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Researchers develop smart earring to monitor skin temperature

The wearable has shown promise for monitoring signs of stress, eating, exercise and ovulation

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The Thermal Earring is a wireless wearable that continuously monitors a user’s earlobe temperature Source: Raymond Smith/University of Washington

University of Washington researchers have developed a smart wireless earring capable of continuously monitoring a user’s earlobe temperature.

In a study of six users, the Thermal Earring outperformed a smartwatch at sensing skin temperature during periods of rest.

The research, published in Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies, also showed promise for monitoring signs of stress, eating, exercise and ovulation.

The smart earring prototype is about the size and weight of a small paperclip and has a 28-day battery life. A magnetic clip attaches one temperature sensor to a wearer’s ear, while another sensor dangles about an inch below it for estimating room temperature.

The earring can be personalised with fashion designs made of resin or with a gemstone, without negatively affecting its accuracy.

“I wear a smartwatch to track my personal health, but I’ve found that a lot of people think smartwatches are unfashionable or bulky and uncomfortable,” said co-lead author Qiuyue (Shirley) Xue, a UW doctoral student in the Paul G. Allen School of Computer Science & Engineering.

“I also like to wear earrings, so we started thinking about what unique things we can get from the earlobe. We found that sensing the skin temperature on the lobe, instead of a hand or wrist, was much more accurate. It also gave us the option to have part of the sensor dangle to separate ambient room temperature from skin temperature.”

Yujia (Nancy) Liu, co-lead author, who was a UW masters student in the electrical and computer engineering department when doing the research and is now at the University of California San Diego, said: “It’s a tricky balance.

“Typically, if you want power to last longer, you should have a bigger battery. But then you sacrifice size. Making it wireless also demands more energy.”

The team made the earring’s power consumption as efficient as possible, while also making space for a Bluetooth chip, a battery, two temperature sensors and an antenna.

Instead of pairing it with a device, which uses more power, the earring uses Bluetooth advertising mode — the transmissions a device broadcasts to show it can be paired. After reading and sending the temperature, it goes into deep sleep to save power.

Because continuous earlobe temperature has not been studied widely, the team also explored potential applications to guide future research. In five patients with fevers, the average earlobe temperature rose 10.62 degrees Fahrenheit (5.92 degrees Celsius) compared with the temperatures of 20 healthy patients, suggesting the earring’s potential for continuous fever monitoring.

Dr Mastafa Springston, co-author and clinical instructor at the department of emergency medicine in the UW School of Medicine, said: “In medicine we often monitor fevers to assess response to therapy to see, for instance, if an antibiotic is working on an infection.

“Longer term monitoring is a way to increase sensitivity of capturing fevers, since they can rise and fall throughout the day.”

While core body temperature generally stays relatively constant outside of fever, earlobe temperature varies more, presenting several novel uses for the Thermal Earring.

In small proof-of-concept tests, the earring detected temperature variations correlated with eating, exercising and experiencing stress.

When tested on six users at rest, the earring’s reading varied by 0.58 F (0.32 C) on average, placing it within the range of 0.28 C to 0.56 C necessary for ovulation and period tracking. A smartwatch varied by 0.72 C.

The temperature sensing earring is shown attached to a person’s ear. The portion touching the earlobe has a gemstone on it. Dangling a few centimeters below it is a pink flower made of resin.

The smart earring can be personalised with fashion designs made of resin without negatively affecting its accuracy. Source: Raymond Smith/University of Washington

“Current wearables like Apple Watch and Fitbit have temperature sensors, but they provide only an average temperature for the day, and their temperature readings from wrists and hands are too noisy to track ovulation,” Xue said.

“So we wanted to explore unique applications for the earring, especially applications that might be attractive to women and anyone who cares about fashion.”

While researchers found several promising potential applications for the earrings, their findings were preliminary, since the focus was on the range of potential uses. They need more data to train their models for each use case and more thorough testing before the device might be used by the public.

For future iterations of the device, Xue is working to integrate heart rate and activity monitoring. She is also interested in potentially powering the device from solar or kinetic energy from the earring swaying.

“Eventually, I want to develop a jewellery set for health monitoring,” she said.

“The earrings would sense activity and health metrics such as temperature and heart rate, while a necklace might serve as an electrocardiogram monitor for more effective heart health data.”

The device is not currently commercially available.

Hormonal health

Most Americans not aware midwives provide care beyond pregnancy, study finds

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Most Americans are unaware that midwives provide women’s healthcare beyond pregnancy and birth, a new survey has found.

The survey of 1,006 Americans found that 93 per cent think midwives only deliver babies and were surprised to learn they can be a trusted partner in all aspects of women’s health.

The research was conducted by The Ohio State University Wexner Medical Center. It found that only one in five Americans are aware midwives can provide women’s annual gynaecology exams.

Michaela Ward, a certified nurse-midwife at Ohio State Wexner Medical Center, said: “We take care of women across the lifespan. We are highly trained and we’re highly skilled.

“We can take care of you even if there is something more complex about you or your health.

“If I need to consult with one of our physicians at Ohio State, I can call them right away and discuss the patient’s case.

“We all work together to provide the best care possible for our patients.”

While services such as pregnancy and birth support and water births were correctly identified as midwife services by over half of adults, other services like medication management, menopause care and annual women’s health exams are known by far fewer.

Both men and women were equally unaware of the full breadth of services provided.

Survey respondents’ knowledge of women’s health services provided by midwives included pregnancy and birth support (93 per cent), water births (69 per cent), medication management including birth control (26 per cent), menopause care (23 per cent), annual women’s health exams including pap smears and STI testing (20 per cent), caesarean sections (13 per cent) and ‘don’t know’ responses (1 per cent).

According to the Department of Health and Human Services, the US is expected to face a significant shortage of obstetrician-gynaecologists in the next five years.

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Mental health

Stress linked to increased heart risk in women

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Women with high psychosocial stress show early heart changes linked to cardiovascular disease, with no similar association in men, a recent study has found.

The findings support sex-specific effects of stress on cardiovascular health and suggest that risk assessment should include psychosocial factors and mental wellbeing.

Judy Luu is assistant professor at the Division of Clinical and Translational Research at McGill Faculty of Medicine.

She said: “From an epidemiological point of view, we have known for about two decades that stress is an important risk factor in cardiovascular health for people born female.

“But with this research stream, we’re really aiming to understand how stress physiologically impacts the heart.”

Cardiac MRI measures T1 and T2 in heart muscle, signals related to tissue composition and water; higher values can indicate early disease.

The study, conducted by researchers from McGill and Concordia universities in Canada, examined MRI heart scans of 219 adults aged 43 to 65, about half of whom were female.

The scans assessed T1 and T2 markers linked to early cardiac disease.

Participants were divided into two groups: those with at least one cardiovascular risk factor (such as diabetes, hypertension or smoking) but no heart disease, and healthy controls.

In both groups, women reporting high psychosocial stress had significantly higher T1 values than low-stress women.

T2 was also higher in the at-risk group only. No significant differences were seen between high- and low-stress men.

She added that the sex differences observed are not only a social question, but also a biological question.

Luu said: “Research points to the fact that there are biological differences in the way females physically handle stress.”

The next phase of the research will focus on blood markers and other biological explanations, such as hormones.

The team hopes the work can lead to better interventions to advance women’s heart health.

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Insight

Planned birth at term reduces pre-eclampsia in high-risk women – study

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Planned birth at term reduces the incidence of pre-eclampsia in high-risk women without increasing emergency caesarean rates or neonatal unit admissions, a trial has found.

The PREVENT-PE trial is the first to find that screening for pre-eclampsia risk at 36 weeks of pregnancy, then offering planned early term delivery according to the mother’s risk, can reduce subsequent incidence by 30 per cent compared with usual care.

Pre-eclampsia is high blood pressure that develops during pregnancy, most commonly at term gestational age.

It affects 2-8 per cent of pregnancies worldwide and can be life-threatening, with around 46,000 maternal deaths and around 500,000 foetal or newborn deaths each year.

Kypros Nicolaides, founder and chairman of the Fetal Medicine Foundation which funded the trial, said: “A 30 per cent reduction in term pre-eclampsia, from 5.6 per cent to 3.9 per cent, is very important.

“It represents an even greater reduction in the number of pre-eclampsia cases than we can achieve for preterm pre-eclampsia with aspirin.”

The trial was led by researchers from King’s College London and King’s College Hospital NHS Foundation Trust.

It recruited over 8,000 women from King’s College Hospital and Medway NHS Foundation Trusts, who were randomly allocated into an intervention group or a control group receiving usual care.

Risk was assessed using a model that combines maternal demographics and history with blood pressure and specific blood markers.

Those at high risk were offered planned birth at 37, 38, 39 or 40 weeks of pregnancy.

Argyro Syngelaki, reader in maternal-fetal medicine at King’s College London, said: “This trial took place in busy NHS maternity units serving a highly diverse population, and often socially deprived communities where the burden of pre-eclampsia is greatest.

“The high level of participation and adherence shows that a personalised, risk-based approach is acceptable, practical, and aligns with what women want from their care.

“Achieving a 30 per cent reduction in term pre-eclampsia, without increasing emergency Caesarean birth or neonatal admissions, represents a meaningful and reassuring improvement for women, babies, and maternity services.”

Laura A. Magee, professor of women’s health at King’s College London, said: “We will soon report on the health economic implications of the trial, as well as the experiences of women and staff who participated, to provide policy-makers with the information that they need to implement the trial intervention within the NHS.”

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