| 1. |
- Bakidou, Anna, 1996, et al.
(författare)
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On Scene Injury Severity Prediction (OSISP) model for trauma developed using the Swedish Trauma Registry
- 2023
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Ingår i: BMC Medical Informatics and Decision Making. - 1472-6947. ; 23:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Providing optimal care for trauma, the leading cause of death for young adults, remains a challenge e.g., due to field triage limitations in assessing a patient’s condition and deciding on transport destination. Data-driven On Scene Injury Severity Prediction (OSISP) models for motor vehicle crashes have shown potential for providing real-time decision support. The objective of this study is therefore to evaluate if an Artificial Intelligence (AI) based clinical decision support system can identify severely injured trauma patients in the prehospital setting. Methods: The Swedish Trauma Registry was used to train and validate five models – Logistic Regression, Random Forest, XGBoost, Support Vector Machine and Artificial Neural Network – in a stratified 10-fold cross validation setting and hold-out analysis. The models performed binary classification of the New Injury Severity Score and were evaluated using accuracy metrics, area under the receiver operating characteristic curve (AUC) and Precision-Recall curve (AUCPR), and under- and overtriage rates. Results: There were 75,602 registrations between 2013–2020 and 47,357 (62.6%) remained after eligibility criteria were applied. Models were based on 21 predictors, including injury location. From the clinical outcome, about 40% of patientswere undertriaged and 46% were overtriaged. Models demonstrated potential for improved triaging and yielded AUC between 0.80–0.89 and AUCPR between 0.43–0.62. Conclusions: AI based OSISP models have potential to provide support during assessment of injury severity. The findings may be used for developing tools to complement field triage protocols, with potential to improve prehospital trauma care and thereby reduce morbidity and mortality for a large patient population.
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| 2. |
- Buendia, Ruben, 1982, et al.
(författare)
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A Novel Approach for Removing the Hook Effect Artefact from Electrical Bioimpedance Spectroscopy Measurements
- 2009
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Ingår i: Journal of Physics: Conference Series. - : Institute of Physics Publishing Ltd.. - 1742-6596.
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Konferensbidrag (refereegranskat)abstract
- Very often in Electrical Bioimpedance (EBI) spectroscopy measurements the presence of stray capacitances creates a measurement artefact commonly known as Hook Effect. Such an artefact creates a hook-alike deviation of the EBI data noticeable when representing the measurement on the impedance plane. Such Hook Effect is noticeable at high frequencies but it also causes a data deviation at lower measurement frequencies. In order to perform any accurate analysis of the EBI spectroscopy data, the influence of the Hook Effect must be removed. An established method to compensate the hook effect is the well known Td compensation, which consist on multiplying the obtained spectrum, Zmeas() by a complex exponential in the form of exp[jTd]. Such a method cannot correct entirely the Hook Effect since the hook-alike deviation occurs a broad frequency range in both magnitude and phase of the measured impedance, and by using a real value for Td. First, a real value only modifies the phase of the measured impedance and second, it can only correct the Hook Effect at a single frequency. In addition, the process to select a value for Td by an iterative process with the aim to obtain the best Cole fitting lacks solid scientific grounds. In this work the Td compensation method is revisited and a modified approach for correcting the Hook Effect that includes a novel method for selecting the correcting values is proposed. The initial validation results confirm that the proposed method entirely corrects the Hook Effect at all frequencies.
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| 3. |
- Biswas, Tuser, 1988-, et al.
(författare)
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Digital inkjet printing of antimicrobial lysozyme on pretreated polyester fabric
- 2022
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Konferensbidrag (refereegranskat)abstract
- Lysozyme was inkjet printed on two different polyester fabrics considering several challenges of printing enzymes on synthetic fabric surfaces. Wettability of both the fabrics were improved by alkaline pre-treatment resulting reduction in water contact angle to 60±2 from 95°±3 and to 80°±2 from 115°±2 for thinner and coarser fabric respectively. Activity of lysozyme in the prepared ink was 9240±34 units/ml and reduced to 5946±23 units/ml as of collected after jetting process (before printing on fabric). The formulated ink was effectively inkjet printed on alkali treated polyester fabric for antimicrobial applications. Retention of higher activity of the printed fabric requires further studies on enzyme-fibre binding mechanisms and understanding protein orientation on fabric surface after printing
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| 4. |
- Löfhede, Johan, et al.
(författare)
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Classification of burst and suppression in the neonatal electroencephalogram
- 2008
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Ingår i: Journal of Neural Engineering. - : Institute of Physics Publishing Ltd.. - 1741-2560 .- 1741-2552. ; 5:4, s. 402-410
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Tidskriftsartikel (refereegranskat)abstract
- Fisher's linear discriminant (FLD), a feed-forward artificial neural network (ANN) and a support vector machine (SVM) were compared with respect to their ability to distinguish bursts from suppressions in electroencephalograms (EEG) displaying a burst-suppression pattern. Five features extracted from the EEG were used as inputs. The study was based on EEG signals from six full-term infants who had suffered from perinatal asphyxia, and the methods have been trained with reference data classified by an experienced electroencephalographer. The results are summarized as the area under the curve (AUC), derived from receiver operating characteristic (ROC) curves for the three methods. Based on this, the SVM performs slightly better than the others. Testing the three methods with combinations of increasing numbers of the five features shows that the SVM handles the increasing amount of information better than the other methods.
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| 5. |
- Hafid, Abdelakram, et al.
(författare)
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Full Impedance Cardiography Measurement Device Using Raspberry PI3 and System-on-Chip Biomedical Instrumentation Solutions
- 2018
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Ingår i: IEEE journal of biomedical and health informatics. - : IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC. - 2168-2194 .- 2168-2208. ; 22:6, s. 1883-1894
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Tidskriftsartikel (refereegranskat)abstract
- Impedance cardiography (ICG) is a noninvasive method for monitoring cardiac dynamics using electrical bioimpedance (EBI) measurements. Since its appearance more than 40 years ago, ICG has been used for assessing hemodynamic parameters. This paper presents a measurement system based on two System on Chip (SoC) solutions and Raspberry PI, implementing both a full three-lead ECG recorder and an impedance cardiographer, for educational and research development purposes. Raspberry PI is a platform supporting Do-I t-Yourself project and education applications across the world. The development is part of Biosignal PI, an open hardware platform focusing in quick prototyping of physiological measurement instrumentation. The SoC used for sensing cardiac biopotential is the ADAS1000, and for the EBI measurement is the AD5933. The recordings were wirelessly transmitted through Bluetooth to a PC, where the waveforms were displayed, and hemodynamic parameters such as heart rate, stroke volume, ejection time and cardiac output were extracted from the ICG and ECG recordings. These results show how Raspberry PI can be used for quick prototyping using relatively widely available and affordable components, for supporting developers in research and engineering education. The design and development documents will be available on www.BiosignalPl.com, for open access under a Non Commercial-Share A like 4.0 International License.
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| 6. |
- Seoane, Fernando, et al.
(författare)
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Conductive Polymer Films as Textrodes for Biopotential Sensing
- 2011
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: After several years of progresses in textile technology and wearable measurement instrumentation, applications of wearable textile-electronics systems are arising providing a stable background for commercial applications. So far, the available commercial solutions are centered on fitness applications and mostly based in the acquisition of heart rate through Textile Electrodes (Textrodes) based on metallic threads or on conductive rubber compounds. Methods and Materials: In this work a novel material approach is presented to produce Textrodes for acquisition of Electrocardiographic (ECG) signals using a conductive polypropylene (PP1386 from Premix, Finland) polymer material. The polymer was film extruded into thin films, and used as such in the Textrode. Conductive Polymer Films (CPF) have been used to produce Textrodes, and its measurement performance has been compared with the ECG signals obtained with commercial Textrode fabrics and conventional Ag/AgCl electrodes. In order to set up the same measurement conditions, a chest strap tailored to host the testing electrodes has been used. Results: The close resemblance of the ECG acquired with the textile fabric electrodes, the Ag/AgCl electrodes and the PP1386 CPF electrodes suggest that the Polymer Electrodes PP1386 are a feasible alternative to the current textile fabrics that use silver thread as conductive material and also to conductive rubber material. Discussion & Conclusion: The availability of the Conductive Polymer Electrode PP1386 in a film form allows the manufacturing of electrodes by conventional textile processes, like lamination or sewing, therefore facilitating the transition from lab prototyping to industrial manufacturing. Replacing the traditional silver thread as conductive element in the fabrication of Textrodes will definitely reduce the material cost per Textrode. Biocompatibility issues and manufacturability issues must be addressed but the exhibited functional performance is showing encouraging results.
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| 7. |
- Macias, Raul, et al.
(författare)
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Performance of the Load-in-the-Loop Single Op-Amp Voltage Controlled Current Source from the Op-Amp Parameters
- 2010
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Ingår i: Journal of Physics: Conference Series. - : Institute of Physics Publishing Ltd.. - 1742-6596 .- 1742-6588.
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Konferensbidrag (refereegranskat)abstract
- In recent years, Electrical Bioimpedance (EBI) methods have gained importance. These methods are often based on obtaining impedance spectrum in the range of β-dispersion, i.e. from a few kHz up to some MHz. To measure EBI a constant current is often injected and the voltage across the tissue under study (TUS) is recorded. Due to the performance of the current source influences the performance of the entire system, in terms of frequency range, several designs have been implemented and studied. In this paper the basic structure of a Voltage-Controlled Current Source (VCCS) based on a single Op-Amp in inverter configuration with a floating load, known as load-in-the-loop current source, is revisited and studied deeply. We focus on the dependence of the output impedance with the circuit parameters, i.e. the feedback resistor and the inverter-input resistor, and the Op-Amp main parameters, i.e. open loop gain, CMRR and input impedance. After obtaining the experimental results and comparing to the theoretical and simulated ones, they confirm the design under study can be a good solution for multi-frequency wideband EBI applications because of higher values of the output impedance than 100kΩ at 1MHz are obtained. Furthermore, an enhancement of the basic design, using a current conveyor as a first stage, is proposed, studied and implemented.
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| 8. |
- Seoane, Fernando, et al.
(författare)
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Mean Expected Error in Prediction of Total Body Water: A True Accuracy Comparison between Bioimpedance Spectroscopy and Single Frequency Regression Equations
- 2015
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Ingår i: Biomed Research International. - : Hindawi Limited. - 2314-6133 .- 2314-6141. ; 2015:Article ID 656323
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Tidskriftsartikel (refereegranskat)abstract
- For several decades electrical bioimpedance (EBI) has been used to assess body fluid distribution and body composition. Despite the development of several different approaches for assessing total body water (TBW), it remains uncertain whether bioimpedance spectroscopic (BIS) approaches are more accurate than single frequency regression equations. The main objective of this study was to answer this question by calculating the expected accuracy of a single measurement for different EBI methods. The results of this study showed that all methods produced similarly high correlation and concordance coefficients, indicating good accuracy as a method. Even the limits of agreement produced from the Bland-Altman analysis indicated that the performance of single frequency, Sun's prediction equations, at population level was close to the performance of both BIS methods; however, when comparing the Mean Absolute Percentage Error value between the single frequency prediction equations and the BIS methods, a significant difference was obtained, indicating slightly better accuracy for the BIS methods. Despite the higher accuracy of BIS methods over 50 kHz prediction equations at both population and individual level, the magnitude of the improvement was small. Such slight improvement in accuracy of BIS methods is suggested insufficient to warrant their clinical use where the most accurate predictions of TBW are required, for example, when assessing over-fluidic status on dialysis. To reach expected errors below 4-5%, novel and individualized approaches must be developed to improve the accuracy of bioimpedance-based methods for the advent of innovative personalized health monitoring applications.
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| 9. |
- Buendia, Ruben, 1983-, et al.
(författare)
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Cole Parameter Estimation from the Modulus of the Electrical Bioimpeadance for Assessment of Body Composition : A Full Spectroscopy Approach
- 2011
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Ingår i: Journal of Electrical Bioimpedance. - Oslo : University of Oslo. - 1891-5469. ; 2, s. 72-78
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Tidskriftsartikel (refereegranskat)abstract
- Activities around applications of Electrical Bioimpedance Spectroscopy (EBIS) have proliferated in the past decade significantly. Most of these activities have been focused in the analysis of the EBIS measurements, which eventually might enable novel applications. In Body Composition Assessment (BCA) the most common analysis approach currently used in EBIS is based on the Cole function, which most often requires curve fitting. One of the most implemented approaches for obtaining the Cole parameters is performed in the impedance plane through the geometrical properties that the Cole function exhibit in such domain as depressed semi-circle. To fit the measured impedance data to a semi-circle in the impedance plane, obtaining the Cole parameters in an indirect and sequential manner has several drawbacks. Applying a Non-Linear Least Square (NLLS) iterative fitting on the spectroscopy measurement, obtains the Cole parameters considering the frequency information contained in the measurement. In this work, from experimental total right side EBIS measurements, the BCA parameters have been obtained to assess the amount and distribution of whole body fluids. The values for the BCA parameters have been obtained using values for the Cole parameters estimated with both approaches: circular fitting on the impedance plane and NLLS impedance-only fitting. The comparison of the values obtained for the BCA parameters with both methods confirms that the NLLS impedance-only is an effective alternative as Cole parameter estimation method in BCA from EBIS measurements. Using the modulus of the Cole function as the model for the fitting would eliminate the need for performing a phase detection in the acquisition process, simplifying the hardware specifications of the measurement instrumentation when implementing a bioimpedance spectrometer.
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| 10. |
- Opolka, Yohann, 1994-, et al.
(författare)
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Transcutaneous Electrical Nerve Stimulation Integrated into Pants for the Relief of Postoperative Pain in Hip Surgery Patients: A Randomized Trial
- 2024
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Ingår i: Pain Research & Management. - 1203-6765 .- 1918-1523. ; :1
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Tidskriftsartikel (refereegranskat)abstract
- Background. The efect of transcutaneous electrical nerve stimulation (TENS) on pain and impression of change was assessed during a 2.5-hour intervention on the frst postoperative days following hip surgery in a randomized, single-blinded, placebo-controlled trial involving 30 patients.Methods. Mixed-frequency TENS (2 Hz/80 Hz) was administered using specially designed pants integrating modular textile electrodes to facilitate stimulation both at rest and during activity. The treatment outcome was assessed by self-reported pain Numerical Rating Scale (NRS) and Patient Global Impression of Change (PGIC) scores at four time points. The ability to perform a 3-meter walk test and the use of analgesics were also evaluated. Group comparison and repeated-measure analysis were carried out using nonparametric statistics.Results. The active TENS group exhibited signifcantly higher PGIC scores after 30 minutes, which persisted throughout the intervention (all p ≤ 0.001). A reduction in NRS appeared after one hour of active TENS, persisting throughout the intervention (all p ≤ 0.05). The median group diferences in pain ratings were greater than the minimum clinically important diference, and the analysis of pain trajectories confrmed clinical signifcance at the individual level. Moreover, patients in the active TENS group were more likely able to perform a 3-meter walk test by the end of the intervention (p = 0.04). Analysis of the opioid-sparing effect of TENS was inconclusive (p = 0.066). No postoperative surgical complications or TENS-related side efects were observed during the study.Conclusion. Mixed-frequency TENS integrated in pants could potentially be an interesting addition to the arsenal of treatments for multimodal analgesia following hip surgery. This trial is registered with NCT05678101.
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