| 1. |
- Ahmed, Mobyen Uddin
(författare)
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A case-based multi-modal clinical system for stress management
- 2010
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- A difficult issue in stress management is to use biomedical sensor signal in the diagnosis and treatment of stress. Clinicians often make their diagnosis and decision based on manual inspection of physiological signals such as, ECG, heart rate, finger temperature etc. However, the complexity associated with manual analysis and interpretation of the signals makes it difficult even for experienced clinicians. Today the diagnosis and decision is largely dependent on how experienced the clinician is interpreting the measurements. A computer-aided decision support system for diagnosis and treatment of stress would enable a more objective and consistent diagnosis and decisions. A challenge in the field of medicine is the accuracy of the system, it is essential that the clinician is able to judge the accuracy of the suggested solutions. Case-based reasoning systems for medical applications are increasingly multi-purpose and multi-modal, using a variety of different methods and techniques to meet the challenges of the medical domain. This research work covers the development of an intelligent clinical decision support system for diagnosis, classification and treatment in stress management. The system uses a finger temperature sensor and the variation in the finger temperature is one of the key features in the system. Several artificial intelligence techniques have been investigated to enable a more reliable and efficient diagnosis and treatment of stress such as case-based reasoning, textual information retrieval, rule-based reasoning, and fuzzy logic. Functionalities and the performance of the system have been validated by implementing a research prototype based on close collaboration with an expert in stress. The case base of the implemented system has been initiated with 53 reference cases classified by an experienced clinician. A case study also shows that the system provides results close to a human expert. The experimental results suggest that such a system is valuable both for less experienced clinicians and for experts where the system may function as a second option.
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| 2. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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A Multi-Module Case Based Biofeedback System for Stress Treatment
- 2011
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Ingår i: Artificial Intelligence in Medicine. - : Elsevier BV. - 0933-3657 .- 1873-2860. ; 51:2, s. 107-115
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Tidskriftsartikel (refereegranskat)abstract
- Biofeedback is today a recognized treatment method for a number of physical and psychological problems. Experienced clinicians often achieve good results in these areas and their success largely builds on many years of experience and often thousands of treated patients. Unfortunately many of the areas where biofeedback is used are very complex, e.g. diagnosis and treatment of stress. Less experienced clinicians may even have difficulties to initially classify the patient correctly. Often there are only a few experts available to assist less experienced clinicians. To reduce this problem we propose a computer assisted biofeedback system helping in classification, parameter setting and biofeedback training. By adopting a case based approach in a computer-based biofeedback system, decision support can be offered to less experienced clinicians and provide a second opinion to experts. We explore how such a system may be designed and validate the approach in the area of stress where the system assists in the classification, parameter setting and finally in the training. In a case study we show that the case based biofeedback system outperforms novice clinicians based on a case library of cases authorized by an expert.
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| 3. |
- Ahmed, Mobyen Uddin, 1976-
(författare)
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A Multimodal Approach for Clinical Diagnosis and Treatment
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- A computer-aided Clinical Decision Support System (CDSS) for diagnosis and treatment often plays a vital role and brings essential benefits for clinicians. Such a CDSS could function as an expert for a less experienced clinician or as a second option/opinion of an experienced clinician to their decision making task. Nevertheless, it has been a real challenge to design and develop such a functional system where accuracy of the system performance is an important issue. This research work focuses on development of intelligent CDSS based on a multimodal approach for diagnosis, classification and treatment in medical domains i.e. stress and post-operative pain management domains. Several Artificial Intelligence (AI) techniques such as Case-Based Reasoning (CBR), textual Information Retrieval (IR), Rule-Based Reasoning (RBR), Fuzzy Logic and clustering approaches have been investigated in this thesis work. Patient’s data i.e. their stress and pain related information are collected from complex data sources for instance, finger temperature measurements through sensor signals, pain measurements using a Numerical Visual Analogue Scale (NVAS), patient’s information from text and multiple choice questionnaires. The proposed approach considers multimedia data management to be able to use them in CDSSs for both the domains. The functionalities and performance of the systems have been evaluated based on close collaboration with experts and clinicians of the domains. In stress management, 68 measurements from 46 subjects and 1572 patients’ cases out of ≈4000 in post-operative pain have been used to design, develop and validate the systems. In the stress management domain, besides the 68 measurement cases, three trainees and one senior clinician also have been involved in order to conduct the experimental work. The result from the evaluation shows that the system reaches a level of performance close to the expert and better than the senior and trainee clinicians. Thus, the proposed CDSS could be used as an expert for a less experienced clinician (i.e. trainee) or as a second option/opinion for an experienced clinician (i.e. senior) to their decision making process in stress management. In post-operative pain treatment, the CDSS retrieves and presents most similar cases (e.g. both rare and regular) with their outcomes to assist physicians. Moreover, an automatic approach is presented in order to identify rare cases and 18% of cases from the whole cases library i.e. 276 out of 1572 are identified as rare cases by the approach. Again, among the rare cases (i.e. 276), around 57.25% of the cases are classified as ‘unusually bad’ i.e. the average pain outcome value is greater or equal to 5 on the NVAS scale 0 to 10. Identification of rear cases is an important part of the PAIN OUT project and can be used to improve the quality of individual pain treatment.
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| 4. |
- Begum, Shahina, et al.
(författare)
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Development of a Stress Questionnaire : A Tool for Diagnosing Mental Stress
- 2010
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Stress and its relation with health, behavioral and environmental factors are known today. The stress questionnaire is a scientific screening instrument to understand individual’s causes of stress in different parts of life e.g. in the work place and at home. The 38-item stress questionnaire (SQ) is developed to assess the appraisal of stress personally experienced in a patient’s life. This questionnaire cannot diagnose any illness or psychological disorder. However it can be a helpful tool for developing the individual stress management plan by assessing data about the current demands of individual’s life and work.
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| 5. |
- Filla, Reno, et al.
(författare)
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A Case Study on Quantifying the Workload of Working Machine Operators by Means of Psychophysiological Measurements
- 2013
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Konferensbidrag (refereegranskat)abstract
- In this study of eighteen wheel loader operators, test-driving a machine in three different traction force settings, we examine if a workload index derived from psychophysiological measurements of heart rate, finger temperature, skin conductance, respiration rate and end-tidal CO2-concentration in exhaled air can be easily used to assess operator workload in sufficient detail to use it as a complement to traditional subjective evaluations in machine testing, either of real machines or in a human-in-the-loop simulator. In a longer perspective, such measurements are expected to play a role in a workload-adaptive operator assistance system.However, the findings do not give support for this vision. Instead they indicate that other types of measurements than what have been used in our study should be employed if ease of use for practitioners such as test engineers is in focus, but also that other factors than just machine operability must be considered to have a great influence on the operator workload.
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| 6. |
- Hallman, David M., et al.
(författare)
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Effects of Heart Rate Variability Biofeedback in Subjects with Stress-Related Chronic Neck Pain : A Pilot Study
- 2011
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Ingår i: Applied Psychophysiology and Biofeedback. - : Springer Science and Business Media LLC. - 1090-0586 .- 1573-3270. ; 36:2, s. 71-80
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Tidskriftsartikel (refereegranskat)abstract
- Recent studies focusing on autonomic nervous system (ANS) dysfunctions, together with theoretical pathophysiological models of musculoskeletal disorders, indicate the involvement of ANS regulation in development and maintenance of chronic muscle pain. Research has demonstrated the effectiveness of heart rate variability (HRV) biofeedback (BF) in increasing HRV and reducing the symptoms of different disorders characterized by ANS aberration. The study investigated the effects of resonance frequency HRV BF on autonomic regulation and perceived health, pain, stress and disability in 24 subjects with stress-related chronic neck-shoulder pain. Twelve subjects participated in 10 weekly sessions of resonant HRV BF and were compared to a control group. Subjective reports and HRV measures during relaxation and in response to a standardized stress protocol were assessed for both groups pre- and post-intervention. Group × time interactions revealed a significantly stronger increase over time in perceived health (SF-36) for the treatment group, including vitality, bodily pain and social functioning. Interactions were also seen for HRV during relaxation and reactivity to stress. The present pilot study indicates improvement in perceived health over a 10 week intervention with HRV-biofeedback in subjects with chronic neck-pain. Increased resting HRV as well as enhanced reactivity to hand grip and cold pressor tests might reflect beneficial effects on ANS regulation, and suggest that this intervention protocol is suitable for a larger controlled trial.
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| 7. |
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| 8. |
- Olsson, Erik, 1967-, et al.
(författare)
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Heart Rate Variability During Choral Singing
- 2013
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Ingår i: Music and medicine. - : Sage Publications. - 1943-8621 .- 1943-863X. ; 5:1, s. 52-59
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Tidskriftsartikel (refereegranskat)abstract
- Contemporary research implies that choral singing is beneficial to health. Singing various kinds of songs with varied emphasis, emotion and tempo gives rise to diverse physiological responses. Breathing is assumed to be synchronized during choral singing and breathing has major influence on heart rate variability (HRV). In this study, we compare HRV responses during choral singing with slow breathing exercises. Thirteen amateur singers´ HRV were studied during a rehearsal of four songs framed by two slow breathing exercises without audience. The heart rate was generally higher and HRV generally lower during singing compared to the slow breathing conditions. During singing, but not during slow breathing, peak HRV-frequency showed considerable variation among participants. This could be due either to a low degree of synchronization of breathing during singing or other factors overruling the effects of breathing on HRV.
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| 9. |
- Olsson, Erik M G, et al.
(författare)
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Relaxing on a Bed of Nails : An Exploratory Study of the Effects on the Autonomic, Cardiovascular, and Respiratory Systems, and Saliva Cortisol.
- 2011
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Ingår i: Journal of Alternative and Complementary Medicine. - : Mary Ann Liebert Inc. - 1075-5535 .- 1557-7708. ; 17:1, s. 5-12
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Objectives: This study investigated subjective and physiologic responses of lying on a bed of nails (BN) called the Shakti-mat and of listening to relaxing instructions and music. The BN has 6210 sharp-edge 5-mm plastic nails about 5 mm apart. Design: Thirty-two (32) healthy participants went through four conditions in randomized orders combining BN and relaxing instructions. Results: The subjective pain ratings on the BN increased immediately and reached a peak within 30 seconds. The pain then subsided gradually, indicating a habituation effect. Self-rated relaxation increased over time in all conditions. Systolic and diastolic blood pressures were higher, heart rate was slower, and there was more high-frequency power heart rate variability (HRV), and signs of increasing circulation in the back on the BN. The relaxation instruction especially affected breathing and the HRV-indices standard deviations of normal interbeat intervals and low-frequency power, both known to be responsive to slow breathing. There were no differences in saliva cortisol. Conclusions: Healthy participants habituated to the induced pain on the BN and were able to subjectively relax. When on a BN, signs of both sympathetic and parasympathetic nervous system activity were observed. The pain may hypothetically have triggered a parasympathetic response.
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| 10. |
- Vickhoff, Björn, 1946, et al.
(författare)
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Musical Piloerection
- 2012
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Ingår i: Music and Medicine. - : International Association for Music and Medicine. - 1943-8621 .- 1943-863X. ; 4:2, s. 82-89
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Tidskriftsartikel (refereegranskat)abstract
- Piloerection (from the Latin pilus for hair) is a skin response which can be observed at many occasions among various species as a reaction to fear, aggression, or coldness. It is also a human response to music and in these cases a highly pleasurable one. Not everyone experiences it, and it is particularly difficult to evoke the reaction in experimental settings. We accidentally happened to catch a spontaneous distinct reaction with finger temperature, skin conductance, heart rate, and respiration. This allows us to study how these emotion correlates online with the music—the dynamics of the event. From this and recent articles, we discuss suggestions of how music causes piloerection.
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