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2017 IEEE Healthcare Innovations and Point of Care Technologies (HI-POCT)最新文献

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Pain detection with EEG using Phase Indexes 基于相位指标的脑电疼痛检测
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227581
D. Blanco, A. Díaz-Méndez
In this work, EEG signals are used to detect the presence of pain in healthy subjects aiming to apply the same process to non-communicative patients. It was acquired 20 EEGs of healthy subjects in resting and pain state. Pain was induced through a cold pressor test. Phase Indexes as Phase Lag Index, Weighted Phase Lag Index were applied in four frequency bands to detect pain, getting significant results on Beta band for intra-hemispheric short and long distanced couples of electrodes for both indexes and also for interhemispheric distanced electrodes for WPLI.
在这项工作中,EEG信号被用来检测健康受试者的疼痛,目的是将相同的过程应用于非交流患者。采集健康受试者在静息和疼痛状态下的脑电图20张。通过冷压试验引起疼痛。将相位指数作为相位滞后指数、加权相位滞后指数应用于4个频段来检测疼痛,两种指标的半球内近距离和长距离电极对以及半球间距离电极对WPLI的β波段均有显著结果。
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引用次数: 3
A novel filtration approach to create small unilamellar liposomes for drug delivery 一种新的过滤方法,以创建用于药物递送的小单层脂质体
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227585
Steven A. Roberts, N. Neelaveni, Nitin Agrawal
Nanoscale drug carriers have quickly risen to the forefront of translational research and promise to play a prominent role in point of care applications. The protocol for synthesizing these particles typically relies on extensive secondary post processing techniques (e.g. extrusion, dialysis, or ultracentrifugation) that are time consuming and can lead to a net loss in either the number of particles or amount of encapsulated molecules. Here we utilize filter centrifugation to efficiently purify and concentrate liposomal particle solutions. Using this technique, we are able to remove 99.99% of nonencapsulated molecules from solution in less than half of the time required for ultracentrifugation without net loss of particles from the solution.
纳米级药物载体已经迅速上升到转化研究的前沿,并有望在护理点应用中发挥突出作用。合成这些颗粒的方案通常依赖于广泛的二次后处理技术(例如挤出、透析或超离心),这些技术耗时且可能导致颗粒数量或包封分子数量的净损失。在这里,我们利用过滤离心有效地纯化和浓缩脂质体颗粒溶液。使用这种技术,我们能够在不到超离心所需时间的一半的时间内从溶液中去除99.99%的非封装分子,而不会从溶液中净损失颗粒。
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引用次数: 2
Ultra-sensitive paper-based biosensor for cortisol sensing in human saliva with electrical impedance analyzer 用电阻抗分析仪检测人唾液中皮质醇的超灵敏纸质生物传感器
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227615
Muhammad S. Khan, K. Dighe, Zhen Wang, A. Schwartz-Duval, Dr. Santoshi Misra, D. Pan
Cortisol, a hormone commonly released upon increased stress level, is a biomarker for numerous diseases and plays an important role in the regulation of various physiological processes. Normally a cortisol level is elevated in oral saliva during the time of anxiety and depression. A portable biosensor device could provide an interesting digital instrument to the patients and people who desire precautionary onsite cortisol diagnosis without visiting psychiatrists and/or physicians. We have developed disposable paper-based biosensor chip to monitor cortisol with a wide range of detection (RoD) from 1pg/mL to 10ng/mL with regression R2=0.9777. Ultra-sensitivity of the sensor with limit of detection (LoD) of 1 pg/mL has been achieved using nanocomposite of graphene nanoplatelet and diblock-co-polymer (poly(styrene)-block-poly(acrylic acid)) (PS-b-PAA) coated on filter paper followed by deposition of micro-Au electrodes. Standard cortisol in aqueous solution and human saliva samples were successfully tested by interfacing the sensor chip with programmable handheld impedance based analyzer. Results are finally compared with the standard ELISA and are in good agreement with R2=0.9386. We anticipate that this handheld electrochemical sensing technology has promising application to monitor psychological stress in POC setting.
皮质醇是应激水平升高时通常释放的一种激素,是许多疾病的生物标志物,在调节各种生理过程中起重要作用。正常情况下,在焦虑和抑郁的时候,唾液中的皮质醇水平会升高。一种便携式生物传感器设备可以为患者和那些不需要拜访精神科医生和/或医生就需要预防性现场皮质醇诊断的人提供一种有趣的数字仪器。我们开发了一次性纸质生物传感器芯片,用于监测皮质醇,检测范围从1pg/mL到10ng/mL,回归R2=0.9777。利用石墨烯纳米板和二嵌段共聚物(聚苯乙烯-聚丙烯酸)(PS-b-PAA)的纳米复合材料涂覆在滤纸上,然后沉积微au电极,实现了传感器的超灵敏度,检测限为1 pg/mL。通过将传感器芯片与可编程手持式阻抗分析仪连接,成功地测试了水溶液和人唾液样品中的标准皮质醇。结果与标准酶联免疫吸附试验结果一致,R2=0.9386。我们期望这种手持式电化学传感技术在POC环境下的心理应激监测中具有广阔的应用前景。
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引用次数: 6
EEG-based biomarkers on working memory tasks for early diagnosis of Alzheimer's disease and mild cognitive impairment 基于脑电图的工作记忆任务生物标志物对阿尔茨海默病和轻度认知障碍的早期诊断
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227628
G. Q. Mamani, F. Fraga, Guilherme Tavares, E. Johns, N. Phillips
Alzheimer's Disease (AD) is a neurodegenerative syndrome affecting millions of people worldwide. Also, individuals with mild cognitive impairment (MCI) are in a group of risk that should be followed and treated since there is a high probability of evolution to AD. In this study we carried out an Event-Related Potential (ERP) analysis on patient and control groups from 32-channel EEG recorded during N-back working memory (WM) tasks with the aim of finding an ERP-based biomarker for early diagnosis of both AD and MCI. Participants were 15 AD patients, 20 individuals diagnosed with MCI and 26 age-matched healthy elderly (HE) controls. Subjects underwent a three-level visual N-back task with ascending memory load difficulty. Nonparametric Kruskal-Wallis tests with cluster correction and 5% significance level were used for statistical analysis. A considerable amount of significant differences between patient and control groups were found in the ERP during execution of the WM tasks, predominantly in fronto-centro-parietal electrodes. Such results are promising in the direction of achieving an early EEG-based diagnosis of MCI and AD.
阿尔茨海默病(AD)是一种影响全世界数百万人的神经退行性综合征。此外,患有轻度认知障碍(MCI)的个体是一个应该被跟踪和治疗的风险群体,因为他们很有可能进化为AD。在这项研究中,我们对患者和对照组在N-back工作记忆(WM)任务中记录的32通道脑电图进行了事件相关电位(ERP)分析,目的是寻找基于ERP的早期诊断AD和MCI的生物标志物。参与者包括15名AD患者,20名MCI患者和26名年龄匹配的健康老年人(HE)对照。实验对象进行了记忆负荷难度上升的三级视觉N-back任务。采用聚类校正和5%显著性水平的非参数Kruskal-Wallis检验进行统计分析。在WM任务执行过程中,患者和对照组之间的ERP存在相当大的显著差异,主要是在额-中-顶叶电极上。这些结果在实现早期基于脑电图的MCI和AD诊断的方向上是有希望的。
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引用次数: 12
A novel approach for comparison of heart rate variability derived from synchronously measured electrocardiogram and photoplethysmogram 一种比较同步测量心电图和光容积描记图的心率变异性的新方法
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227599
R. R. Lekkala, Srinivas Kuntamalla
Currently, heart Rate Variability (HRV) is derived from ECG. Many researchers have explored the usefulness of photoplethysmography (PPG), for the analysis of HRV. However, all these studies are based on statistical approach and used the correlation coefficient for comparing the two data sets obtained using ECG and PPG, which is inappropriate as the causal relationship between the R-peaks in ECG and the peaks in PPG is a physiologically established fact. In this study, the heart beat intervals measured from PPG, are compared, beat by beat, by taking the corresponding beat intervals of same cardiac cycle obtained from ECG and the measurement error is quantized. The error is found to be within 2% across the entire sample of 42 subjects, in spite of diversified constitution of the study group in terms of age, sex and pathology. Errors are also interpreted in terms of variations in pulse transit time. A very good agreement is found between the ECG and PPG derived parameters of HRV. In view of these findings, it may be concluded that PPG provides a safer and low cost option, in place of ECG, as a wearable sensor outside hospital environment, for the analysis of HRV, without compromising on accuracy.
目前,心率变异性(HRV)是由心电图得出的。许多研究者探索了光容积脉搏波(PPG)在HRV分析中的作用。然而,这些研究都是基于统计方法,使用相关系数来比较ECG和PPG得到的两个数据集,这是不合适的,因为ECG的r峰与PPG的峰之间的因果关系是生理上既定的事实。在本研究中,通过取同一心电周期的相应心跳间隔,逐次比较PPG测得的心跳间隔,并对测量误差进行量化。尽管研究组在年龄、性别和病理方面构成多样化,但在42个受试者的整个样本中,误差被发现在2%以内。误差也可以用脉冲传递时间的变化来解释。心电和PPG计算的HRV参数吻合得很好。鉴于这些发现,可以得出结论,PPG作为医院外环境的可穿戴传感器,在不影响准确性的情况下,代替ECG,为HRV分析提供了一种更安全、更低成本的选择。
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引用次数: 4
How much data should we collect? A case study in sepsis detection using deep learning 我们应该收集多少数据?利用深度学习进行败血症检测的案例研究
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227596
F. van Wyk, Anahita Khojandi, R. Kamaleswaran, O. Akbilgic, S. Nemati, R. Davis
Sepsis is an acute, life-threatening condition that results from bacterial infections, often acquired in the hospital. Undetected, sepsis can progress to severe sepsis and septic shock, with a risk of death as high as 30% to 80%. Early detection of sepsis can improve patient outcomes. Collecting and evaluating continuous physiological variables, such as vital signs, using sophisticated classification algorithms may be highly beneficial to aid diagnosis of septic patients. However, setting up a data acquisition system that can collect (and store) high frequency/high volume data is challenging both from technology management and storage standpoints. In this paper, we build two deep learning models, a convolutional neural network and a multilayer perceptron model, to classify patients into sepsis and non-sepsis groups using data collected at various frequencies from the first 12 hours after admission. Our results indicate that the convolutional neural network model outperforms the multilayer perceptron model for all data collection frequencies. In addition, our results put into perspective the value of data collection frequency and translate its value into lives saved. Such analysis can guide future investments in data acquisition systems by hospitals.
败血症是一种由细菌感染引起的急性、危及生命的疾病,通常是在医院获得的。在未被发现的情况下,败血症可发展为严重败血症和感染性休克,死亡风险高达30%至80%。早期发现败血症可以改善患者的预后。使用复杂的分类算法收集和评估连续的生理变量,如生命体征,可能对脓毒症患者的诊断非常有益。然而,从技术管理和存储的角度来看,建立一个可以收集(和存储)高频/大容量数据的数据采集系统是一个挑战。在本文中,我们建立了两个深度学习模型,一个卷积神经网络和一个多层感知器模型,使用入院后12小时内不同频率收集的数据将患者分为脓毒症和非脓毒症组。我们的研究结果表明,卷积神经网络模型在所有数据采集频率下都优于多层感知器模型。此外,我们的研究结果将数据收集频率的价值转化为挽救生命的价值。这种分析可以指导医院未来对数据采集系统的投资。
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引用次数: 24
Optical intraocular pressure measurement system for glaucoma management 用于青光眼治疗的光学眼压测量系统
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227616
A. Phan, Phuong Truong, A. Kief, Milien Dhome, A. Camp, R. Weinreb, F. Talke
This paper reports on ex-vivo studies with rabbit eyes using an optical intraocular pressure (IOP) measurement system. The system consists of an optical reader and a miniaturized interferometric pressure sensor integrated onto a standard intraocular lens. The results show that the measurement sensitivity of the sensor is on the order of 22 nm/mmHg with an accuracy of ±0.5 mmHg post implantation. The optical method developed is a promising approach for monitoring intraocular pressure for glaucoma patients. The portability of the measurement system may allow patients and physicians to conveniently obtain measurements in a patient point-of-care setting or a clinical environment.
本文报道了利用光学眼内压测量系统对兔眼进行离体研究。该系统由一个光学读取器和集成在标准人工晶状体上的小型干涉压力传感器组成。结果表明,该传感器的测量灵敏度约为22 nm/mmHg,植入后精度为±0.5 mmHg。该光学方法是一种很有前途的青光眼患者眼压监测方法。测量系统的便携性可以允许患者和医生方便地在患者护理点设置或临床环境中获得测量。
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引用次数: 2
Battery-free force sensor for instrumented knee implant 无电池力传感器用于膝关节植入物
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227570
S. Almouahed, C. Hamitouche, P. Poignet, E. Stindel
Energy harvesting inside human body is crucial for powering implantable long-term biomedical devices. In this paper, the performance of a piezoelectric energy harvester embedded within custom-designed knee implant in powering RF transmitter was evaluated through simulations. This power harvester is composed of four piezoelectric generators along with four off-the-shelf power conditioning circuits. It can harvest electric power from dynamic forces dissipated inside knee implant during walking. The results demonstrate the possibility to deliver a constant electric power of 59.4mW during a simulated walking cycle. This conditioned power can operate an off-the-shelf ultra-low power RF transmitter. This may eliminate the need for rechargeable batteries to power instrumented knee implants. The proposed piezoelectric generator along with the ultra-miniature power conditioning and telemetry circuits may be integrated within the knee implant without increasing its physical size or changing its geometrical shape significantly with respect to the conventional one. Therefore, its dynamic functionality and mechanical longevity may not be affected.
人体内部的能量收集是为植入式长期生物医学设备供电的关键。在本文中,通过仿真评估了压电能量收集器嵌入定制的膝关节植入物中为射频发射器供电的性能。这个电力采集器由四个压电发电机和四个现成的电力调节电路组成。它可以从膝关节植入物内部在行走过程中耗散的动力中获取电能。研究结果表明,在模拟行走周期中,该电池有可能提供59.4兆瓦的恒定电力。这种调节功率可以操作现成的超低功率射频发射机。这可能会消除对可充电电池的需求,为膝关节植入物提供动力。所提出的压电发电机以及超微型电源调节和遥测电路可以集成在膝关节植入物中,而不会增加其物理尺寸或显著改变其几何形状。因此,它的动态功能和机械寿命可能不会受到影响。
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引用次数: 4
Pulse waveform as an indicator of baseline offset in pulse transit time based blood pressure estimation 在基于脉冲传递时间的血压估计中,脉搏波形作为基线偏移的指标
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227576
Chen Lin, Yuan Zhou, Hu Wang, Yao Wang
Cuff-less blood pressure (BP) estimation using pulse transit time (PTT) is a promising method for long-term BP monitoring. However, state-of-art PTT models are unable to trace the change of pressure baseline in subjects, which limits their application in long-term BP tracking. This study investigated the relationship between the change of pressure baseline and pulse waveform in long-term BP monitoring. In the study, a total of 36 subjects received daily monitoring of systolic BP (SBP) and PTT for over one month. Linear regression was used to develop the SBP-ln(PTT) model for each subject. SBP predictions with regression differences greater than + SD (7.63 mmHg) were assumed to be with positive/negative baseline offset. For each subject, 12 features extracted from pulse waveform were obtained and their values were converted to standard scores to quantify pulse waveform variation. Independent two-sample t-test showed five pulse wave features changed significantly when subjects' pressure baseline varied. Furthermore, the consistency of pulse waveform variation was validated over the change of pressure baseline in subjects. In summary, this study demonstrated that pulse waveform could indicate baseline offset in PTT-based BP estimation. By highlighting five pulse wave features, this study provides novel insights to overcome the challenge of frequent calibrations in long-term PTT-based BP monitoring.
利用脉搏传递时间(PTT)估算无袖带血压(BP)是一种很有前途的长期血压监测方法。然而,目前的PTT模型无法追踪受试者血压基线的变化,这限制了其在长期血压跟踪中的应用。本研究探讨长期血压监测中血压基线变化与脉搏波形的关系。在这项研究中,共有36名受试者接受了一个多月的每日收缩压(SBP)和PTT监测。采用线性回归建立各受试者的SBP-ln(PTT)模型。假设回归差异大于+ SD (7.63 mmHg)的收缩压预测具有正/负基线偏移。对于每个受试者,从脉冲波形中提取12个特征,并将其值转换为标准分数,量化脉冲波形变化。独立双样本t检验显示,受试者血压基线变化时,5项脉搏波特征发生显著变化。此外,通过受试者压力基线的变化验证了脉搏波形变化的一致性。综上所述,本研究表明脉冲波形可以在基于ptt的BP估计中显示基线偏移。通过突出五个脉冲波特征,本研究为克服长期基于ptt的血压监测中频繁校准的挑战提供了新的见解。
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引用次数: 2
Classification of asphyxia & ventricular fibrillation induced cardiac arrest for cardiopulmonary resuscitation
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227625
D. Bender, R. Morgan, V. Nadkarni, C. Nataraj
In this study we address an important pediatric cardiopulmonary resuscitation problem to identify the cause of a cardiac arrest during the beginning of cardiopulmonary resuscitation. A support vector algorithm was trained and tested using a feature set constructed through wavelet transform analysis of experimental electrocardiography and heart rate data provided by Children's Hospital of Philadelphia. The approach developed in this study yielded an average classification accuracy above 93%.
在这项研究中,我们解决了一个重要的儿科心肺复苏问题,以确定在心肺复苏开始时心脏骤停的原因。利用对费城儿童医院提供的实验心电图和心率数据进行小波变换分析构建的特征集,对支持向量算法进行训练和测试。本研究中开发的方法产生了93%以上的平均分类准确率。
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引用次数: 1
期刊
2017 IEEE Healthcare Innovations and Point of Care Technologies (HI-POCT)
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