Medical-Grade ECG Sensor for Long-Term Monitoring.

The recent trend in electrocardiogram (ECG) device development is towards wireless body sensors applied for patient monitoring. The ultimate goal is to develop a multi-functional body sensor that will provide synchronized vital bio-signs of the monitored user. In this paper, we present an ECG sensor for long-term monitoring, which measures the surface potential difference between proximal electrodes near the heart, called differential ECG lead or differential lead, in short. The sensor has been certified as a class IIa medical device and is available on the market under the trademark Savvy ECG. An improvement from the user's perspective-immediate access to the measured data-is also implemented into the design. With appropriate placement of the device on the chest, a very clear distinction of all electrocardiographic waves can be achieved, allowing for ECG recording of high quality, sufficient for medical analysis. Experimental results that elucidate the measurements from a differential lead regarding sensors' position, the impact of artifacts, and potential diagnostic value, are shown. We demonstrate the sensors' potential by presenting results from its various areas of application: medicine, sports, veterinary, and some new fields of investigation, like hearth rate variability biofeedback assessment and biometric authentication.

Heart rate variability in relation to stress in the Asian elephant (Elephas maximus).

This study describes a safe, reliable, and accessible means to measure heart rate (HR) and HR variability (HRV) and evaluates the use of HRV as a physiological correlate of stress in the Asian elephant. A probabilistic model indicates that HRV measurements may adequately distinguish between stressed and non-stressed elephants.

Variabilité de la fréquence cardiaque en relation avec le stress chez un éléphant d'Asie(Elephas maximus). Cette étude décrit un moyen sûr, fiable et accessible de mesurer la fréquence cardiaque (FC) et la variabilité de la FC (VFC) et évalue l'utilisation de la VFC comme corrélat physiologique du stress chez l'éléphant d'Asie. Un modèle probabiliste indique que les mesures de la VFC peuvent adéquatement distinguer entre des éléphants stressés et non stressés.(Traduit par Isabelle Vallières).

Evaluation of two minimally invasive techniques for electroencephalogram recording in wild or freely behaving animals.

Insight into the function of sleep may be gained by studying animals in the ecological context in which sleep evolved. Until recently, technological constraints prevented electroencephalogram (EEG) studies of animals sleeping in the wild. However, the recent development of a small recorder (Neurologger 2) that animals can carry on their head permitted the first recordings of sleep in nature. To facilitate sleep studies in the field and to improve the welfare of experimental animals, herein, we test the feasibility of using minimally invasive surface and subcutaneous electrodes to record the EEG in barn owls. The EEG and behaviour of four adult owls in captivity and of four chicks in a nest box in the field were recorded. We scored a 24-h period for each adult bird for wakefulness, slow-wave sleep (SWS), and rapid-eye movement (REM) sleep using 4 s epochs. Although the quality and stability of the EEG signals recorded via subcutaneous electrodes were higher when compared to surface electrodes, the owls' state was readily identifiable using either electrode type. On average, the four adult owls spent 13.28 h awake, 9.64 h in SWS, and 1.05 h in REM sleep. We demonstrate that minimally invasive methods can be used to measure EEG-defined wakefulness, SWS, and REM sleep in owls and probably other animals.

Comparison of nerve conduction parameters in canine studies using recording needle and surface electrodes.

Surface electrodes have been used in electromyography and nerve conduction studies in human and veterinary medicine, but comparisons have not been made between surface and needle electrode recordings in dogs. Our aim in this method comparison study was to determine whether surface electrodes captured larger compound motor action potentials (CMAP) than needle electrodes. Tibial nerve CMAP from 25 dogs with normal limb function was acquired using both surface and needle recording electrodes; the stimulus was elicited with monopolar concentric needles. Paired Wilcoxon signed rank test (if data was not normally distributed) or a paired two tailed t-test was used if data were normally distributed; significance was set at P<0.05. Mean CMAP amplitude (P=0.009), area (P=0.045) and latency (P=0.02) recorded with needle electrodes were larger compared with surface recording. CMAP duration was not significantly longer when recorded with surface electrodes (P=0.898). Needle electrode recordings are suitable for canine studies, although surface electrodes could also be considered. Low CMAP amplitudes recorded with surface electrodes should be verified with needle electrodes.

Functional disorder of the retina in manganese-deficient Japanese quail revealed by electroretinography using a contact lens electrode with built-in light source.

Manganese deficiency results in neurological and skeletal defects, together with ultrastructural disarrangement of the retina in rats. Wild birds show a range of Mn concentrations in their tissues, including the liver, raising the possibility of Mn-related disorders in the wild. Electroretinography (ERG) provides a useful noninvasive approach to evaluate visual function. This method is especially useful in birds, as objective analysis of them is very difficult, while they have well-developed vision. In this study, we carried out a convenient and reliable ERG recording using a contact lens electrode with a built-in light source (LED electrode) of Japanese quail (Coturnix coturnix japonica) fed a Mn-deficient diet. After 10 min light adaptation, single-flash and flicker cone responses were reproducibly recorded to cause an intensity-dependent increase in amplitude of both a-wave and b-wave in single-flash ERG. Mn-deficient feeding markedly decreased the Mn concentration in the liver by almost half in 3 to 6 weeks, followed by body weight loss in 13 to 15 weeks. Implicit time of a-wave and b-wave cone response by single-flash stimulation was significantly delayed in quail with a Mn depletion from 3 to 6 weeks. Every cone response of the Mn-deprived quail had a tendency to decrease amplitude. The ultrastructure of cone photoreceptor cells was disorganized by Mn deficiency, including changes in outer segment discs of photoreceptor cells. These results suggest the essential role of Mn in the integrity of the retinal function of birds.

The effect of the tarsal joint positions on the tibial nerve motor action potential latency in dog: electrophysiological and anatomical studies.

This study has been carried out to determine the effect of neutral position, hyperextension and hyperflexion of the tarsal joint on the tibial nerve, motor action potential latency and tarsal canal compartment pressure in dogs with the aid of electrophysiological and anatomical methods. Totally twenty healthy mongrel dogs were used. Latency of motor nerve action potential (MNAPL) studies of tibial nerve via surface stimulating and needle recording electrodes was performed on right hind limbs of all the dogs. The compartment pressures of the tarsal canal with the pressure transducer were determined from both limbs from ten of the dogs. In one dog, tarsal regions of both left and right limbs were demonstrated using magnetic resonance imaging (MRI). Two dogs were euthanatized and tarsal regions of the dogs were sectioned for correlative anatomy. Nerve conduction studies showed that the MNAP latency of the tibial nerve were 3.55 +/- 0.097 ms, 3.76 +/- 0.087 ms and 3.39 +/- 0.097 ms in neutral, hyperextension and hyperflexion positions, respectively. Hyperflexion of the tarsal joint caused prolongation of the MNAP latency of the tibial nerve with the highest pressure value being determined in tarsal canal. From the anatomical viewpoint, the distance between the flexor hallucis longus muscle and the superficial digital muscle was the shortest during hyperflexion and the plantar branch of saphenous artery, lateral and medial plantar nerves located more laterally in cadaver and MR imaging sections. As a result of this study, it is thought that tarsal region diseases as well as long time splint in the hyperflexion position as applied in the Ehmer sling can affect the compartment pressure and nerve tension because of occupying in the tarsal canal. Raising pressure and nerve stretching in the tarsal canal compartment could cause deficiencies in the conduction velocity of the tibial nerve. This might be a result of tarsal tunnel syndrome in the dog. Clinicians could consider this syndrome in cases of tarsal region diseases as well as application of long time splint in hyperflexion of tarsal joints in dogs.

Transvenous electrical cardioversion of equine atrial fibrillation: technical considerations.

Conventional treatment of equine atrial fibrillation (AF) involves administration of quinidine salts. Most uncomplicated cases respond to treatment, but pharmacologic cardioversion involves a range of adverse effects, and some horses are unable to tolerate medication. A study was undertaken to develop transvenous electrical cardioversion (TVEC) as an alternative treatment. Safety issues and catheter placement techniques with catheter-integrated cardioversion electrodes were investigated, and responses to shock application were evaluated. After the premortem catheterization of elective-euthanasia horses, no tissue abnormalities were detected at postmortem examination. To evaluate the response to the application of shocks and appropriate electrode positions, an electrical cardioversion of research horses in chronic AF was then attempted. After catheterization of the right atrium (RA) and pulmonary artery through the right jugular vein, horses were placed under general anesthesia. Biphasic, truncated exponential shock waves were delivered at incremental energies until cardioversion was achieved or until a maximum energy of 300 J was reached. Five treatment events were applied to 3 horses, with cardioversion achieved in one of the treatment events. No adverse effects of cardioversion attempts or general anesthesia were observed. The procedure was then applied to 8 client-owned horses, with cardioversion achieved in 7. No adverse responses to appropriately delivered shocks were observed. No antiarrhythmic medications were administered to any horse at any stage. Catheter design and placement technique evolved throughout the study, with combined ultrasonography and pressure guidance proving most effective in achieving appropriate electrode placement. Results suggest TVEC, as applied in the present study, is a safe, effective, and realistic therapeutic option for equine AF.

Dark adaptation time in canine electroretinography using a contact lens electrode with a built-in light source.

The purpose of this study was to evaluate the dark adaptation time in canine electroretinography (ERG) using a contact lens electrode with a built-in LED. Twelve eyes of six normal laboratory beagle dogs were used and exposed to steady room light at 500 lux for 30 min for light adaption. ERG was recorded at different time points during dark adaptation in sedated and light-adapted beagles. The stimulus intensity was 0.0096 cd/m(2)/sec. The b-wave amplitude increased significantly until 25 min of dark adaptation, whereas no significant changes in amplitudes were observed after 30 min. Dark adaptation for more than 25 min would be necessary for accurate ERG in canine ERG using a contact lens electrode with a built-in LED.

Effects of electroimmobilisation on blood gas and pH status in sheep.

Arterial blood gases, pH and haemoglobin concentrations were monitored for 20 minutes before, during and for 120 minutes after 60 seconds of electroimmobilisation (E-IM) at current strengths of 0 mA (control), 40 mA and 60 mA in 17 Merino ewes (36.3 +/- 1.0 kg) previously prepared with unilateral carotid artery loops. E-IM elicited whole body rigidity. During E-IM, breathing was stopped for 50 +/- 3 seconds (40 mA) and 56 +/- 2 seconds (60 mA). Arterial PO2 decreased to 43.2 +/- 2.4 mmHg (5.68 +/- 0.32 kPa) (40 mA) and 36.4 +/- 1.8 mmHg (60 mA) while arterial PCO2 rose to 59.7 +/- 1.9 mmHg (40 mA) and 69.8 +/- 2.0 mmHg (60 mA). There was a significant fall in arterial pH to 7.272 +/- 0.014 (40 mA) and 7.233 +/- 0.011 (60 mA) during E-IM and arterial haemoglobin increased by 34 +/- 3 per cent and 35 +/- 3 per cent at 40 mA and 60 mA, respectively. All the arterial blood gas and pH changes were significantly greater (P less than 0.05) during E-IM at 60 mA than at 40 mA. Multiple regression analysis indicated that the decrease in arterial PO2 during E-IM was directly related to the latency to breathe while the changes in arterial PCO2 and pH during E-IM were not.2+off

Plasma potassium measurement with a new reagent carrier (Reflotron): comparison with ion-selective electrode results.

Potassium concentrations were measured in the plasma of 336 animals with a new reagent carrier (Reflotron; Boehringer Mannheim) K+ and with an ion-specific electrode system: results were highly correlated (r = 0.991; y = 0.993 x + 0.02) and day-to-day coefficient of variation of the new reagent measurements was lower than 2.5 per cent. This system offers a good alternative to the ion-selective electrode system for plasma potassium measurement in veterinary practice.

Effect of age on sensory nerve conduction velocity in the horse.

This study aimed to establish a clinically reproducible method of evaluation of sensory nerve conduction in the horse and to provide reference values in a group of normal horses. Age-related changes in the sensory nerve conduction velocity were of particular interest. Sensory nerve conduction was performed in the lateral palmar nerve. The results revealed an increase in velocity over the first year of life and a subsequent decrease in velocity in older horses. The effect of age must be considered if results from horses in which peripheral nerve disease is suspected are to be interpreted correctly. The results reflect similar findings in man and other domestic species.

Nature of the late potentials and F-ratio values in dogs.

There is controversy about the nature of the late potentials (F-waves and H-reflexes) in dogs. This work has attempted to clarify the problem by comparing late potentials in eight intact and four chronically deafferented dogs. Pure H-reflexes were recorded inconsistently from intact preparations at voltages below the threshold for the M-wave. At stimulation voltages giving maximum direct responses, there was no statistically significant difference between the amplitude and latency of the late potentials of the two groups. However, there was a tendency for the late potentials to be of larger amplitude and longer duration in intact preparations. Late potentials in intact preparations had a composite waveform consisting of both F-waves and H-reflex components. F-waves only were present in deafferented limbs, and their amplitude was proportional to the intensity of the stimulus. F-ratios could be calculated by using the latencies of the late potentials, because the F-wave did not have a longer latency than the H-reflex. The following reference values for the F-ratio are proposed: 1.954 +/- 0.086 when stimulating at the hock and 0.883 +/- 0.052 when stimulating at the popliteal fossa.

Electromyography of some respiratory muscles in the horse.

To investigate activity in respiratory muscles, insulated wire electrodes were used to record electromyographic activity in the costal diaphragm and in the intercostal, serratus ventralis, internal abdominal oblique, transversalis and rectus abdominis muscles in conscious horses and in the same animals when anaesthetised. Electromyographic activity was related to respiratory phases as recorded by a stethograph around the chest wall. The costal diaphragm showed tonic and inspiratory activity in both conscious and anaesthetised animals. The principal muscle actively involved in expiration was the transversalis muscle. Intercostal muscle activity, and any increased activity in the second part of either inspiration or expiration recorded in the conscious animal, was absent under anaesthesia. The very marked tonic activity found in the serratus ventralis muscle in standing horses disappeared during anaesthesia. It was concluded that any stabilisation of the chest wall contributed by activity in the serratus ventralis and intercostal muscles in conscious, standing horses is greatly reduced during anaesthesia.

Continuous automated recording of ruminal pH in sheep nourished entirely by intragastric infusions.

A method is described whereby the rumen pH in sheep entirely nourished by infusion of volatile fatty acids was determined continuously. The electrodes used were standard laboratory combination electrodes connected to a digital pH meter, a multi-channel chart recorder and an isolation module. The correlation between pH readings from the bench samples and from electrodes immersed in the rumen for periods of up to 28 days was 0.980 +/- 0.015 for 250 observations. There were fairly regular patterns of change in ruminal pH. The pH rose and fell by approximately 0.1 to 0.2 units over a period of about one hour. These changes were thought to be associated with periods of pseudorumination.

Blood gas analyses on equine blood: required correction factors [see comment].

Correction factors have been determined to obtain the best estimates of PO2, PCO2 and pH in equine blood with standard blood gas and pH electrodes. There was a significant difference between the PO2 readings for tonometred blood of most horses and the equilibrating gas. Thus, if the PO2 electrode is calibrated with a gas, an electrode correction factor should be obtained by tonometring a blood sample from each horse. This factor was not dependent on packed cell volume. No such correction is required for the PCO2 electrode. If the animal's temperature differs from that of the analyser, the PO2, PCO2 and pH values must be corrected to the animal's body temperature. Temperature correction factors determined for equine blood were similar to those for human blood. Failure to make temperature corrections can result in errors for PO2 and PCO2 of 6 to 7 per cent per degree of temperature difference.

Measurement of 24-h gastric pH using an indwelling pH electrode in horses unfed, fed and treated with ranitidine.

A glass combined pH-reference electrode was placed in the stomachs of 5 adult horses and pH was recorded every 6 mins for 24 h while (1) feed and all bedding materials were withheld for 24 h (unfed), (2) horses had free access to Timothy grass hay for 24 h (fed), and (3) horses had free access to Timothy grass hay and were treated with ranitidine, 6.6 mg/kg body weight, orally, every 8 h for 48 h (fed + ranitidine). There was a significant (P = 0.007) difference in median 24-h gastric pH amongst the 3 protocols, the value being 3.1 in fed horses and 1.55 in unfed horses (P = 0.05) and 4.6 in fed + ranitidine horses (P = 0.05 compared with fed horses). The percentage of pH readings < 2.0 was significantly greater (P = 0.05) in unfed (76%) than in fed (30%) horses, and in fed horses than in fed + ranitidine (9%) horses. The percentage of readings > 2.0, 3.0, 4.0, 5.0 and 6.0 were each significantly (P = 0.05) greater in fed + ranitidine horses than in fed horses, and in fed than in unfed horses. There was no difference (P = 0.13) between median gastric pH values from different times of day in unfed horses (00:00 to 06:00 h, 1.5; 06:00 to 12:00 h, 1.6; 12:00 to 18:00 h, 1.7; and 18:00 to 24:00 h, 1.5). We conclude that gastric acidity is greatest when horses do not have access to feed material and that ranitidine effectively suppresses gastric acidity in horses under conditions of free access to hay.

Visual evoked potentials in the clinically normal dog.

Visual evoked potentials (VEP) in response to flashes of white light were recorded from 15 adult beagles of both sexes to provide a normative data base. Separate recordings were taken by stimulating each eye of every dog. Responses were recorded from a needle electrode placed over the nuchal crest referenced to an electrode just caudal to the eyes. Five positive and negative peaks were present in each VEP; P1, N1, P2, N2, and P3. Peak P2 was the most prominent. Mean (+/- standard deviation [SD]) latencies for peaks P1, N1, P2, N2, and P3 were 14.3 +/- 2.4, 29.2 +/- 2.2, 54.5 +/- 7.4, 78.0 +/- 13.1, and 98.1 +/- 12.6 msec, respectively. Peak-to-peak mean amplitudes ranged from 5.88 to 13.30 microV. Recordings were accomplished without sedation, anesthesia, or mydriatic drugs.

Recording of visual-evoked potentials in dogs with scalp electrodes.

Following unsuccessful attempts to record visual-evoked potentials (VEPs) in dogs with scalp electrodes, adoption of a new stimulation technique seems to be beneficial. Previously, flashes of white light administered after dark adaptation induced relatively high amplitude electroretinograms (ERGs) covering any VEP activity over the surface of the skull. ERG amplitude, however, can be significantly reduced using flashes of red light after light adaptation (mostly cone stimulation). Simultaneous ERG and VEP recording allows identification of VEPs composed of three significantly different negative peaks (N1, N2, and N3) measured in dogs anesthetized with chloralose and halothane. No more than two of the three peaks were seen in one recording. Only the N1 and N3 waves were consistently recorded in dogs anesthetized with thiopental and thiopental combined with halothane. In 50% of all recordings, N1 was seen alone. The other VEPs consisted of N1 and N2, or N1 and N3 occurring concurrently. The simultaneous occurrence of N2 and N3 waves, however, was never seen. Among all recordings, N1 was most frequently recorded (85% of measurements), followed by N3 and N2 (38% and 31% of measurements, respectively). Peaks of less than 90 ms are highly reproducible. Anesthesia is necessary to eliminate frequent artifacts obtained in conscious and sedated dogs. Thiopental and/or halothane had no effect on measured latencies compared with chloralose.

Characteristics of acupuncture meridians and acupoints in animals.

In recent years, an increasing number of studies has been conducted on the biophysical characteristics of the meridians and acupoints in humans and animals. The authors aim to further illustrate the objective existence and superficial locations of the meridians in various species of animals. Twelve sheep, ten goats, thirteen pigs, eleven cats, eight rabbits and seven donkeys were used to measure low impedance lines (LILs) and high percussion sound lines (HPSLs) on the skin surface of the animals, along the vertical planes of the dorsal line, using electrical impulses and high percussion sound. The results of these studies are given.

Use of boar spermatozoa for artificial insemination. II. Fertilizing capacity of fresh and frozen spermatozoa in gilts inseminated either at a fixed time or according to Walsmeta readings.

A fertility trial was conducted comparing two methods of defining the optimum time to inseminate frozen boar semen. One hundred sixty-four gilts were inseminated, one-half at a fixed insemination time of 32 to 34 h after calculated onset of estrus and the remainder were inseminated on the basis of changes in the vaginal mucosal electrical resistance. Inseminations were made when the instrument (an inversely scaled ohmmeter) reading fell between 54 to 64 on a scale of 1 to 100. Both fresh and frozen boar semen were used. Pregnancy rates and live embryos/gilts from inseminations made at the fixed time and inseminations made on the basis of ohmmeter readings did not differ significantly for either fresh of frozen-thawed spermatozoa. Pregnancy rates and number of live embryos/gilt were significantly higher for gilts inseminated with fresh spermatozoa than for those inseminated with frozen-thawed spermatozoa (82%, 11.6 vs 61%, 8.2, respectively). Inseminations were conducted from January to September. Pregnancy rates were significantly higher for inseminations made for the first quarter or the year (January, February and March) than for inseminations made for the third quarter (July, August and September). No benefit was derived from using an ohmmeter to time insemination with frozen-thawed boar spermatozoa.