Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference
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In this paper, we present a subspace approach for functional magnetic resonance imaging (fMRI) time series analysis. The signal subspace is formed of the eigenvectors of data correlation matrix. The approach is utilized both for single-trial estimation of blood oxygenation level dependent (BOLD) responses in fMRI time series and for studying the functional connectivity of BOLD responses from different spatial areas.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2007
Development of real-time motion artifact reduction algorithm for a wearable photoplethysmography.
This paper presents a motion artifact reduction algorithm for a real-time, wireless and wearable photoplethysmography (PPG) device for measuring heart beats. A wearable finger band PPG device consists of a 3-axis accelerometer, infrared LED, photo diode, a microprocessor and wireless module. Sources of the motion artifacts were investigated from the hand motions, through computing the correlations between the three directional finger motions and distorted PPG signals. ⋯ NLMS (Normalized Least Mean Square) adaptive filter (4th order) was employed in the algorithm. As a result, the signals' distortion rates were reduced from 52.34% to 3.53%, at frequencies between 1 and 2.5 Hz, which representing daily motions such walking and jogging. The wearable health monitoring device equipped with the motion artifact reduction algorithm can be integrated as a terminal in a so-called ubiquitous healthcare system, which provides a continuous health monitoring without interrupting a daily life.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2007
Intelligent monitoring of critical pathological events during anesthesia.
Expert algorithms in the field of intelligent patient monitoring have rapidly revolutionized patient care thereby improving patient safety. Patient monitoring during anesthesia requires cautious attention by anesthetists who are monitoring many modalities, diagnosing clinically critical events and performing patient management tasks simultaneously. The mishaps that occur during day-to-day anesthesia causing disastrous errors in anesthesia administration were classified and studied by Reason [1]. ⋯ When detecting absolute hypovolaemia (AHV), moderate level of agreement was observed between RT-SAAM and the human expert (anesthetist) during surgical procedures. RT-SAAM is a clinically useful diagnostic tool which can be easily modified for diagnosing additional critical pathological events like relative hypovolaemia, fall in cardiac output, sympathetic response and malignant hyperpyrexia during surgical procedures. RT-SAAM is currently being tested at the Auckland City Hospital with ethical approval from the local ethics committees.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2007
Changes in Heart Rate Variability in patients under local anesthesia.
Spectral analysis of Heart Rate Variability (HRV) is widely used for the assessment of cardiovascular autonomic control. Several studies have shown the effect of anesthetic agents on HRV parameters. In this study a systematic approach of HRV analysis has been employed. ⋯ Using this methodology electrocardiogram (ECG) signals from 14 patients undergoing local anesthesia (brachial plexus block) were analyzed with parametric Autoregressive (AR) method. The results showed that the LF/HF ratio values calculated from the HRV signal decreases within an hour of the application of the brachial plexus block compared to the values at the start of the procedure. This change was noticed in approximately 80% of the patients.
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This paper describes the development of a therapeutical device for the support of the weaning process in respiratory care, following the decannulation of the breathing tube. The new product is to enhance the healing of a temporary, percutaneous tracheostoma by the provision of visual contact to the stoma or the wound respectively, allowing to intervene at an early stage if required. Interventions are facilitated by the new device by means of variable adaptors, in particular for (tracheal) suctioning, (temporal) insertion of a placeholder cannula or contribution of oxygen and by the reinsertion of a breathing tube if necessary. As the overall benefit, the new product will shorten the healing process of the tracheostoma and support wound management for the benefit of patients.