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2015 Pan American Health Care Exchanges (PAHCE)最新文献

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Proposal for monitoring the health status of a diabetic patient by using impedance spectroscopy measurement 用阻抗谱测量方法监测糖尿病患者健康状况的建议
Pub Date : 2015-08-24 DOI: 10.1109/PAHCE.2015.7173355
U. Garcia, L. Leija, A. Vera
This paper shows an instrument that uses electronic technology to characterize the effects of the diabetes in tissues, by measuring changes in the skin impedance on the sole. The bioimpedance system generates a signal at different frequencies and supplies it to the tissue via electrodes. This system uses the 3 electrodes technique: the first electrode where the generator signal wave at different frequencies is supplied, the second electrode receives the supplied signal with the modulation of the skin and the third electrode is the reference. Bioimpedance system 149 generates sinusoidal signals at different frequencies ranging from 10 Hz to 22 kHz and a amplitude current below the of perception of the human body. This signal is placed on the first electrode on the sole. With the meter bioimpedance can be characterized tissue impedance of the sole of healthy people with diabetes problems, Directory to locate differences that help to monitor the status of the foot in people with diabetes and prevent some complications of this disease.
本文介绍了一种利用电子技术通过测量鞋底皮肤阻抗的变化来表征糖尿病对组织的影响的仪器。生物阻抗系统产生不同频率的信号,并通过电极将其提供给组织。该系统采用三电极技术:第一电极提供不同频率的发生器信号波,第二电极通过皮肤的调制接收所提供的信号,第三电极作为参比。生物阻抗系统149产生不同频率的正弦信号,范围从10hz到22khz,振幅电流低于人体的感知。这个信号被放置在鞋底的第一个电极上。利用生物阻抗仪可以表征健康糖尿病患者足底组织阻抗,定位差异目录,有助于监测糖尿病患者足部状况,预防糖尿病的一些并发症。
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引用次数: 0
Medical clothing: machine for the calculation of comfort in clinical textiles 医用服装。医用纺织品舒适度计算机
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173354
J. D. Gallego, Juan C Franco, J. Rios-Soto, F. Zuleta, Jairo J. Pérez
The main goal of this project was to develop a thermoregulatory machine that allows to determine the comfort levels of medical clothing under technical standards used in the production of these products in the market. The thermoregulatory machine was built according to the guidelines of the ISO 11092:1993 and ASTM F1868 - 14. The machine executes a control algorithm that reaches programed values related to humidity, temperature, power and flow velocity to simulate the conditions and effects of the skin. This device has a touchscreen where the results of the process are displayed and then determine the variations in the process and ensure the convergence of the values present.
该项目的主要目标是开发一种温度调节机器,可以根据市场上生产这些产品所使用的技术标准来确定医疗服的舒适度。温度调节机是根据ISO 11092:1993和ASTM F1868 - 14的指导方针建造的。该机器执行控制算法,达到与湿度、温度、功率和流速相关的编程值,以模拟皮肤的条件和效果。该设备有一个触摸屏,显示过程的结果,然后确定过程中的变化,并确保当前值的收敛。
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引用次数: 0
Virtual machine based PFT and new approach for serialized collaboration in the clinic/specialized test facility 基于虚拟机的PFT和临床/专业测试机构序列化协作的新方法
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173329
M. Fry, C. Druzgalski
The emergence of more sophisticated full body plethysmograph systems has occurred over recent years reflecting necessity for broader testing of respiratory functions. Specific airway resistance (sRaw) and interthoratic gas volume (ITGV/TGV) or FRCpleth can provide more accurate measure of lung function utilizing a computerized full body plethysmograph. Clinics and/or specialized test facilities today could use this type of system for testing, evaluation, and long term monitoring of patients suspected of suffering from pulmonary disease of which there is no cure. Modern plethysmograph systems consist of having a self-contained workstation, specialized software, database and the PFT equipment. In the case when the dedicated pulmonary function test (PFT) workstation is unavailable, the respiration diagnostic capabilities of the clinic and/or test facility are reduced. Virtual machines (VMs) along with a cloud computing service can be used as remedy. Specifically, this project focused on implementation of three (Windows, Oracle, and VMWare based) independent standalone plethysmograph system VMs which were used for the PFT. The VMWare implementation offered the best options for access of PFT data with the shortest cloud service sync time and a method to improve the standardized PFT capabilities by providing a web based VM/cloud computing serialized collaboration environment for the clinic/specialized test facility.
近年来出现了更复杂的全身体积脉搏仪系统,反映了对呼吸功能进行更广泛测试的必要性。特定气道阻力(sRaw)和胸间气量(ITGV/TGV)或FRCpleth可以利用计算机化全身容积描记仪提供更准确的肺功能测量。今天的诊所和/或专门的检测机构可以使用这种类型的系统来检测、评估和长期监测疑似患有无法治愈的肺部疾病的患者。现代的脉搏描记系统包括一个独立的工作站、专门的软件、数据库和PFT设备。如果没有专用的肺功能测试(PFT)工作站,诊所和/或测试设施的呼吸诊断能力就会降低。可以使用虚拟机(vm)和云计算服务作为补救措施。具体来说,该项目侧重于实现用于PFT的三个独立的独立容积脉搏仪系统vm(基于Windows、Oracle和VMWare)。VMWare实现为访问PFT数据提供了最佳选择,同时提供了最短的云服务同步时间,并通过为诊所/专业测试机构提供基于web的VM/云计算序列化协作环境,提高了标准化PFT功能。
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引用次数: 2
Non-rigid registration of airway region in computed tomography of ICU patient using B-splines in 3D-slicer 利用三维切片机b样条对ICU患者气道区域进行非刚性配准
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173356
A. E. Ruiz, D. Arboleda, J. Aristizábal
Patients admitted to the Intensive Care Unit (ICU) often have acute respiratory failure. Tracheal intubation, which is a routine procedure in the ICU, is related with a high frequency of complications because of the dangerous respiratory status of critically ill patients. Therefore, it is necessary to evaluate the state of the airways in patients intubated and mechanically ventilated, as well as endotracheal tube position. A 3D airway model has been used in order to model the air-flow. However, chest Computed Tomography (CT) image is needed in order to obtain a 3D model. This paper presents a non-rigid registration between a TC image obtained in ICU under critical conditions, and a CT image acquired under controlled conditions.
入住重症监护病房(ICU)的病人经常有急性呼吸衰竭。气管插管是ICU的常规手术,危重患者呼吸系统处于危险状态,并发症发生率高。因此,有必要评估气管插管和机械通气患者的气道状态,以及气管内管的位置。为了模拟空气流动,我们使用了三维气道模型。然而,为了获得三维模型,需要胸部CT图像。本文提出了一种临界条件下ICU中获得的TC图像与受控条件下获得的CT图像之间的非刚性配准方法。
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引用次数: 1
A new approach to improve pulmonary function in quadriplegic people using dual synchronized functional electrical stimulation 双同步功能电刺激改善四肢瘫痪患者肺功能的新方法
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173318
T. D. Costa, E. Losso, G. N. Nogueira-Neto, P. Nohama
The main cause of death in individuals with high thoracic paraplegia and quadriplegia is the complication of the respiratory system. Transcutaneous functional electrical stimulation (TFES) synchronized with spontaneous breathing is a possible technique for respiratory rehabilitation. In this paper, we introduce a new approach to synchronized TFES and the two main muscles of ventilation: diaphragmatic and abdominal. The system under development can automatically perform a double synchronization with TFES and ventilatory muscles. It uses strain gage sensors-based load cell coupled to an elastic belt that is positioned on the thoraco-abdominal region so as to acquire the respiratory signal, and a detection algorithm of inspiratory and expiratory events for synchronization of TFES. After testing in four healthy persons, it was concluded that the proposed sensing system can be employed in the acquisition of respiratory signals. The described algorithm can provide TFES synchronization with the patient in quasi-static situation.
高胸截瘫和四肢截瘫患者的主要死亡原因是呼吸系统并发症。同步自主呼吸的经皮功能电刺激(TFES)是一种可能的呼吸康复技术。在本文中,我们介绍了一种新的方法同步TFES和两个主要的通气肌肉:膈肌和腹部。正在开发的系统可以自动执行与TFES和通气肌肉的双重同步。它采用基于应变传感器的称重传感器与位于胸腹区域的弹性带耦合来获取呼吸信号,并采用吸气和呼气事件的检测算法来实现TFES的同步。通过对4名健康人的实验,表明该传感系统可用于呼吸信号的采集。该算法可以实现准静态状态下与患者的TFES同步。
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引用次数: 3
A 3D pseudospectral solver for nonlinear wave propagation in inhomogeneous attenuating media 非均匀衰减介质中非线性波传播的三维伪谱求解器
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173323
L. Castellanos, I. Bazán, M. Gutiérrez, A. Ramírez-García
The present paper describes an approach to solve a forward problem of nonlinear wave propagation in inhomogeneous and linear attenuating media. The implementation was written in Matlab code, but the equations and algorithm described can be implemented in other programming languages. The object of this work is to create an algorithm of nonlinear wave solver that is useful for ultrasound research and the instruction of nonlinear and ultrasound acoustics, by simulations. In other cases, the model can be quickly and easily modified to address a range of simulation tasks or including improvements with GPUs or Cluster PCs. Validation of acoustics field absorption is showed and compared with Finite Element simulations.
本文提出了一种求解非线性波在非均匀线性衰减介质中传播的正演问题的方法。实现是用Matlab代码编写的,但所描述的方程和算法可以用其他编程语言实现。本工作的目的是通过仿真,建立一个对超声研究和非线性超声声学教学有用的非线性波求解算法。在其他情况下,该模型可以快速,轻松地修改,以解决一系列的仿真任务或包括改进与gpu或集群pc。对声场吸收进行了验证,并与有限元仿真进行了比较。
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引用次数: 0
Computer simulation used in diagnostic procedures analysis of breast cancer 计算机模拟在乳腺癌诊断过程分析中的应用
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173351
V. Gonçalves, M. T. D. Melo, H. Costa, J. S. Melo, T. A. Morais, J. Lamas, L. Brasil
Virtual Reality (VR) has an immense potential of application and requires, in addition to a specific area where knowledge is applied, an in-depth knowledge of the disciplines of Science and Computing. Due to human-computer interaction approach of reality in a three-dimensional space, this feature becomes quite relevant to health. The current situation of education and training in the area of health presents some imperfections and challenges that need to be overcame. Thus, this paper presents the advantages of VR applied in the simulation of medical procedures, and highlights the three-dimensional (3D) modeling of structures of breast in the study of methods for detection of breast lumps.
虚拟现实(VR)具有巨大的应用潜力,除了需要知识应用的特定领域外,还需要对科学和计算学科的深入了解。由于现实在三维空间中的人机交互方式,这一特征与健康密切相关。保健领域的教育和培训现状存在一些不完善之处和需要克服的挑战。因此,本文介绍了虚拟现实技术在医疗过程模拟中的优势,并在乳房肿块检测方法的研究中强调了乳房结构的三维建模。
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引用次数: 2
Exploring the usefulness of surface electromyography to evaluate the effect of PEEP on respiratory muscle activity during spontaneous ventilation 探讨表面肌电图评价PEEP对自发性通气时呼吸肌活动的影响
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173350
I. C. Muñoz, M. B. Salazar, A. M. Hernandez
Mechanical ventilation is a life-sustaining treatment that is used when gas exchange or ventilation processes are compromised. When the airways resistance of patient increases, the time span of the expiratory phase is insufficient to exhale all the inspired volume. In order to maintain oxygenation and to reduce the workload of respiratory muscles, it is common to apply an extrinsic positive end-expiratory pressure (PEEP) that counterbalances the increased airways resistance. Several studies have demonstrated the usefulness of surface electromyography (sEMG) to quantify the work of breathing (WOB), particularly in patients with obstructive diseases. This paper explores the usefulness of sEMG of diaphragm and sternomastoid muscles to evaluate the effect of incremental PEEP in a group of ten healthy male volunteers (23.5 ± 2.5 years, 73.1 ± 12.1 kg, 173.8 ± 5.55 cm height), noninvasively ventilated for 20 minutes. The extrinsic PEEP was applied from 0 to 5 cmH2O in steps of 1 cmH2O at 30 seconds each. The exploratory study provided different breathing patterns changes on response to incremental PEEP that could be related to the state of their ventilatory mechanics which suggest that sEMG is an interesting tool to identify the patient dynamic response to changes in PEEP.
机械通气是一种维持生命的治疗方法,当气体交换或通风过程受到损害时使用。当患者气道阻力增大时,呼气期的时间跨度不足以呼出全部吸气量。为了维持氧合和减少呼吸肌的负荷,通常应用外源性呼气末正压(PEEP)来平衡增加的气道阻力。一些研究已经证明了表面肌电图(sEMG)在量化呼吸功(WOB)方面的有用性,特别是在患有阻塞性疾病的患者中。本文对10名健康男性志愿者(23.5±2.5岁,73.1±12.1 kg,身高173.8±5.55 cm)进行无创通气20分钟,探讨膈肌和胸锁乳突肌肌表面肌图对评价渐进式PEEP效果的作用。外部PEEP从0到5 cmH2O,以1 cmH2O为步骤,每次30秒。探索性研究提供了不同的呼吸模式变化对增加PEEP的反应,这可能与他们的通气力学状态有关,这表明肌电图是一种有趣的工具,可以识别患者对PEEP变化的动态反应。
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引用次数: 1
Wireless Electrodes for Electrocardiography 心电图无线电极
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173346
M. Reyna, C. I. Lima, R. L. Avitia, M. Bravo
The cables that carry electrocardiographic (ECG) signal from the surface electrodes to the electrocardiograph play an important role in the production of undesirable artifacts (noise), especially when the patient moves, or for example in an ambulatory electrocardiography (Holter) or in a stress electrocardiogram. Even though it is highly desirable to keep the ECG signal as faithfully as possible since it is captured by the electrodes, techniques used to eliminate these artifacts degrade the ECG signal and many important components are altered. An electronic device, based on XBee technology in combination with the ZigBee protocol that takes heart signals from three different points of the Einthoven's triangle was built. In situ, each device processes each signal and transmits it wirelessly to an electrocardiograph, where the ECG can be stored or monitored.
将心电图(ECG)信号从表面电极传输到心电图仪的电缆在产生不良伪影(噪声)中起着重要作用,特别是当患者移动时,或例如在动态心电图(Holter)或应激心电图中。尽管由于电极捕获了心电信号,因此尽可能忠实地保持心电信号是非常可取的,但用于消除这些伪影的技术会降低心电信号的质量,并改变许多重要的成分。一种基于XBee技术和ZigBee协议的电子设备,可以从艾因托芬三角形的三个不同点获取心脏信号。在现场,每个设备处理每个信号,并将其无线传输到心电图仪,在那里可以存储或监测心电图。
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引用次数: 1
Evaluation of acoustic and thermal properties of gellan-gum phantom to mimic biological tissue 模拟生物组织凝胶胶模体的声学和热性能评价
Pub Date : 2015-03-23 DOI: 10.1109/PAHCE.2015.7173326
G. Cortela, K. M. Lima, L. Maggi, C. Negreira, W. Pereira
A hydrogel-based (gellan gum) tissue mimicking material (TMM) was developed. Its acoustic and thermal properties were characterized. The hydrogel was combined with different sizes of glass spheres. The acoustic properties (attenuation coefficient and the speed of sound) were obtained as a function of the temperature range 20 to 45° C. Specific heat was determined experimentally by the standard mixture method for the same temperature range. The attenuation coefficient presented a quasi-linear dependence on the frequency, such as the most of mammalian tissues. The mean value was 0.59f 0,85 dB·cm-1, at 30° C from 1 to 10MHz. The results suggest that the developed TMM has potential for several applications: development of standard dosimetry techniques, validation numerical models and determination the efficacy of hyperthermia devices.
研制了一种水凝胶(结冷胶)组织模拟材料(TMM)。对其声学和热性能进行了表征。水凝胶与不同大小的玻璃球结合。在20 ~ 45℃的温度范围内,得到了声学特性(衰减系数和声速)的函数。在相同的温度范围内,用标准混合法实验确定了比热。衰减系数与频率呈准线性关系,如大多数哺乳动物组织。平均值为0.59f 0.85 dB·cm-1,温度为30℃,频率范围为1 ~ 10MHz。结果表明,所开发的TMM具有多种应用潜力:开发标准剂量学技术,验证数值模型和确定热疗装置的功效。
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引用次数: 3
期刊
2015 Pan American Health Care Exchanges (PAHCE)
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