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    Plastic waste forms huge, deadly masses in camel guts

    Marcus Eriksen was studying plastic pollution in the Arabian Gulf when he met camel expert Ulrich Wernery. “[Ulrich] said, ‘You want to see plastic? Come with me.’ So we went deep into the desert,” Eriksen recalls. Before long, they spotted a camel skeleton and began to dig through sand and bones.
    “We unearthed this mass of plastic, and I was just appalled. I couldn’t believe that — almost did not believe that — a mass as big as a medium-sized suitcase, all plastic bags, could be inside the rib cage of this [camel] carcass,” says Eriksen, an environmental scientist at the 5 Gyres Institute, a plastic pollution research and education organization in Santa Monica, Calif.
    “We hear about marine mammals, sea lions, whales, turtles and seabirds impacted” by plastic waste, Eriksen says (SN: 6/6/19). But “this is not just an ocean issue. It’s a land issue, too. It’s everywhere.”
    About 390,000 dromedary camels (Camelus dromedarius) live in the United Arab Emirates. Now in a study in the February 2021 Journal of Arid Environments, Eriksen, Wernery and colleagues estimate that plastic kills around 1 percent of these culturally important animals.
    Of 30,000 dead camels that Wernery, a veterinary microbiologist at the Central Veterinary Research Laboratory in Dubai, and his team have examined since 2008, 300 had guts packed with plastic ranging from three to 64 kilograms. The researchers dubbed these plastic masses “polybezoars” to distinguish them from naturally occurring hair and plant fiber bezoars.
    When camels eat plastic, it accumulates into enormous, stomach-clogging masses called polybezoars. Researchers found these polybezoars — the biggest of which weighs almost 64 kilograms — inside dead camels in the desert near Dubai.M. Eriksen et al/J. Arid Enviro. 2021
    When camels eat plastic, it accumulates into enormous, stomach-clogging masses called polybezoars. Researchers found these polybezoars — the biggest of which weighs almost 64 kilograms — inside dead camels in the desert near Dubai.M. Eriksen et al/J. Arid Enviro. 2021
    As dromedaries roam the desert looking for food, they munch on plastic bags and other trash that drift into trees and pile up along roadsides. “From the camel’s perspective … if it’s not sand, it’s food,” Eriksen says.
    With a stomach full of plastic, camels don’t eat because they don’t feel hungry, and they starve to death. Plastic can also leach toxins and introduce bacteria that poison the one-humped mammals, Wernery says.

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    “If 1 percent mortality due to plastic is verified by future and more detailed studies, then plastic pollution will certainly represent a reason of concern for [camels],” says Luca Nizzetto, an environmental scientist at the Norwegian Institute for Water Research in Oslo, who was not involved with the research. “These types of studies are relevant to raise social awareness about this pollution.”
    Banning plastic bags and single-use plastics is crucial for protecting camels and other wildlife, Eriksen says. “Plastic bags are escape artists. They blow out of garbage cans, out of landfills, out of trucks and out of people’s hands. They travel for hundreds of miles.” More

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    Robotic exoskeleton training improves walking in adolescents with acquired brain injury

    A team of New Jersey researchers has shown that gait training using robotic exoskeletons improved motor function in adolescents and young adults with acquired brain injury. The article, “Kinetic gait changes after robotic exoskeleton training in adolescents and young adults with acquired brain injury” was published October 28, 2020 in Applied Bionics and Biomechanics.
    The authors are Kiran Karunakaran, PhD, Naphtaly Ehrenberg, MS, and Karen Nolan, PhD, from the Center for Mobility and Rehabilitation Engineering Research at Kessler Foundation, and JenFu Cheng, MD, and Katherine Bentley, MD, from Children’s Specialized Hospital. Drs. Karunakaran, Nolan, Cheng, and Bentley are also affiliated with the Department of Physical Medicine and Rehabilitation at Rutgers New Jersey Medical School.
    Acquired brain injury often results in hemiparesis, causing significant deficits in balance and gait that adversely affect functional ambulation and participation in activities of daily living. Gait training using robotic exoskeletons offers an option for motor rehabilitation in individuals with hemiparesis, but few studies have been conducted in adolescents and young adults. Findings from a preliminary study in this age group show promise for this intervention, according to Drs. Karunakaran and Nolan.
    Participants included seven individuals (aged 13 to 28 years) with acquired brain injury (ABI) and hemiparesis and one healthy control. The ABI group included individuals with brain injuries due to anoxia, trauma, and stroke. All participants received 12 45-minute sessions of high-dose, repetitive gait training in a robotic exoskeleton (EksoGT, Ekso Bionics, Inc.) over a 4-week period. The gait training was administered by a licensed physical therapist supervised by a member of the research team.
    “At the end of the 4-week training, participants had progressed to a more normal gait pattern,” said Dr. Karunakaran, “including improved loading, a longer step length and faster walking speed” Although results are promising, Dr. Nolan acknowledged the limitations of the study, including small sample size and lack of a control group: “Further study is needed to confirm the training effect in this age group with ABI, optimal dosing for the training protocol, and the durability of functional improvements.”

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    Create a realistic VR experience using a normal 360-degree camera

    Scientists at the University of Bath have developed a quick and easy approach for capturing 360° VR photography without using expensive specialist cameras. The system uses a commercially available 360° camera on a rotating selfie stick to capture video footage and create an immersive VR experience.
    Virtual reality headsets are becoming increasingly popular for gaming, and with the global pandemic restricting our ability to travel, this system could also be a cheap and easy way to create virtual tours for tourist destinations.
    Conventional 360° photography stitches together thousands of shots as you move around one spot. However, it doesn’t retain depth perception, so the scene is distorted and the images look flat.
    Whilst state-of-the-art VR photography, which includes depth perception, is available to professional photographers, it requires expensive equipment, as well as time to process the thousands of photos needed to create a fully immersive VR environment.
    Dr Christian Richardt and his team at CAMERA, the University of Bath’s motion capture research centre, have created a new type of 360° VR photography accessible to amateur photographers called OmniPhotos.
    This is a fast, easy and robust system that recreates high quality motion parallax, so that as the VR user moves their head, the objects in the foreground move faster than the background.

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    This mimics how your eyes view the real world, creating a more immersive experience.
    OmniPhotos can be captured quickly and easily using a commercially available 360° video camera on a rotating selfie stick.
    Using a 360° video camera also unlocks a significantly larger range of head motions.
    OmniPhotos are built on an image-based representation, with optical flow and scene adaptive geometry reconstruction, which is tailored for real time 360° VR rendering.
    Dr Richardt and his team presented the new system at the international SIGGRAPH Asia conference on Sunday 13th December 2020.
    He said: “Until now, VR photography that uses realistic motion parallax has been the preserve of professional VR photographers, using expensive equipment and requiring complex software and computing power to process the images.
    “OmniPhotos simplifies this process so that you can use it with a commercially available 360° camera that only costs a few hundred pounds.
    “This opens up VR photography to a whole new set of applications, from estate agent’s virtual tours of houses to immersive VR journeys at remote tourist destinations. With the pandemic stopping many people from travelling on holiday this year, this is a way of virtually visiting places that are currently inaccessible.”
    Further information: https://richardt.name/publications/omniphotos/

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    'Magic' angle graphene and the creation of unexpected topological quantum states

    Electrons inhabit a strange and topsy-turvy world. These infinitesimally small particles have never ceased to amaze and mystify despite the more than a century that scientists have studied them. Now, in an even more amazing twist, physicists have discovered that, under certain conditions, interacting electrons can create what are called “topological quantum states.” This finding, which was recently published in the journal Nature, has implications for many technological fields of study, especially information technology.
    Topological states of matter are particularly intriguing classes of quantum phenomena. Their study combines quantum physics with topology, which is the branch of theoretical mathematics that studies geometric properties that can be deformed but not intrinsically changed. Topological quantum states first came to the public’s attention in 2016 when three scientists — Princeton’s Duncan Haldane, who is Princeton’s Thomas D. Jones Professor of Mathematical Physics and Sherman Fairchild University Professor of Physics, together with David Thouless and Michael Kosterlitz — were awarded the Nobel Prize for their work in uncovering the role of topology in electronic materials.
    “The last decade has seen quite a lot of excitement about new topological quantum states of electrons,” said Ali Yazdani, the Class of 1909 Professor of Physics at Princeton and the senior author of the study. “Most of what we have uncovered in the last decade has been focused on how electrons get these topological properties, without thinking about them interacting with one another.”
    But by using a material known as magic-angle twisted bilayer graphene, Yazdani and his team were able to explore how interacting electrons can give rise to rise to surprising phases of matter.
    The remarkable properties of graphene were discovered two years ago when Pablo Jarillo-Herrero and his team at the Massachusetts Institute of Technology (MIT) used it to induce superconductivity — a state in which electrons flow freely without any resistance. The discovery was immediately recognized as a new material platform for exploring unusual quantum phenomena.
    Yazdani and his fellow researchers were intrigued by this discovery and set out to further explore the intricacies of superconductivity.

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    But what they discovered led them down a different and untrodden path.
    “This was a wonderful detour that came out of nowhere,” said Kevin Nuckolls, the lead author of the paper and a graduate student in physics. “It was totally unexpected, and something we noticed that was going to be important.”
    Following the example of Jarillo-Herrero and his team, Yazdani, Nuckolls and the other researchers focused their investigation on twisted bilayer graphene.
    “It’s really a miracle material,” Nuckolls said. “It’s a two-dimensional lattice of carbon atoms that’s a great electrical conductor and is one of the strongest crystals known.”
    Graphene is produced in a deceptively simple but painstaking manner: a bulk crystal of graphite, the same pure graphite in pencils, is exfoliated using sticky tape to remove the top layers until finally reaching a single-atom-thin layer of carbon, with atoms arranged in a flat honeycomb lattice pattern.

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    To get the desired quantum effect, the Princeton researchers, following the work of Jarillo-Herrero, placed two sheets of graphene on top of each other with the top layer angled slightly. This twisting creates a moiré pattern, which resembles and is named after a common French textile design. The important point, however, is the angle at which the top layer of graphene is positioned: precisely 1.1 degrees, the “magic” angle that produces the quantum effect.
    “It’s such a weird glitch in nature,” Nuckolls said, “that it is exactly this one angle that needs to be achieved.” Angling the top layer of graphene at 1.2 degrees, for example, produces no effect.
    The researchers generated extremely low temperatures and created a slight magnetic field. They then used a machine called a scanning tunneling microscope, which relies on a technique called “quantum tunneling” rather than light to view the atomic and subatomic world. They directed the microscope’s conductive metal tip on the surface of the magic-angle twisted graphene and were able to detect the energy levels of the electrons.
    They found that the magic-angle graphene changed how electrons moved on the graphene sheet. “It creates a condition which forces the electrons to be at the same energy,” said Yazdani. “We call this a ‘flat band.'”
    When electrons have the same energy — are in a flat band material — they interact with each other very strongly. “This interplay can make electrons do many exotic things,” Yazdani said.
    One of these “exotic” things, the researchers discovered, was the creation of unexpected and spontaneous topological states.
    “This twisting of the graphene creates the right conditions to create a very strong interaction between electrons,” Yazdani explained. “And this interaction unexpectedly favors electrons to organize themselves into a series of topological quantum states.”
    Specifically, they discovered that the interaction between electrons creates what are called topological insulators. These are unique devices that act as insulators in their interiors, which means that the electrons inside are not free to move around and therefore do not conduct electricity. However, the electrons on the edges are free to move around, meaning they are conductive. Moreover, because of the special properties of topology, the electrons flowing along the edges are not hampered by any defects or deformations. They flow continuously and effectively circumvent the constraints — such as minute imperfections in a material’s surface — that typically impede the movement of electrons.
    During the course of the work, Yazdani’s experimental group teamed up two other Princetonians — Andrei Bernevig, professor of physics, and Biao Lian, assistant professor of physics — to understand the underlying physical mechanism for their findings.
    “Our theory shows that two important ingredients — interactions and topology — which in nature mostly appear decoupled from each other, combine in this system,” Bernevig said. This coupling creates the topological insulator states that were observed experimentally.
    Although the field of quantum topology is relatively new, it holds great potential for revolutionizing the areas of electrical engineering, materials science and especially computer science.
    “People talk a lot about its relevance to quantum computing, where you can use these topological quantum states to make better types of quantum bits,” Yazdani said. “The motivation for what we’re trying to do is to understand how quantum information can be encoded inside a topological phase. Research in this area is producing exciting new science and can have potential impact in advancing quantum information technologies.”
    Yazdani and his team will continue their research into understanding how the interactions of electrons give rise to different topological states.
    “The interplay between the topology and superconductivity in this material system is quite fascinating and is something we will try to understand next,” Yazdani said. More

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    Toward imperceptible electronics that you cannot see or feel

    Researchers have fabricated transparent, ultrathin, flexible sensors with cross-aligned silver nanowire microelectronics fabricated using print technique that would be inexpensive and straightforward to mass-produce. This advance will find much use in biometrics and many other applications that require underlying visual observation. More

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    Fans are not amused about decisions made by video assistants

    Since the 2019/20 season, controversial referee calls in the English Premier League may be technically reviewed and, if deemed necessary, corrected. Using a Twitter analysis of 129 games in the English Premier League, a research team from the Technical University of Munich (TUM) has now determined how decisions made by video referees affect the mood of the fans.
    For its 2019/20 season, the English Premier League introduced the video assistant referee (VAR). Dr. Otto Kolbinger and Melanie Knopp from the Chair of Performance Analysis and Sports Informatics at the Technical University of Munich have now investigated the extent to which this influences the mood of audiences.
    A total of 643,251 English-language tweets from the social media channel Twitter were included in the study, which investigated 94 VAR incidents from 129 games. Of these, over 58,000 tweets (9.1 percent) were directly related to the video referee.
    Analyzing Twitter tweets using artificial intelligence
    For their analysis, the team employed “text mining,” an algorithm-based analysis process which unearths structures of meaning buried in text data. The study focused on the automatic extraction of tacit knowledge from large amounts of text data, in this case tweets, collected via an interface.
    “We used the official hashtag for each game to ensure that the tweets really refer to the game in question,” explained Dr. Kolbinger, elucidating the procedure. “We also, for the first time ever, used a new text classification algorithm. In our case, it performed better than algorithms used in previous studies.”
    To avoid so-called overfitting — the over-adaptation of a model to a given data set — the team allowed only a fraction of the variables to flow into each individual step during model fitting.

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    The use of video assistants kill the mood
    In its data analysis, the team examined whether tweets referring to a specific VAR situation are formulated positively or negatively. They found that the average sentiment of tweets relating to decisions by the video referee was significantly lower than that of other tweets: 76.24 percent of the 58,000 tweets were negative, 12.33 percent positive and 11.43 percent neutral.
    The research team also examined the average sentiment of all tweets for a given match chronologically. It turns out that the mood of tweets published after a VAR incident is significantly worse than that of tweets published before the incident.
    This slump lasted 20 minutes on average. Deploying VAR in a match produces a negative sentiment on Twitter. It was this realization that led to the striking study title, rich in associations: “Video kills the sentiment.”
    More transparent communication of VAR decisions
    According to the researchers the status quo is unsatisfactory, which is why they are calling on the governing bodies of the European football associations and leagues to improve the system.

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    “The football associations should attempt to communicate all VAR decisions with greater transparency,” recommends Dr. Kolbinger. “To ensure this transparency, the associations could broadcast the communications between the referee on the field and the video referee, as it is done in field hockey. An alternative would be to introduce the option of a ‘coaches challenge’, as in American football. But this is all just food for thought, based on our results.”
    Assess audience responses quantitatively and qualitatively
    “The research project led by Dr. Otto Kolbinger and Melanie Knopp is a pioneering achievement,” says Prof. Lames, who heads the Chair of Performance Analysis and Sports Informatics. “They deployed a technology that they developed and applied for the first time in Germany. It is an innovative and groundbreaking contribution that advances science in this area. ”
    “These sentiment analyzes can be used to measure reactions from audiences both quantitatively and qualitatively,” explains Prof. Lames. “In addition, we can investigate assessments and emotions, which is an extremely valuable marketing tool.” More

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    Grasping exponential growth

    Most people underestimate exponential growth, including when it comes to the spread of the coronavirus. The ability to grasp the magnitude of exponential growth depends on the way in which it is communicated. Using the right framing helps to understand the benefit of mitigation measures.
    The coronavirus outbreak offered the public a crash course in statistics, with terms like doubling time, logarithmic scales, R factor, rolling averages, and excess mortality now on everyone’s tongue. However, simply having heard these terms does not mean that someone will be able to comprehend the speed of the spread.
    Exponential growth is a notoriously difficult concept to understand. This difficulty can be illustrated by an old Indian legend about a king who was tricked by one of his advisers, saying “Noble lord, I want nothing more than a chess board to be filled with grains of rice. Place one grain on the first square and double the amount of grain for each square that follows.”
    The king agreed to the deal, seemingly unaware of the explosive growth that would result from doubling the amount of grain for each of the 64 chessboard squares. At the end of the procedure, he would owe his adviser no less than 18 quintillion, 446 quadrillion, 744 trillion, 73 billion, 709 million, 551 thousand and 615 grains — the equivalent of around 11 billion train carriages full of rice.
    The tendency to underestimate exponential growth can result in negative consequences during a pandemic. If people misjudge how quickly the virus can spread, then they are less likely to take measures such as mask wearing, social distancing, or working from home. Instead, people may perceive such measures as exaggerated.
    A new research paper published by the journal PLOS ONE from ETH Zurich’s Center for Law and Economics and the Lucerne University of Applied Sciences and Arts has taken a closer look at this behavioural phenomenon, known as exponential growth bias. Martin Schonger, lecturer and director of a study programme at HSLU and Senior Research Fellow at ETH Zürich, and doctoral researcher Daniela Sele wanted to find out whether the way in which the exponential spread of infectious disease is communicated can affect the magnitude of this bias. From previous experiments, the researchers knew that people underestimate exponential growth even when they are aware of exponential growth bias. In other words, informing the public of potential bias does little to improve perception: informed people still underestimate what exponential growth really means in practice, just like people who are unaware of the bias.

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    Doubling time — a concept easier to understand than growth rate
    The research team conducted an experiment in which over 400 participants were presented with the same scenario: a country currently has a thousand cases, and this figure climbs by 26 percent every day. With this exponential spread of the virus, the country would reach one million cases in 30 days. However, there is a chance to reduce the growth rate from 26 percent to 9 percent by adopting mitigation measures.
    Researchers quizzed participants on the situation, framing their questions from different perspectives: How many cases can be prevented by adopting mitigation measures? By adopting the measures, how much time can be gained before reaching one million cases? How many cases will there be after 30 days if mitigation measures lengthen the doubling time from three days to eight days? By the way, extending the doubling time like this is equivalent to reducing the growth rate from 26 percent to 9 percent — something that few people recognise intuitively.
    Researchers stated that they were surprised by the clear and consistent results of the experiment. Their first finding: talking about growth rates is an ineffective way of communicating the spread of pandemic diseases. Over 90 percent of participants drastically underestimated the number of infections after 30 days of exponential spread. They were much more on the mark, however, when the question was framed using doubling times.
    Imagining the impact of mitigation
    The researchers’ second finding was that people have trouble gauging how many infections can be prevented with mitigation measures. When asked how many infections could be prevented in the scenario above (starting from a thousand cases, a growth rate of 9 percent instead of 26 percent over 30 days), people responded with estimates that were extremely far off. The typical (median) participant believed that 8,600 cases could be prevented, when, in fact, the figure is almost one million.

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    However, when participants were asked about the number of days that could be gained by adopting mitigation measures — for example, until hospitals are overloaded, or until there is a vaccine on the market — their estimates were significantly better.
    The experiment achieved its best results with questions framed from the perspective of time gained and the impact of slowing down doubling times. A statement that combines both of these would be, for example: “If each of us adopt preventative measures today, cases of the virus will slow down — we can estimate that they will double only every eight days, as opposed to every three days. This allows 50 additional days to implement preparatory measures to combat the virus (e.g., by providing much needed supplies to hospitals, or finding treatments and vaccines) before reaching one million cases.”
    Choosing the right words
    The study, conducted during the Swiss partial lockdown in spring of 2020, did not focus on how public authorities and the media discussed the spread of the virus. However, Sele and Schonger have been following the way in which the drastic measures were communicated and comparing these observations with their research findings.
    According to the authors, the Federal Office of Public Health (FOPH) and the scientific task force often use doubling times rather than growth rates. In the experiment, they found that this method of framing communication surrounding the coronavirus improved people’s understanding. However, the FOPH made little mention of the potential for time gained, even though the research findings indicate that this information helps to better transmit the message.
    The researchers suspect that the direct impact of official communication is limited. Reporting in the press might play a more significant role, but the media mostly focus on case numbers and rarely frame communication in the context of time gained.
    Schonger and Sele see COVID measures as just one application of the framing theory when it comes to communicating exponential growth: similar phenomena might also be observed in the banking and finance industry, or when it comes to legal or environmental policy-making. More

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    Wearable sensor may signal you're developing COVID-19 — even if your symptoms are subtle

    A smart ring that generates continuous temperature data may foreshadow COVID-19, even in cases when infection is not suspected. The device, which may be a better illness indicator than a thermometer, could lead to earlier isolation and testing, curbing the spread of infectious diseases, according to a preliminary study led by UC San Francisco and UC San Diego.
    An analysis of data from 50 people previously infected with COVID-19, published online in the peer-reviewed journal Scientific Reports on Dec. 14, 2020, found that data obtained from the commercially available smart ring accurately identified higher temperatures in people with symptoms of COVID-19.
    While it is not known how effectively the smart ring can detect asymptomatic COVID-19, which affects between 10 percent to 70 percent of those infected according to the Centers for Disease Control and Prevention, the authors reported that for 38 of the 50 participants, fever was identified when symptoms were unreported or even unnoticed.
    Of note, the researchers analyzed weeks of temperature data to determine typical ranges for each of the 50 participants. “Many factors impact body temperature,” said principal investigator and senior author Ashley Mason, PhD, assistant professor in the UCSF Department of Psychiatry and faculty at the Osher Center for Integrative Medicine. “Single-point temperature measurement is not very meaningful. People go in and out of fever, and a temperature that is clearly elevated for one person may not be a major aberration for another person. Continual temperature information can better identify fever.”
    According to co-author Frederick Hecht, MD, professor of medicine and director of research at the UCSF Osher Center for Integrative Medicine, this work is “important for showing the potential of wearable devices in early detection of COVID-19, as well as other infectious diseases.”
    Asymptomatic Illness or Illness with Unreported/Unnoticed Symptoms?
    While the number of study participants was too small to extrapolate for the whole population, the authors said they were encouraged that the smart ring detected illness when symptoms were subtle or unnoticed. “This raises the question of how many asymptomatic cases are truly asymptomatic and how many might just be unnoticed or unreported,” said first author Benjamin Smarr, PhD, an assistant professor in the Department of Bioengineering and the Halicio?lu Data Science Institute at UC San Diego. “By using wearable technology, we’re able to query the body directly.”

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    To conduct the study, the researchers used the Oura Ring, a wearable sensor made by the Finnish startup Oura, which pairs to a mobile app. The ring continuously measures sleep and wakefulness, heart and respiratory rates, and temperature. The researchers provided the rings to nearly 3,400 health care workers across the U.S., and worked with Oura to invite existing users to participate in the study via the Oura app, resulting in enrollment of more than 65,000 participants worldwide in a now concluded prospective, observational study, which the UC researchers are preparing for publication.
    The participants in the preliminary study reported that they had previously been infected with COVID-19. A continuous record of their biomonitoring data was still available for analysis from the weeks before their infection, through the time of enrollment until the end of the study.
    No-touch thermometers that detect infrared radiation from the forehead are used to quickly screen for fever in airports and offices and are believed to detect some COVID-19 cases, but many studies suggest their value is limited. The ring records temperature all the time, so each measurement is contextualized by the history of that individual, making relative elevations much easier to spot. “Context matters in temperature assessment,” Smarr emphasized.
    Heart Rate, Respiration Rate Provide Other Clues
    Other illness-associated changes that the rings detect included increased heart rate, reduced heart rate variability and increased respiration rate, but these changes were not as strongly correlated, the authors noted.

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    The researchers are using data from the larger, prospective study to develop an algorithm from data collected by wearable devices that can identify when it appears that the user is becoming sick. Mason’s team can then trigger a request for the user to complete with a self-collection COVID-19 test kit. The researchers will evaluate the algorithm in a new study of 4,000 additional participants.
    “The hope is that people infected with COVID will be able to prepare and isolate sooner, call their doctor sooner, notify any folks they’ve been in contact with sooner, and not spread the virus,” Mason said.
    Co-Authors: Sarah Fisher, Anoushka Chowdhary, Karena Puldon, Adam Rao and Frederick Hecht from UCSF; Kirstin Aschbacher from Oura and UCSF; and Stephen Dilchert from CUNY, New York.
    Funding: Oura Health Oy.
    Disclosures: Aschbacher is an employee of Oura Health Oy, in addition to holding an adjunct associate professor position at UCSF. Smarr has worked as a paid consultant at Oura Health Oy within the last 12 months, although not during this research project. More