze the heart rate and EEG for better management and avoiding stroke consequences. The qualitative, clinical experimental method of assessment was explored by incorporating use of an IoT-based real-time assessing medical glove that was designed using heart rate-based and EEG-based sensors. We conducted structured interviews with 90 patients, and the results of the interviews were analyzed by using the Barthel index and were grouped accordingly. Overall, the proportion of patients who followed proper daily heart rate recording behavior went from 46.9% in the first month of the trial to 78.2% after 3–10 months of the interventions. Meanwhile, the percentage of individuals having an irregular heart rate fell from 19.5% in the first month of the trial to 9.1% after 3–10 months of intervention research. In T5, we found that delta relative power decreased by 12.1% and 5.8% compared with baseline at 3 and at 6 months and an average increase was 24.3 ± 0.08. Beta-1 remained relatively steady, while theta relative power grew by 7% and alpha relative power increased by 31%. The T1 hemisphere had greater mean values of delta and theta relative power than the T5 hemisphere. For alpha ( p < 0.05) and beta relative power, the opposite pattern was seen. The distinction was statistically significant for delta ( p < 0.001), alpha ( p < 0.01), and beta-1 ( p < 0.05) among T1 and T5 patient groups. In conclusion, our single center-based study found that such IoT-based real-time medical monitoring devices significantly reduce the complexity of real-time monitoring and data acquisition processes for a healthcare provider and thus provide better healthcare management. The emergence of significant risks and controlling mechanisms can be improved by boosting the awareness. Furthermore, it identifies the high-risk factors besides facilitating the prevention of strokes. The EEG-based brain-computer interface has a promising future in upcoming years to avert DALY.

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          Most cited references42

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          Autonomic nervous system activity in emotion: A review

          Autonomic nervous system (ANS) activity is viewed as a major component of the emotion response in many recent theories of emotion. Positions on the degree of specificity of ANS activation in emotion, however, greatly diverge, ranging from undifferentiated arousal, over acknowledgment of strong response idiosyncrasies, to highly specific predictions of autonomic response patterns for certain emotions. A review of 134 publications that report experimental investigations of emotional effects on peripheral physiological responding in healthy individuals suggests considerable ANS response specificity in emotion when considering subtypes of distinct emotions. The importance of sound terminology of investigated affective states as well as of choice of physiological measures in assessing ANS reactivity is discussed. Copyright © 2010 Elsevier B.V. All rights reserved.
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            Guidelines for Management of Ischaemic Stroke and Transient Ischaemic Attack 2008

            This article represents the update of the European Stroke Initiative Recommendations for Stroke Management. These guidelines cover both ischaemic stroke and transient ischaemic attacks, which are now considered to be a single entity. The article covers referral and emergency management, Stroke Unit service, diagnostics, primary and secondary prevention, general stroke treatment, specific treatment including acute management, management of complications, and rehabilitation.
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              Atrial fibrillation as an independent risk factor for stroke: the Framingham Study

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                Author and article information

                Contributors
                Journal
                J Healthc Eng
                J Healthc Eng
                JHE
                Journal of Healthcare Engineering
                Hindawi
                2040-2295
                2040-2309
                2021
                27 October 2021
                : 2021
                : 1233166
                Affiliations
                1Department of Radiology, Faculty of Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
                2Department of Industrial Engineering, Faculty of Engineering, King Abdulaziz University, Jeddah 21589, Saudi Arabia
                3Department of Industrial and Systems Engineering, College of Engineering, University of Jeddah, Jeddah, Saudi Arabia
                4Arba Minch University, Arba Minch, Ethiopia
                5Department of Computer Science Engineering, Chandigarh University, Punjab, Ajitgarh, India
                Author notes

                Academic Editor: Chinmay Chakraborty

                Author information
                https://orcid.org/0000-0002-4178-1320
                https://orcid.org/0000-0002-4699-7825
                https://orcid.org/0000-0002-2348-8577
                https://orcid.org/0000-0001-8760-7726
                https://orcid.org/0000-0002-5086-8241
                https://orcid.org/0000-0001-5106-7609
                Article
                10.1155/2021/1233166
                8566034
                34745488
                92457041-51d0-4a65-bd78-4ebfb9edfc42
                Copyright © 2021 Hatim Z. Almarzouki et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 10 September 2021
                : 9 October 2021
                : 12 October 2021
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                Research Article

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