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Authors = Badri Thapa

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18 pages, 4541 KiB  
Article
Monitoring the Sleep Respiratory Rate with Low-Cost Microcontroller Wi-Fi in a Controlled Environment
by Ratthamontree Burimas, Teerayut Horanont, Aakash Thapa and Badri Raj Lamichhane
Appl. Sci. 2024, 14(15), 6458; https://doi.org/10.3390/app14156458 - 24 Jul 2024
Cited by 2 | Viewed by 1847
Abstract
Sleep apnea, characterized by breathing interruptions or slow breathing at night, can cause various health issues. Detecting respiratory rate (RR) using Wireless Fidelity (Wi-Fi) can identify sleep disorders without physical contact avoiding sleep disruption. However, traditional methods using Network Interface Cards (NICs) like [...] Read more.
Sleep apnea, characterized by breathing interruptions or slow breathing at night, can cause various health issues. Detecting respiratory rate (RR) using Wireless Fidelity (Wi-Fi) can identify sleep disorders without physical contact avoiding sleep disruption. However, traditional methods using Network Interface Cards (NICs) like the Intel Wi-Fi Link 5300 NIC are often costly and limited in channel state information (CSI) resolution. Our study introduces an effective strategy using the affordable ESP32 single-board computer for tracking RR through detailed analysis of Wi-Fi signal CSI. We developed a technique correlating Wi-Fi signal fluctuations with RR, employing signal processing methods—Hampel Filtering, Gaussian Filtering, Linear Interpolation, and Butterworth Low Pass Filtering—to accurately extract relevant signals. Additionally, noise from external movements is mitigated using a Z-Score for anomaly detection approach. We also implemented a local peak function to count peaks within an interval, scaling it to bpm for RR identification. RR measurements were conducted at different rates—Normal (12–16 bpm), Fast (>16 bpm), and Slow (<12 bpm)—to assess the effectiveness in both normal and sleep apnea conditions. Tested on data from 8 participants with distinct body types and genders, our approach demonstrated accuracy by comparing modeled sleep RR against actual RR measurements from the Vernier Respiration Monitor Belt. Optimal parameter settings yielded an overall average mean absolute deviation (MAD) of 2.60 bpm, providing the best result for normal breathing (MAD = 1.38). Different optimal settings were required for fast (MAD = 1.81) and slow breathing (MAD = 2.98). The results indicate that our method effectively detects RR using a low-cost approach under different parameter settings. Full article
(This article belongs to the Special Issue Intelligent Electronic Monitoring Systems and Their Application)
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16 pages, 5696 KiB  
Article
Functionalization of Cathode–Electrolyte Interface with Ionic Liquids for High-Performance Quasi-Solid-State Lithium–Sulfur Batteries: A Low-Sulfur Loading Study
by Milinda Kalutara Koralalage, Varun Shreyas, William R. Arnold, Sharmin Akter, Arjun Thapa, Badri Narayanan, Hui Wang, Gamini U. Sumanasekera and Jacek B. Jasinski
Batteries 2024, 10(5), 155; https://doi.org/10.3390/batteries10050155 - 30 Apr 2024
Cited by 3 | Viewed by 2466
Abstract
We introduce a quasi-solid-state electrolyte lithium-sulfur (Li–S) battery (QSSEB) based on a novel Li-argyrodite solid-state electrolyte (SSE), Super P–Sulfur cathode, and Li-anode. The cathode was prepared using a water-based carboxymethyl cellulose (CMC) solution and styrene butadiene rubber (SBR) as the binder while Li [...] Read more.
We introduce a quasi-solid-state electrolyte lithium-sulfur (Li–S) battery (QSSEB) based on a novel Li-argyrodite solid-state electrolyte (SSE), Super P–Sulfur cathode, and Li-anode. The cathode was prepared using a water-based carboxymethyl cellulose (CMC) solution and styrene butadiene rubber (SBR) as the binder while Li6PS5F0.5Cl0.5 SSE was synthesized using a solvent-based process, via the introduction of LiF into the argyrodite crystal structure, which enhances both the ionic conductivity and interface-stabilizing properties of the SSE. Ionic liquids (IL) were prepared using lithium bis(trifluoromethyl sulfonyl)imide (LiTFSI) as the salt, with pre-mixed pyrrolidinium bis(trifluoromethyl sulfonyl)imide (PYR) as solvent and 1,3-dioxolane (DOL) as diluent, and they were used to wet the SSE–electrode interfaces. The effect of IL dilution, the co-solvent amount, the LiTFSI concentration, the C rate at which the batteries are tested and the effect of the introduction of SSE in the cathode, were systematically studied and optimized to develop a QSSEB with higher capacity retention and cyclability. Interfacial reactions occurring at the cathode–SSE interface during cycling were also investigated using electrochemical impedance spectroscopy, cyclic voltammetry, and X-ray photoelectron spectroscopy supported by ab initio molecular dynamics simulations. This work offers a new insight into the intimate interfacial contacts between the SSE and carbon–sulfur cathodes, which are critical for improving the electrochemical performance of quasi-solid-state lithium–sulfur batteries. Full article
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14 pages, 4877 KiB  
Article
Decreasing Trends in Antibiotic Consumption in Public Hospitals from 2014 to 2017 Following the Decentralization of Drug Procurement in Myanmar
by Khin Hnin Pwint, Kyaw Soe Min, Wenjing Tao, Hemant Deepak Shewade, Khin Thet Wai, Hnin Aye Kyi, Sushma Shakya, Badri Thapa, Rony Zachariah and Zaw Than Htun
Trop. Med. Infect. Dis. 2021, 6(2), 57; https://doi.org/10.3390/tropicalmed6020057 - 20 Apr 2021
Cited by 5 | Viewed by 4533
Abstract
(1) Background: In 2014, drug procurement for public hospitals in Myanmar was decentralized to a pull system. This might lead to increasing trends in the consumption of broad-spectrum and last-resort antibiotics. For fiscal years 2014-2017, we assessed annual antibiotic consumption trends and patterns [...] Read more.
(1) Background: In 2014, drug procurement for public hospitals in Myanmar was decentralized to a pull system. This might lead to increasing trends in the consumption of broad-spectrum and last-resort antibiotics. For fiscal years 2014-2017, we assessed annual antibiotic consumption trends and patterns in total defined daily doses (DDDs). (2) Methods: We followed World Health Organization (WHO) methodology for surveillance of antimicrobial consumption based on hospital antibiotic procurement records (as a proxy). (3) Results: In 32% of all public hospitals where data were retrieved, total antibiotic consumption reduced by 19% between 2014 (7,122,852 DDD) and 2017 (5,794,904 DDD). Consumption per 1000 inhabitants per day (<200 bed hospitals) also reduced from 0.6 to 0.3. Over 60% of procurement was for beta-lactam antibiotics and quinolones; quinolones decreased over time. Consumption of first-line antibiotics increased (42% in 2014 to 54% in 2017), whereas broad-spectrum antibiotics decreased (46% in 2014 to 38% in 2017). Linezolid was the only last-resort antibiotic procured. There was a progressive reduction in per capita government current health expenditure from approximately 9.2 US$ in 2014 to 8.3 US$ in 2017. (4) Conclusions: Antibiotic consumption decreased over time in public hospitals. This first study provides a baseline for developing an antibiotic consumption surveillance system in Myanmar. Full article
(This article belongs to the Special Issue AMR in Low and Middle Income Countries)
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9 pages, 5161 KiB  
Article
Antibiotic Use in Broiler Poultry Farms in Kathmandu Valley of Nepal: Which Antibiotics and Why?
by Ananta Koirala, Priyanka Bhandari, Hemant Deepak Shewade, Wenjing Tao, Badri Thapa, Robert Terry, Rony Zachariah and Surendra Karki
Trop. Med. Infect. Dis. 2021, 6(2), 47; https://doi.org/10.3390/tropicalmed6020047 - 5 Apr 2021
Cited by 23 | Viewed by 7744
Abstract
Inappropriate antibiotic use in food-producing animals is associated with the emergence and spread of antibiotic resistance. In industrial broiler poultry farms in three districts of Kathmandu valley, Nepal, we assessed antibiotic use prevalence, and their classes, types, and quantities. A cross-sectional questionnaire study [...] Read more.
Inappropriate antibiotic use in food-producing animals is associated with the emergence and spread of antibiotic resistance. In industrial broiler poultry farms in three districts of Kathmandu valley, Nepal, we assessed antibiotic use prevalence, and their classes, types, and quantities. A cross-sectional questionnaire study involving field visits to large poultry farms (flock size ≥ 3000) of the Kathmandu, Bhaktapur, and Lalitpur districts was conducted. Of 30 farms (total flock size 104,200; range 3000–6000), prevalence of antibiotic use was 90% (95% CI: 73–98%). Six (22%) farms used antibiotics as prophylaxis, while 21 (78%) used it for therapeutics. Seven antibiotics from six classes (including quinolones, macrolides, and polymyxins) were used. The most commonly used antibiotics were tylosin (47%), colistin (47%), and dual therapies with neomycin and doxycycline (33%). A total of 50,000 grams of antibiotics (total weight including active and inactive ingredients) were used (0.5 grams/chicken/45 days of flock life) with eight (26%) farms using more than two antibiotics. No farms had records on clinical indications for prophylaxis or treatment. No post-mortem records of sick birds were available. Prevalence of antibiotic use in broiler farms of Kathmandu valley is high and includes “highest priority critically important antibiotics” for human use, with direct implications on public health. Full article
(This article belongs to the Special Issue AMR in Low and Middle Income Countries)
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