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1.
Lasers Surg Med ; 56(1): 32-38, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37694399

RESUMO

BACKGROUND: A recent study showed the safety and efficacy of a noninvasive acoustic subcision device to improve the appearance of cellulite via delivery of rapid acoustic pulses in a single treatment visit. OBJECTIVE: To evaluate and compare the safety and efficacy of a single rapid acoustic pulse treatment visit using an equivalent number of rapid acoustic pulses at a pulse rate of 100 or 50 Hz. METHODS: This single-center, prospective study enrolled 15 adult women with moderate to severe cellulite according to the Cellulite Dimple-At Rest Scale. Each participant would receive nominally 72,000 rapid acoustic pulses at a pulse rate of 50 Hz on the left buttock and thigh, and nominally 72,000 rapid acoustic pulses at a pulse rate of 100 Hz on the right buttock and thigh within one treatment visit. Efficacy was assessed by the ability of blinded, independent reviewers to correctly distinguish the pre- and post-treatment photos, participant satisfaction, and the change in Cellulite Dimple-At Rest scores for each treatment side. Safety was monitored throughout the conduct of the study. RESULTS: For both 100 and 50 Hz pulse rate treated areas, the majority (two out of three) of blinded reviewers correctly identified 100% of the pre/post-treatment photos. For both the 100 and 50 Hz treated areas, 80% of participants agreed/strongly agreed that their cellulite appeared improved at the 12-week follow-up visit. Significant improvements in Cellulite Dimple-At Rest scores were seen for both the 100 and 50 Hz treated areas. All participants thought both the 100 and 50 Hz pulse rate treatments were tolerable, and the pain (mean score ± SD; 2.2 ± 1.2) associated with each was identical. No unexpected or serious adverse events occurred. CONCLUSION: Acoustic subcision delivered via rapid acoustic pulses at 100 Hz, compared to 50 Hz, provides equivalent improvement in the appearance of cellulite while maintaining a similar safety and efficacy profile. For both pulse rates, treatment pain was minimal, and participant satisfaction was high.


Assuntos
Celulite , Técnicas Cosméticas , Adulto , Humanos , Feminino , Frequência Cardíaca , Celulite/diagnóstico , Celulite/terapia , Estudos Prospectivos , Coxa da Perna , Dor , Resultado do Tratamento
2.
Dysphagia ; 39(4): 632-641, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38265506

RESUMO

Modified Barium Swallow Studies (MBSS) are a critical part of the evaluation, treatment planning, and outcome assessment for persons with swallowing disorders. Since MBSSs use ionizing radiation with associated cancer risks, many clinicians have reduced radiation exposure by reducing the fluoroscopic pulse rate. However, by reducing pulse rate, we also decrease the temporal resolution of MBSSs which has been shown in pilot studies to significantly reduce diagnostic accuracy. Two hundred MBSSs from patients routinely undergoing MBSS as standard of care conducted at 30 pulses per second (pps) using the Modified Barium Swallow Study Impairment Profile (MBSImP™) standardized administration protocol were selected. A stratified sampling method ensured that a full range of swallowing impairments (etiology, type, and severity) was represented. Recordings were down sampled from 30 pps to 15, 7.5, and 4 pps. MBSSs were rated using the MBSImP components and Penetration-Aspiration Scale (PAS) score for each swallow. Percent agreement was calculated across raters for MBSImP and PAS scores by bolus type and volume. The Least-Squares Method was used for hypothesis testing. Statistically significant and clinically meaningful changes in scores of swallowing physiology and penetration/aspiration occurred when reducing pulse rate below 30pps. These changes were evident across bolus types and volumes. Given the impact on diagnostic accuracy and the low radiation risks to adults undergoing MBSSs, reducing pulse rate to 15pps or below is not aligned with the As Low As Reasonably Achievable (ALARA) principle and should not be used as a viable method to reduce radiation exposure from MBSSs.


Assuntos
Transtornos de Deglutição , Deglutição , Humanos , Fluoroscopia/métodos , Transtornos de Deglutição/fisiopatologia , Transtornos de Deglutição/diagnóstico , Deglutição/fisiologia , Masculino , Feminino , Pessoa de Meia-Idade , Adulto , Idoso , Sulfato de Bário/administração & dosagem , Meios de Contraste/administração & dosagem , Exposição à Radiação/prevenção & controle , Idoso de 80 Anos ou mais
3.
Sensors (Basel) ; 24(2)2024 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-38257528

RESUMO

Blood oxygen saturation (SpO2) is an essential indicator of a patient's general condition. However, conventional measurement methods have some issues such as time delay and interference by ambient light. Improved measurement methods must be developed, and there are no reports on intraoral measurements of SpO2 using wearable devices. Therefore, we aimed to establish an intraoral SpO2 measurement method for the first time. Twelve healthy adults participated in this study. The following steps were taken: (1) to identify the optimal measurement location, mid-perfusion index (PI) values were measured at six places on the mucosa of the maxilla, (2) to validate the optimal measurement pressure, PI values were obtained at different pressures, and (3) using the proposed mouthpiece device, SpO2 values in the oral cavity and on the finger were analyzed during breath-holding. The highest PI values were observed in the palatal gingiva of the maxillary canine teeth, with high PI values at pressures ranging from 0.3 to 0.8 N. In addition, changes in SpO2 were detected approximately 7 s faster in the oral cavity than those on the finger, which is attributed to their proximity to the heart. This study demonstrates the advantage of the oral cavity for acquiring biological information using a novel device.


Assuntos
Dedos , Boca , Adulto , Humanos , Extremidade Superior , Suspensão da Respiração , Gengiva
4.
Sensors (Basel) ; 24(7)2024 Mar 23.
Artigo em Inglês | MEDLINE | ID: mdl-38610260

RESUMO

Wearable technology and neuroimaging equipment using photoplethysmography (PPG) have become increasingly popularized in recent years. Several investigations deriving pulse rate variability (PRV) from PPG have demonstrated that a slight bias exists compared to concurrent heart rate variability (HRV) estimates. PPG devices commonly sample at ~20-100 Hz, where the minimum sampling frequency to derive valid PRV metrics is unknown. Further, due to different autonomic innervation, it is unknown if PRV metrics are harmonious between the cerebral and peripheral vasculature. Cardiac activity via electrocardiography (ECG) and PPG were obtained concurrently in 54 participants (29 females) in an upright orthostatic position. PPG data were collected at three anatomical locations: left third phalanx, middle cerebral artery, and posterior cerebral artery using a Finapres NOVA device and transcranial Doppler ultrasound. Data were sampled for five minutes at 1000 Hz and downsampled to frequencies ranging from 20 to 500 Hz. HRV (via ECG) and PRV (via PPG) were quantified and compared at 1000 Hz using Bland-Altman plots and coefficient of variation (CoV). A sampling frequency of ~100-200 Hz was required to produce PRV metrics with a bias of less than 2%, while a sampling rate of ~40-50 Hz elicited a bias smaller than 20%. At 1000 Hz, time- and frequency-domain PRV measures were slightly elevated compared to those derived from HRV (mean bias: ~1-8%). In conjunction with previous reports, PRV and HRV were not surrogate biomarkers due to the different nature of the collected waveforms. Nevertheless, PRV estimates displayed greater validity at a lower sampling rate compared to HRV estimates.


Assuntos
Sistema Nervoso Autônomo , Benchmarking , Feminino , Humanos , Frequência Cardíaca , Correlação de Dados , Eletrocardiografia
5.
Appl Psychophysiol Biofeedback ; 49(2): 233-240, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38214800

RESUMO

Slow paced breathing has been demonstrated to provide significant health benefits for a person's health, and, during breathing sessions, it is desirable to monitor that a person is actually compliant with the breath pacer. We explore the potential use of pulse rate variability to monitor compliance with a breath pacer during meditation sessions. The study involved 6 human subjects each participating in 2-3 trials, where they are asked to follow or not to follow the breath pacer, where we collected data on how the magnitude of pulse rate variability changed. Two methods, logistic regression and a running standard deviation technique, were developed to detect non-compliance with the breath pacer based on pulse rate variability metrics. Results indicate that using pulse rate variability alone may not reliably detect non-compliance with the breath pacer. Both models exhibited limitations in terms of false positives and false negatives, with accuracy ranging from 67 to 65%. Existing methods involving visual, audio, and motion signals currently perform better for monitoring compliance with the breath pacer.


Assuntos
Frequência Cardíaca , Humanos , Frequência Cardíaca/fisiologia , Masculino , Feminino , Adulto , Cooperação do Paciente , Monitorização Fisiológica/métodos , Monitorização Fisiológica/instrumentação , Meditação , Respiração
6.
BMC Med ; 21(1): 20, 2023 01 16.
Artigo em Inglês | MEDLINE | ID: mdl-36647101

RESUMO

BACKGROUND: Visit-to-visit body weight variability (BWV), pulse rate variability (PRV), and blood pressure variability (BPV) have been respectively linked to multiple health outcomes. The associations of the combination of long-term variability in physiological measures with mortality and epigenetic age acceleration (EAA) remain largely unknown. METHODS: We constructed a composite score of physiological variability (0-3) of large variability in BWV, PRV, and BPV (the top tertiles) in 2006/2008-2014/2016 in the Health and Retirement Study (HRS) and 2011-2015 in the China Health and Retirement Longitudinal Study (CHARLS). All-cause mortality was documented through 2018. EAA was calculated using thirteen DNA methylation-based epigenetic clocks among 1047 participants in a substudy of the HRS. We assessed the relation of the composite score to the risk of mortality among 6566 participants in the HRS and 6906 participants in the CHARLS by Cox proportional models and then investigated its association with EAA using linear regression models. RESULTS: A higher score of variability was associated with higher mortality risk in both cohorts (pooled hazard ratio [HR] per one-point increment, 1.27; 95% confidence interval [CI], 1.18, 1.39; P-heterogeneity = 0.344), after adjustment for multiple confounders and baseline physiological measures. Specifically, each SD increment in BWV, PRV, and BPV was related to 21% (95% CI: 15%, 28%), 6% (0%, 13%), and 12% (4%, 19%) higher hazard of mortality, respectively. The composite score was significantly related to EAA in second-generation clocks trained on health outcomes (e.g., standardized coefficient = 0.126 in the Levine clock, 95% CI: 0.055, 0.196) but not in most first-generation clocks trained on chronological age. CONCLUSIONS: Larger variability in physiological measures was associated with a higher risk of mortality and faster EAA.


Assuntos
Envelhecimento , Epigênese Genética , Humanos , Estudos Prospectivos , Estudos Longitudinais , Envelhecimento/genética , China/epidemiologia
7.
World J Urol ; 41(1): 269-274, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36525105

RESUMO

PURPOSE: To identify the relationship between fluoroscopy pulse rate and absorbed radiation dose. We compared absorbed radiation dose with common proxy measurements such as fluoroscopy time and C-arm reported dose. METHODS: Using a simulated patient model, 60 s fluoroscopy exposures were performed using pulse rates of 30, 8, 4, 2, and 1 pulse(s) per second. Each experiment was performed with both standard and low-dose settings using a GE OEC 9800 plus C-arm. Landauer nanoDot™ OSL dosimeters were used to measure the absorbed radiation dose. RESULTS: Fluoroscopy pulse rate and absorbed radiation dose demonstrated a linear correlation for both standard (R2 = 0.995, p < 0.001) and low-dose (R2 = 0.998, p < 0.001) settings. For any given pulse rate, using the low-dose setting reduced absorbed radiation dose by 58 ± 2.8%. Fluoroscopy time demonstrated a linear relationship with absorbed radiation dose for both standard (R2 = 0.996, p < 0.001) and low-dose (R2 = 0.991, p < 0.001) settings, but did not change with use of the low-dose setting. C-arm reported radiation dose correlated linearly with absorbed dose (R2 = 0.999) but consistently under-estimated measured values by an average of 49 ± 3.5%. Using a combination of 1 pulse-per-second and low-dose fluoroscopy, absorbed dose was reduced by 97.7 ± 0.1% compared to standard dose and 30 pulse-per-second settings. CONCLUSION: Absorbed radiation dose decreases linearly with fluoroscopy pulse rate during equivalent exposure times. Adjusting fluoroscopy pulse rate and utilizing low-dose settings significantly reduces overall absorbed radiation exposure by up to 98%.


Assuntos
Exposição à Radiação , Humanos , Doses de Radiação , Frequência Cardíaca , Fluoroscopia , Pacientes
8.
BMC Infect Dis ; 23(1): 682, 2023 Oct 12.
Artigo em Inglês | MEDLINE | ID: mdl-37828463

RESUMO

BACKGROUND: Pneumonia is the leading infectious cause of mortality worldwide and one of the most common lower respiratory tract infections that is contributing significantly to the burden of antibiotic consumption. The study aims to identify the determinants of the progress of pulse rate, body temperature and time to recovery of pneumonia patients. METHOD: A prospective cohort study design was used from Felege Hiwot referral hospital on 214 sampled pneumonia patients from March 01, 2022 up to May 31, 2022. The Kaplan-Meier survival estimate and Log-Rank test was used to compare the survival time. Joint model of bivariate longitudinal and time to event model was used to identify factors of longitudinal change of pulse rate and body temperature with time to recovery jointly. RESULT: As the follow up time of pneumonia patient's increase by one hour the average longitudinal change of pulse rate and body temperature were decreased by 0.4236 bpm and 0.0119 [Formula: see text]. The average longitudinal change of pulse rate and body temperature of patients who lived in rural was 1.4602 bpm and 0.1550 [Formula: see text] times less as compared to urban residence. Patients who had dangerous signs are significantly increased the average longitudinal change of pulse rate and body temperature by 2.042 bpm and 0.6031 [Formula: see text] as compared to patients who had no dangerous signs. A patient from rural residence was 1.1336 times more likely to experience the event of recovery as compared to urban residence. The estimated values of the association parameter for pulse rate and body temperature were -0.4236 bpm and -0.0119 respectively, which means pulse rate and body temperature were negatively related with patients recovery time. CONCLUSION: Pulse rate and body temperature significantly affect the time to the first recovery of pneumonia patients who are receiving treatment. Age, residence, danger sign, comorbidity, baseline symptom and visiting time were the joint determinant factors for the longitudinal change of pulse rate, body temperature and time to recovery of pneumonia patients. The joint model approach provides precise dynamic predictions, widespread information about the disease transitions, and better knowledge of disease etiology.


Assuntos
Temperatura Corporal , Pneumonia , Humanos , Frequência Cardíaca , Estudos Prospectivos , Pacientes
9.
J Electrocardiol ; 78: 58-64, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36804723

RESUMO

Clinical applications of passive long-term heart rate (HR) monitoring in patients with cardiac arrhythmias include adequate drug titration of atrioventricular (AV) nodal drugs and assessment of medical compliance with treatment. A majority of patients treated with beta-blockers, especially patients with atrial fibrillation (AF), require some degree of drug titration during the first 6 months of treatment to ensure that adequate HR control and medicine compliance has been achieved. Failing to achieve adequate rate control in patients with AF can lead to worsening symptoms, heart failure exacerbations, and potentially tachycardia-induced cardiomyopathy. Enabling video-based monitoring during telehealth patient visits could facilitate providers to measure heart rate (HR) without the need for a dedicated home device (smartwatch, SPO2 device, or others). Videoplethysmography (VPG) is a monitoring technology that measures pulse rate by utilizing front-facing cameras embedded in smart devices. VPG provides a remote and contactless cardiac monitoring solution. We conducted a clinical experiment to evaluate the accuracy of VPG in measuring HR while running on two portable devices: Samsung S10 smartphones and S3 tablets. We used a single­lead ECG to measure the heart rate at the time of the VPG recordings in AF patients. We employed the Bland-Altman method to measure the level of agreement between videoplethysmography and ECG-based measurements of HR. The findings reveal that the mean difference in videoplethysmography and ECG-based heart rate was inferior to 1 bpm across the 2 devices with confidence intervals ranging from 3 to 12 BPM. Our facial video-based HR monitoring solution could assist providers in measuring heart rates in their patients with AF during remote telehealth visits.


Assuntos
Fibrilação Atrial , Humanos , Frequência Cardíaca , Fibrilação Atrial/diagnóstico , Eletrocardiografia , Determinação da Frequência Cardíaca/métodos , Smartphone
10.
Dysphagia ; 38(2): 517-542, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-34254167

RESUMO

The videofluoroscopic swallowing study (VFSS) is a key tool in assessing swallowing function. As with any diagnostic procedure, the probable benefits of the study must be weighed against possible risks. The probable benefit of VFSS is an accurate assessment of swallowing function, enabling patient management decisions potentially leading to improved patient health status and quality of life. A possible (though highly unlikely) risk in VFSS is carcinogenesis, arising from the use of ionizing radiation. Clinicians performing videofluoroscopic swallowing studies should be familiar with both sides of the risk benefit equation in order to determine whether the study is medically justified. The intent of this article is to provide the necessary background for conversations about benefit and risk in videofluoroscopic swallowing studies.


Assuntos
Transtornos de Deglutição , Deglutição , Humanos , Transtornos de Deglutição/diagnóstico por imagem , Transtornos de Deglutição/etiologia , Qualidade de Vida , Fluoroscopia/métodos , Medição de Risco
11.
Perfusion ; 38(5): 1053-1061, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-35536726

RESUMO

INTRODUCTION: The superiority of pulsatile or non-pulsatile perfusion in cardiopulmonary bypass (CPB) regarding morbidity and mortality is still debated. Therefore, we aimed to investigate the effect of different pulse rates in pulsatile perfusion in patients undergoing coronary artery bypass graft (CABG) and compared it with non-pulsatile perfusion. MATERIALS AND METHODS: In this randomized clinical trial, 90 patients who were all candidates for CABG under CPB were enrolled. Patients in groups A and B received pulsatile perfusion with 30 and 70 pulses per minute, and group C received non-pulsatile perfusion. The biochemical and clinical parameters in the ICU were evaluated in the study groups. RESULTS: There was no statistically significant difference between patients' clinical outcomes and kidney and liver function markers (all Ps> 0.05). Mean serum lactate level increased but did not show a statistically significant difference between the study groups (p = 0.8). The mean urine volume at 12 and 24 h after surgery was higher in group A, but there was no statistically significant difference between the three groups during the study period (p = 0.3). No significant difference was found in the length of the ICU stay between the study groups (p = 0.2). CONCLUSION: Our studied parameters demonstrated no significant difference between pulsatile and non-pulsatile and between 30 and 70 pulse rate pulsatile perfusion methods. Our findings support that pulsatile perfusion with different pulse rates has no advantages over non-pulsatile perfusion in selected CABG cases.


Assuntos
Ponte Cardiopulmonar , Ponte de Artéria Coronária , Humanos , Ponte Cardiopulmonar/métodos , Perfusão , Rim , Fluxo Pulsátil
12.
Sensors (Basel) ; 23(12)2023 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-37420678

RESUMO

Stress is a direct or indirect cause of reduced work efficiency in daily life. It can damage physical and mental health, leading to cardiovascular disease and depression. With increased interest and awareness of the risks of stress in modern society, there is a growing demand for quick assessment and monitoring of stress levels. Traditional ultra-short-term stress measurement classifies stress situations using heart rate variability (HRV) or pulse rate variability (PRV) information extracted from electrocardiogram (ECG) or photoplethysmography (PPG) signals. However, it requires more than one minute, making it difficult to monitor stress status in real-time and accurately predict stress levels. In this paper, stress indices were predicted using PRV indices acquired at different lengths of time (60 s, 50 s, 40 s, 30 s, 20 s, 10 s, and 5 s) for the purpose of real-time stress monitoring. Stress was predicted with Extra Tree Regressor, Random Forest Regressor, and Gradient Boost Regressor models using a valid PRV index for each data acquisition time. The predicted stress index was evaluated using an R2 score between the predicted stress index and the actual stress index calculated from one minute of the PPG signal. The average R2 score of the three models by the data acquisition time was 0.2194 at 5 s, 0.7600 at 10 s, 0.8846 at 20 s, 0.9263 at 30 s, 0.9501 at 40 s, 0.9733 at 50 s, and 0.9909 at 60 s. Thus, when stress was predicted using PPG data acquired for 10 s or more, the R2 score was confirmed to be over 0.7.


Assuntos
Eletrocardiografia , Fotopletismografia , Frequência Cardíaca/fisiologia , Saúde Mental
13.
Sensors (Basel) ; 23(3)2023 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-36772543

RESUMO

Despite the notable recent developments in the field of remote photoplethysmography (rPPG), extracting a reliable pulse rate variability (PRV) signal still remains a challenge. In this study, eight image-based photoplethysmography (iPPG) extraction methods (GRD, AGRD, PCA, ICA, LE, SPE, CHROM, and POS) were compared in terms of pulse rate (PR) and PRV features. The algorithms were made robust for motion and illumination artifacts by using ad hoc pre- and postprocessing steps. Then, they were systematically tested on the public dataset UBFC-RPPG, containing data from 42 subjects sitting in front of a webcam (30 fps) while playing a time-sensitive mathematical game. The performances of the algorithms were evaluated by statistically comparing iPPG-based and finger-PPG-based PR and PRV features in terms of Spearman's correlation coefficient, normalized root mean square error (NRMSE), and Bland-Altman analysis. The study revealed POS and CHROM techniques to be the most robust for PR estimation and the assessment of overall autonomic nervous system (ANS) dynamics by using PRV features in time and frequency domains. Furthermore, we demonstrated that a reliable characterization of the vagal tone is made possible by computing the Poincaré map of PRV series derived from the POS and CHROM methods. This study supports the use of iPPG systems as promising tools to obtain clinically useful and specific information about ANS dynamics.


Assuntos
Fotopletismografia , Dispositivos Eletrônicos Vestíveis , Humanos , Fotopletismografia/métodos , Processamento de Sinais Assistido por Computador , Frequência Cardíaca/fisiologia , Diagnóstico por Imagem , Algoritmos
14.
Sensors (Basel) ; 23(9)2023 Apr 24.
Artigo em Inglês | MEDLINE | ID: mdl-37177450

RESUMO

Photoplethysmography (PPG) signals have been widely used in evaluating cardiovascular biomarkers, however, there is a lack of in-depth understanding of the remote usage of this technology and its viability for underdeveloped countries. This study aims to quantitatively evaluate the performance of a low-cost wireless PPG device in detecting ultra-short-term time-domain pulse rate variability (PRV) parameters in different postures and breathing patterns. A total of 30 healthy subjects were recruited. ECG and PPG signals were simultaneously recorded in 3 min using miniaturized wearable sensors. Four heart rate variability (HRV) and PRV parameters were extracted from ECG and PPG signals, respectively, and compared using analysis of variance (ANOVA) or Scheirer-Ray-Hare test with post hoc analysis. In addition, the data loss was calculated as the percentage of missing sampling points. Posture did not present statistical differences across the PRV parameters but a statistical difference between indicators was found. Strong variation was found for the RMSSD indicator in the standing posture. The sitting position in both breathing patterns demonstrated the lowest data loss (1.0 ± 0.6 and 1.0 ± 0.7) and the lowest percentage of different factors for all indicators. The usage of commercial PPG and BLE devices can allow the reliable extraction of the PPG signal and PRV indicators in real time.


Assuntos
Fotopletismografia , Postura , Humanos , Frequência Cardíaca/fisiologia , Voluntários Saudáveis , Respiração , Eletrocardiografia
15.
Sensors (Basel) ; 24(1)2023 Dec 26.
Artigo em Inglês | MEDLINE | ID: mdl-38203003

RESUMO

Health-tracking from photoplethysmography (PPG) signals is significantly hindered by motion artifacts (MAs). Although many algorithms exist to detect MAs, the corrupted signal often remains unexploited. This work introduces a novel method able to reconstruct noisy PPGs and facilitate uninterrupted health monitoring. The algorithm starts with spectral-based MA detection, followed by signal reconstruction by using the morphological and heart-rate variability information from the clean segments adjacent to noise. The algorithm was tested on (a) 30 noisy PPGs of a maximum 20 s noise duration and (b) 28 originally clean PPGs, after noise addition (2-120 s) (1) with and (2) without cancellation of the corresponding clean segment. Sampling frequency was 250 Hz after resampling. Noise detection was evaluated by means of accuracy, sensitivity, and specificity. For the evaluation of signal reconstruction, the heart-rate (HR) was compared via Pearson correlation (PC) and absolute error (a) between ECGs and reconstructed PPGs and (b) between original and reconstructed PPGs. Bland-Altman (BA) analysis for the differences in HR estimation on original and reconstructed segments of (b) was also performed. Noise detection accuracy was 90.91% for (a) and 99.38-100% for (b). For the PPG reconstruction, HR showed 99.31% correlation in (a) and >90% for all noise lengths in (b). Mean absolute error was 1.59 bpm for (a) and 1.26-1.82 bpm for (b). BA analysis indicated that, in most cases, 90% or more of the recordings fall within the confidence interval, regardless of the noise length. Optimal performance is achieved even for signals of noise up to 2 min, allowing for the utilization and further analysis of recordings that would otherwise be discarded. Thereby, the algorithm can be implemented in monitoring devices, assisting in uninterrupted health-tracking.


Assuntos
Algoritmos , Fotopletismografia , Artefatos , Eletrocardiografia , Frequência Cardíaca
16.
Medicina (Kaunas) ; 59(6)2023 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-37374344

RESUMO

Background and Objectives: To compare autonomic and vascular responses during reactive hyperemia (RH) between healthy individuals and patients with sickle cell anemia (SCA). Materials and Methods: Eighteen healthy subjects and 24 SCA patients were subjected to arterial occlusion for 3 min at the lower right limb level. The pulse rate variability (PRV) and pulse wave amplitude were measured through photoplethysmography using the Angiodin® PD 3000 device, which was placed on the first finger of the lower right limb 2 min before (Basal) and 2 min after the occlusion. Pulse peak intervals were analyzed using time-frequency (wavelet transform) methods for high-frequency (HF: 0.15-0.4) and low-frequency (LF: 0.04-0.15) bands, and the LF/HF ratio was calculated. Results: The pulse wave amplitude was higher in healthy subjects compared to SCA patients, at both baseline and post-occlusion (p < 0.05). Time-frequency analysis showed that the LF/HF peak in response to the post-occlusion RH test was reached earlier in healthy subjects compared to SCA patients. Conclusions: Vasodilatory function, as measured by PPG, was lower in SCA patients compared to healthy subjects. Moreover, a cardiovascular autonomic imbalance was present in SCA patients with high sympathetic and low parasympathetic activity in the basal state and a poor response of the sympathetic nervous system to RH. Early cardiovascular sympathetic activation (10 s) and vasodilatory function in response to RH were impaired in SCA patients.


Assuntos
Anemia Falciforme , Doenças do Sistema Nervoso Autônomo , Hiperemia , Humanos , Anemia Falciforme/complicações , Sistema Nervoso Autônomo , Frequência Cardíaca/fisiologia
17.
Artif Life Robot ; : 1-11, 2023 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-37360281

RESUMO

Given the ongoing COVID-19 pandemic, remote interviews have become an increasingly popular approach in many fields. For example, a survey by the HR Research Institute (PCR Institute in Survey on hiring activities for graduates of 2021 and 2022. https://www.hrpro.co.jp/research_detail.php?r_no=273. Accessed 03 Oct 2021) shows that more than 80% of job interviews are conducted remotely, particularly in large companies. However, for some reason, an interviewee might attempt to deceive an interviewer or feel difficult to tell the truth. Although the ability of interviewers to detect deception among interviewees is significant for their company or organization, it still strongly depends on their individual experience and cannot be automated. To address this issue, in this study, we propose a machine learning approach to aid in detecting whether a person is attempting to deceive the interlocutor by associating the features of their facial expressions with those of their pulse rate. We also constructed a more realistic dataset for the task of deception detection by asking subjects not to respond artificially, but rather to improvise natural responses using a web camera and wearable device (smartwatch). The results of an experimental evaluation of the proposed approach with 10-fold cross-validation using random forests classifier show that the accuracy and the F1 value were in the range between 0.75 and 0.8 for each subject, and the highest values were 0.87 and 0.88, respectively. Through the analysis of the importance of the features the trained models, we revealed the crucial features of each subject during deception, which differed among the subjects.

18.
Anim Cogn ; 25(3): 545-554, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34714438

RESUMO

The perceived pitch of human voices is highly correlated with the fundamental frequency (f0) of the laryngeal source, which is determined largely by the length and mass of the vocal folds. The vocal folds are larger in adult males than in adult females, and men's voices consequently have a lower pitch than women's. The length of the supralaryngeal vocal tract (vocal-tract length; VTL) affects the resonant frequencies (formants) of speech which characterize the timbre of the voice. Men's longer vocal tracts produce lower frequency, and less dispersed, formants than women's shorter vocal tracts. Pitch and timbre combine to influence the perception of speaker characteristics such as size and age. Together, they can be used to categorize speaker sex with almost perfect accuracy. While it is known that domestic dogs can match a voice to a person of the same sex, there has been no investigation into whether dogs are sensitive to the correlation between pitch and timbre. We recorded a female voice giving three commands ('Sit', 'Lay down', 'Come here'), and manipulated the recordings to lower the fundamental frequency (thus lowering pitch), increase simulated VTL (hence affecting timbre), or both (synthesized adult male voice). Dogs responded to the original adult female and synthesized adult male voices equivalently. Their tendency to obey the commands was, however, reduced when either pitch or timbre was manipulated alone. These results suggest that dogs are sensitive to both the pitch and timbre of human voices, and that they learn about the natural covariation of these perceptual attributes.


Assuntos
Voz , Lobos , Animais , Cães , Feminino , Humanos , Masculino , Percepção da Altura Sonora , Caracteres Sexuais , Fala , Acústica da Fala
19.
Sensors (Basel) ; 22(23)2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36502086

RESUMO

Pulse wave and pulse rate are important indicators of cardiovascular health. Technologies that can check the pulse by contacting the skin with optical sensors built into smart devices have been developed. However, this may cause inconvenience, such as foreign body sensation. Accordingly, studies have been conducted on non-contact pulse rate measurements using facial videos focused on the indoors. Moreover, since the majority of studies are conducted indoors, the error in the pulse rate measurement in outdoor environments, such as an outdoor bench, car and drone, is high. In this paper, to deal with this issue, we focus on developing a robust pulse measurement method based on facial videos taken in diverse environments. The proposed method stably detects faces by removing high-frequency components of face coordinate signals derived from fine body tremors and illumination conditions. It optimizes for extracting skin color changes by reducing illumination-caused noise using the Cg color difference component. The robust pulse wave is extracted from the Cg signal using FFT-iFFT with zero-padding. It can eliminate signal-filtering distortion effectively. We demonstrate that the proposed method relieves pulse rate measurement problems, producing 3.36, 5.81, and 6.09 bpm RMSE for an outdoor bench, driving car, and flying drone, respectively.


Assuntos
Face , Coração , Frequência Cardíaca , Gravação em Vídeo/métodos , Gravação de Videoteipe , Algoritmos , Processamento de Sinais Assistido por Computador
20.
Appl Psychophysiol Biofeedback ; 47(3): 213-222, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35704121

RESUMO

Pulse rate variability is a physiological parameter that has been extensively studied and correlated with many physical ailments. However, the phase relationship between inter-beat interval, IBI, and breathing has very rarely been studied. Develop a technique by which the phase relationship between IBI and breathing can be accurately and efficiently extracted from photoplethysmography (PPG) data. A program based on Lock-in Amplifier technology was written in Python to implement a novel technique, Dynamic Phase Extraction. It was tested using a breath pacer and a PPG sensor on 6 subjects who followed a breath pacer at varied breathing rates. The data were then analyzed using both traditional methods and the novel technique (Dynamic Phase Extraction) utilizing a breath pacer. Pulse data was extracted using a PPG sensor. Dynamic Phase Extraction (DPE) gave the magnitudes of the variation in IBI associated with breathing [Formula: see text] measured with photoplethysmography during paced breathing (with premature ventricular contractions, abnormal arrhythmias, and other artifacts edited out). [Formula: see text] correlated well with two standard measures of pulse rate variability: the Standard Deviation of the inter-beat interval (SDNN) (ρ = 0.911) and with the integrated value of the Power Spectral Density between 0.04 and 0.15 Hz (Low Frequency Power or LF Power) (ρ = 0.885). These correlations were comparable to the correlation between the SDNN and the LF Power (ρ = 0.877). In addition to the magnitude [Formula: see text], Dynamic Phase Extraction also gave the phase between the breath pacer and the changes in the inter-beat interval (IBI) due to respiratory sinus arrythmia (RSA), and correlated well with the phase extracted using a Fourier transform (ρ = 0.857). Dynamic Phase Extraction can extract both the phase between the breath pacer and the changes in IBI due to the respiratory sinus arrhythmia component of pulse rate variability ([Formula: see text], but is limited by needing a breath pacer.


Assuntos
Arritmia Sinusal Respiratória , Processamento de Sinais Assistido por Computador , Eletrocardiografia , Frequência Cardíaca/fisiologia , Humanos , Fotopletismografia/métodos , Taxa Respiratória
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