Heatstroke risk informing system using wearable perspiration ratemeter on users undergoing physical exercise.

We constructed an informing system to users for the heatstroke risk using a wearable perspiration ratemeter and the users' thirst responses. The sweating ratemeter was constructed with a capacitive humidity sensor in the ventilated capsule. The timing point for informing heatstroke risk was decided to change from positive to negative on the second derivative of sweating curve. In addition, a wearable self-identification and -information system of thirst response was constructed with a smartphone. To evaluate the validity of wearable apparatus, we aimed to conduct human experiments of 16 healthy subjects with the step up and down physical exercises. The blood and urine samples of the subjects were collected before and after the 30-min physical exercise. The concentrations of TP, Alb, and RBC increased slightly with the exercise. In contrast, the concentrations of vasopressin in all subjects remarkably increased with the exercise. In almost subjects, they identified their thirst response until several min after the informing for heatstroke risk. In conclusion, the wearable ratemeter and self-information system of thirst response were suitable for informing system of heatstroke risk. The validity of timing point for informing heatstroke risk was confirmed with changes in the thirst response and concentrations of vasopressin in blood.

Investigation of variation factors in EMG measurement of swallowing: instruction can improve EMG reproducibility.

Variability in swallowing electromyography (EMG) has been reported to occur due to individual differences, even in studies with appropriate control of factors affecting EMG such as food type, properties, and posture. The increased variability broadens the confidence intervals of measures obtained from EMG, such as time and amplitude, and makes it difficult to detect differences in muscle activity. This makes it impossible to detect slight changes in swallowing function at an early stage, which is required for clinical examination. In this study, we focused on the tipper type and dipper type of oral swallows, which differ in the timing of muscle activity. The frequency of occurrence of both types varies between participants, and both types could occur in the same participant. In this study, we measured swallowing EMG wherein participants were instructed to swallow with a tipper and a dipper. The results showed that there was a significant difference in the between-participant duration between these two types of swallows. Within-participant variability was significantly lower in the tipper-dipper instruction condition compared to the baseline condition, which assumed a mixture of tipper-dipper swallowing. These results demonstrate that instructions on swallowing method are effective in improving the reproducibility of EMG.

Detection of swallowing disorders with a multiple-channel surface electromyography sensor sheet.

Background/purpose: A sensor sheet comprising multiple electromyography electrodes that can be used to measure a series of multiple muscle activities related to swallowing was recently developed. In this study, we aimed to evaluate its utility in detecting swallowing disorders with a new method for the identification of muscle activity. Materials and methods: All participants were evaluated by using the repetitive saliva swallowing test and modified water swallowing test and were classified accordingly into participants with (n = 21; mean age, 81.6 [standard deviation, 10.1] years) and those without (n = 41; mean age, 70.0 [8.4] years) dysphagia. The sheet contains four pairs of electrodes, and surface electromyography (sEMG) was performed on the suprahyoid (position A: upper front of the suprahyoid muscles; position B: bottom rear of the suprahyoid muscles) and infrahyoid (position C: above the infrahyoid muscles; position D: beneath the infrahyoid muscles) muscles while the participants swallowed liquid, thickened water, paste, and jelly. The sEMG findings, including the duration of swallowing waveforms and the delay in swallowing onset from position A to positions B, C, and D, were compared between the groups. Results: The duration of muscle activity differed between the groups in the infrahyoid muscles when jelly (Mann-Whitney U test; position C, P = 0.007 and position D, P = 0.018) and thickened water (position C, P = 0.033) were swallowed. Conclusion: Our study demonstrates the utility of a novel sensor sheet developed for detecting swallowing disorders by using visual methods for identification of muscle activity.

Another route of CO2 gas excretion independent of red blood cells in human lungs.

We demonstrated pulmonary arteriolar blood flow-mediated CO2 gas excretion in rabbit lungs. The shear stress stimulation produced CO2 gas in cultured human endothelial cells of pulmonary arterioles via the activation of F1/Fo ATP synthase. To confirm the findings in human subjects undergoing the operation with heart-lung machines, we aimed to evaluate the effects of a stepwise switch, from a partial to a complete cardiopulmonary bypass, of the circulatory blood volume (BV, 100% = 2.4 × cardiac index), on the end-expiratory CO2 pressure (PetCO2), maximal flow velocity in the pulmonary artery (Max Vp), the inner diameter (ID) of pulmonary artery, pulmonary arterial CO2 pressure (P mix v CO2), pulmonary arterial O2 pressure (P mix v O2), hematocrit (Hct), pH, the concentration of HCO3-, and base excess (BE) in mixed venous blood in 9 patients with a mean age of 72.3 ± 3.4 years. In addition, the effects of the decrease in Hct infused with physiological saline solution (PSS) on PetCO2 were investigated in the human subjects. An approximately linear relationship between the PetCO2 and Max Vp was observed. The pumping out of 100% BV produced little or no change in the Hct, pH, P mix v CO2, and P mix v O2, respectively. The hemodilution produced by intravenous infusion of PSS caused a significant decrease in the Hct, but not in the PetCO2. In conclusion, another route of CO2 gas excretion, independent of red blood cells, may be involved in human lungs.

Detection of swallowing disorders using a multiple channel surface electromyography sheet: A preliminary study.

BACKGROUND/PURPOSE: We invented a sensor sheet with multiple electromyogram electrodes, which can be easily attached to the front of the neck, to evaluate surface electromyograms (sEMG) during swallowing function. In this paper, we evaluated sEMG in healthy volunteers and dysphagia patients using the sensor sheet and discussed its potential to evaluate swallowing function. MATERIALS AND METHODS: Ten healthy volunteers (age, 29.5 ±â€¯3.9 years) and 18 clinically diagnosed dysphagia patients (age, 67.8 ±â€¯12.1 years) were included. The sensor sheet had four pairs of electrodes, and sEMG at the suprahyoid muscles (positions A and B) and the infrahyoid muscles (positions C and D) were recorded while swallowing water, thickened water, yogurt, and jelly; sEMG findings were compared between these positions. RESULTS: Significant differences in the duration of muscle activity was observed when swallowing yogurt at position D and when swallowing jelly, thickened water, and water at position B (Mann-Whitney U test, p < 0.05). In healthy volunteers, muscle activation typically began from positions A or B to position D, whereas in dysphagia patients, it sometimes began from position D. CONCLUSION: There were significant differences in duration and sequence patterns of four sEMG activities between healthy young volunteers and dysphagia patients in the assessment using the sensor sheet, although some technical and scientific problems remained unresolved. These results indicate that swallowing function could be evaluated using the sensor sheet.

Eyes Closing and Drowsiness in Human Subjects Decrease Baseline Galvanic Skin Response and Active Palmar Sweating: Relationship Between Galvanic Skin and Palmar Perspiration Responses.

We previously constructed a perspiration ratemeter for the measurement of palmar sweating in human subjects. Although galvanic skin response (GSR) has been used to evaluate emotional responses in human subjects, little is known about the relationships between the phasic and baseline components in GSR and active palmar sweating. From the aforementioned, we aimed to investigate the relationships in human subjects with handgrip exercise and eyes closing or opening. Fifteen healthy volunteers (mean age: 26.9 ± 8.7 years) participated in the present experiments. We investigated the effects of maximal handgrip exercise, eyes closing or opening, and self-awareness of drowsy on the GSR, active palmar sweating, R-R interval in electrocardiograph (ECG), and percentage of α wave in EEG. The faster phasic component in GSR completely agreed with the starting point of active palmar sweating. Handgrip exercise induced significantly faster spike in GSR, active palmar sweating, and decrease in R-R interval in ECG. Eyes closing produced significant decreases in baseline GSR and active palmar sweating in all human subjects. The percentage of α wave in electroencephalograph (EEG) also increased. In contrast, eyes opening increased significantly the baseline GSR and active palmar sweating. In the equivalent electrical model of human skin, the eyes closing-mediated time-dependent decrease in the baseline GSR completely agreed with the hypothesis that the palmar skin voltage only in the model decreased time dependently to 0.4 of the control during 6 min. The self-awareness of drowsy in mid-night working with computer produced similar decreases in baseline GSR and active palmar sweating to the responses with eyes closing in all human subjects. In conclusion, the faster spike in GSR completely agreed with the starting point of active palmar sweating. Eyes closing and opening or self-awareness of drowsy significantly produced changes in baseline GSR and active palmar sweating, which may become useful tools for evaluating clearness or drowsiness in human subjects.

Simultaneous Measurement of Ear Canal Movement, Electromyography of the Masseter Muscle and Occlusal Force for Earphone-Type Occlusal Force Estimation Device Development.

We intend to develop earphone-type wearable devices to measure occlusal force by measuring ear canal movement using an ear sensor that we developed. The proposed device can measure occlusal force during eating. In this work, we simultaneously measured the ear canal movement (ear sensor value), the surface electromyography (EMG) of the masseter muscle and the occlusal force six times from five subjects as a basic study toward occlusal force meter development. Using the results, we investigated the correlation coefficient between the ear sensor value and the occlusal force, and the partial correlation coefficient between ear sensor values. Additionally, we investigated the average of the partial correlation coefficient and the absolute value of the average for each subject. The absolute value results indicated strong correlation, with correlation coefficients exceeding 0.9514 for all subjects. The subjects showed a lowest partial correlation coefficient of 0.6161 and a highest value of 0.8286. This was also indicative of correlation. We then estimated the occlusal force via a single regression analysis for each subject. Evaluation of the proposed method via the cross-validation method indicated that the root-mean-square error when comparing actual values with estimates for the five subjects ranged from 0.0338 to 0.0969.