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Pressure ulcers are associated with significant morbidity, resulting in a decreased quality of life for the patient, and contributing to healthcare professional burnout, as well as an increase of health service costs. Their prompt diagnosis and treatment are important, and several studies have proposed solutions to help healthcare professionals in this process. This work analyzes studies that use machine-learning algorithms for risk assessment and management of preventive treatments for pressure ulcers. More specifically, it focuses on the use of machine-learning algorithms that combine information from intrinsic and extrinsic pressure-ulcer predisposing factors to produce recommendations/alerts to healthcare professionals. The review includes articles published from January 2010 to June 2021. From 60 records screened, seven articles were analyzed in full-text form. The results show that most of the proposed algorithms do not use information related to both intrinsic and extrinsic predisposing factors and that many of the approaches separately address one of the following three components: data acquisition; data analysis, and production of complementary support to well-informed clinical decision-making. Additionally, only a few studies describe in detail the outputs of the algorithm, such as alerts and recommendations, without assessing their impacts on healthcare professionals’ activities

Pressure ulcers are a critical issue not only for patients, decreasing their quality of life, but also for healthcare professionals, contributing to burnout from continuous monitoring, with a consequent increase in healthcare costs. Due to the relevance of this problem, many hardware and software approaches have been proposed to ameliorate some aspects of pressure ulcer prevention and monitoring. In this article, we focus on reviewing solutions that use sensor-based data, possibly in combination with other intrinsic or extrinsic information, processed by some form of intelligent algorithm, to provide healthcare professionals with knowledge that improves the decision-making process when dealing with a patient at risk of developing pressure ulcers. We used a systematic approach to select 21 studies that were thoroughly reviewed and summarized, considering which sensors and algorithms were used, the most relevant data features, the recommendations provided, and the results obtained after deployment. This review allowed us not only to describe the state of the art regarding the previous items, but also to identify the three main stages where intelligent algorithms can bring meaningful improvement to pressure ulcer prevention and mitigation. Finally, as a result of this review and following discussion, we drew guidelines for a general architecture of an intelligent pressure ulcer prevention system.

In recent years the Internet of Things, in addition to use cases in 'smart cities', has also increasingly been used in precision agriculture. As in the rest of the world, it has been a growing reality in Portugal. In an agricultural environment, where energy resources can be scarce and dispersed, the implementation of a LoRa network with autonomous sensor nodes must consider the limitations imposed by the energy consumed by the sensor node, when powered by a battery and a solar panel. For this, experimental tests must be carried out so that there is enough data for the implementation and optimization of the devices. This article presents a work focused on the study of the autonomy and energy efficiency of the sensor device, using algorithms capable of managing energy consumption as a function of the luminosity of the place. Preliminary results attest to the relevance of this approach, keeping the sensor node in operation without interruptions.

Pressure ulcers are a critical issue for patients and healthcare professionals, requiring their frequent monitoring, with a consequent impact on healthcare costs. This problem has been gaining attention and approaches have been proposed, using sensor-based systems, to facilitate this monitoring and help health caregivers to achieve greater effectiveness in the treatment of this type of ulcer. In this paper, the architecture, and the prototype of a new system for pressure ulcer monitoring and prevention are presented. It considers information related to both intrinsic and extrinsic predisposing factors and it addresses the components of data acquisition, data analysis, and production of complementary support to well-informed clinical decision-making. The system includes a pressure ulcer management portal and a mobile application, that allows caregivers to manage clinical information about pressure ulcers of the patients and uses data acquired from a pressure sensor sheet under the mattress to provide useful information for monitoring the patients. Considering the situation of each patient, the system will produce indicators/alerts to healthcare professionals, simultaneously improving pressure-ulcer patient care quality and safety and minimizing the burnout in healthcare professionals.

Pressure ulcers are skin injuries that develop mainly over bony areas as the result of prolonged pressure caused by the immo- bility of bedridden patients. They constitute not only a source of additional suffering for these patients but also contribute to the burnout of healthcare professionals who must maintain continuous monitoring of these patients. Data from countries such as the UK or the USA allows the cost of this problem to be estimated to be, respectively, near £2 billion and $80 billion. In this article, we describe the SensoMatt approach to pressure ulcer prevention and management, which is being developed as a research project that includes partners from industry, healthcare, and academia. The SensoMatt solution is centered on a pressure sheet that is placed under the patient’s mattress, complemented by an online management portal and a mobile app. These provide patients and healthcare providers with an unparalleled set of services that include personalized analysis, prevention warnings and recommendations.

Efficient use of resources is a critical factor in almond crops. Technological solutions can significantly contribute to this purpose. The VeraTech project aims to explore the integration of sensors and cloud-based technologies in almond crops for efficient use of resources and reduction of environmental impact. It also makes available a set of relevant and impactful performance indicators in agricultural activity, which promote productivity gains supported by efficient use of resources. The proposed solution includes a sensor network in the almond crops, the transmission of data and its integration in the cloud, making this data available to be consumed, processed, and presented in the monitoring and alerts dashboard. In the current state of the development, several data are collected by sensors, transmitted over LoRaWAN, integrated using AWS IoT Core, and monitored and analysed through a cloud business analytics service.

Efficient use of resources is a critical factor in almond crops. Technological solutions can significantly contribute to this purpose. The VeraTech project aims to explore the integration of sensors and cloud-based technologies in almond crops for efficient use of resources and reduction of environmental impact. It also makes available a set of relevant and impactful performance indicators in agricultural activity, which promote productivity gains supported by efficient use of resources. The proposed solution includes a sensor network in the almond crops, the transmission of data and its integration in the cloud, making this data available to be consumed, processed, and presented in the monitoring and alerts dashboard. In the current state of the development, several data are collected by sensors, transmitted over LoRaWAN, integrated using AWS IoT Core, and monitored and analysed through a cloud business analytics service. This project is implemented on a farm located in the Beira-Baixa region of Portugal and involves a partnership between Vera Cruz (owner of the farm), Veratech, and the Polytechnic Institute of Castelo Branco.