Development and Calibration of a PATCH Device for Monitoring Children's Heart Rate and Acceleration.

INTRODUCTION: Current wearables that collect heart rate and acceleration were not designed for children and/or do not allow access to raw signals, making them fundamentally unverifiable. This study describes the creation and calibration of an open-source multichannel platform (PATCH) designed to measure heart rate and acceleration in children ages 3-8 yr. METHODS: Children (N = 63; mean age, 6.3 yr) participated in a 45-min protocol ranging in intensities from sedentary to vigorous activity. Actiheart-5 was used as a comparison measure. We calculated mean bias, mean absolute error (MAE) mean absolute percent error (MA%E), Pearson correlations, and Lin's concordance correlation coefficient (CCC). RESULTS: Mean bias between PATCH and Actiheart heart rate was 2.26 bpm, MAE was 6.67 bpm, and M%E was 5.99%. The correlation between PATCH and Actiheart heart rate was 0.89, and CCC was 0.88. For acceleration, mean bias was 1.16 mg and MAE was 12.24 mg. The correlation between PATCH and Actiheart was 0.96, and CCC was 0.95. CONCLUSIONS: The PATCH demonstrated clinically acceptable accuracies to measure heart rate and acceleration compared with a research-grade device.

A Sliding Scale Signal Quality Metric of Photoplethysmography Applicable to Measuring Heart Rate across Clinical Contexts with Chest Mounting as a Case Study.

Photoplethysmography (PPG) signal quality as a proxy for accuracy in heart rate (HR) measurement is useful in various public health contexts, ranging from short-term clinical diagnostics to free-living health behavior surveillance studies that inform public health policy. Each context has a different tolerance for acceptable signal quality, and it is reductive to expect a single threshold to meet the needs across all contexts. In this study, we propose two different metrics as sliding scales of PPG signal quality and assess their association with accuracy of HR measures compared to a ground truth electrocardiogram (ECG) measurement. METHODS: We used two publicly available PPG datasets (BUT PPG and Troika) to test if our signal quality metrics could identify poor signal quality compared to gold standard visual inspection. To aid interpretation of the sliding scale metrics, we used ROC curves and Kappa values to calculate guideline cut points and evaluate agreement, respectively. We then used the Troika dataset and an original dataset of PPG data collected from the chest to examine the association between continuous metrics of signal quality and HR accuracy. PPG-based HR estimates were compared with reference HR estimates using the mean absolute error (MAE) and the root-mean-square error (RMSE). Point biserial correlations were used to examine the association between binary signal quality and HR error metrics (MAE and RMSE). RESULTS: ROC analysis from the BUT PPG data revealed that the AUC was 0.758 (95% CI 0.624 to 0.892) for signal quality metrics of STD-width and 0.741 (95% CI 0.589 to 0.883) for self-consistency. There was a significant correlation between criterion poor signal quality and signal quality metrics in both Troika and originally collected data. Signal quality was highly correlated with HR accuracy (MAE and RMSE, respectively) between PPG and ground truth ECG. CONCLUSION: This proof-of-concept work demonstrates an effective approach for assessing signal quality and demonstrates the effect of poor signal quality on HR measurement. Our continuous signal quality metrics allow estimations of uncertainties in other emergent metrics, such as energy expenditure that relies on multiple independent biometrics. This open-source approach increases the availability and applicability of our work in public health settings.

Tropospheric attenuation prediction for future millimeter wave terrestrial systems: Estimating statistics and extremes.

Tropospheric attenuations can be significant in the millimeter wave (mmWave) frequency bands; hence, accurate prediction modeling of tropospheric attenuation is important for reliable mmWave communication. Several models have been established by the International Telecommunication Union (ITU), yet estimation accuracy is limited due to the large spatial scales used for model input parameters. In this paper, we address this and apply local precipitation data to analyze tropospheric attenuation statistics and compare to results when using ITU regional input rain data. Specifically, tropospheric attenuation is predicted via simulations using the ITU method at 30, 60, and 90 GHz in four distinct geographic locations with different climate types. From our simulations, we gather statistics for annual average rain attenuation, worst month rain attenuation, and rain attenuation per decade. Our results indicate that when using local measured rain data, for 1 km link distance, mean rain event attenuation increases from 0.5 to 2 dB. Local rain data yield larger attenuations at essentially all percentages of time not exceeded (essentially corresponding to all probability values): for example, for 0.1% of time not exceeded, in Columbia, SC, rain attenuation for 30 GHz frequency increases to 9 dB with local rain data, compared to 5 dB with ITU's regional data, corresponding to rain rates of 38.2 and 17.5 mm/h, respectively; at the same probability and location, the 90 GHz attenuation increases by 10 dB, from 10 to 20 dB when local rain data are used. Fog attenuations are also appreciable, reaching 8 dB for the 90 GHz frequency. Moreover, for the example locations, peak rain attenuations have increased at a rate of approximately 2 dB/decade over the past 50 years. Our results indicate that actual tropospheric attenuations may be substantially larger than that predicted by the ITU model when using regional rain rate data.

Ultra-Wideband Air-to-Ground Propagation Channel Characterization in an Open Area.

This paper studies the air-to-ground ultra-wideband channel through propagation measurements between 3.1 GHz to 4.8 GHz using unmanned-aerial-vehicles (UAVs). Different line-of-sight (LOS) and obstructed-LOS scenarios and two antenna orientations were used in the experiments. Multipath channel statistics for different propagation scenarios were obtained, and the Saleh-Valenzuela model was found to provide a good fit for the statistical channel model. An analytical path loss model based on antenna gains in the elevation plane is provided for unobstructed UAV hovering and moving (in a circular path) propagation scenarios.