CAAos platform: an integrated platform for analysis of cerebral hemodynamics data
Objective. The purpose of this article is to introduce readers to the concept and structure of the CAAos ( C erebral A utoregulation A ssessment O pen S ource) platform, and provide evidence of its functionality. Approach. The CAAos platform is a new open-source software research tool, developed in Python 3 language, that combines existing and novel methods for interactive visual inspection, batch processing and analysis of multichannel records. The platform is scalable, allowing for the customization and inclusion of new tools. Main results. Currently, the CAAos platform is composed of two main modules, preprocessin...
Source: Physiological Measurement - October 28, 2021 Category: Physiology Authors: Jo ão Salinet, Fernando Silva de Moura, Renata Romaneli, Pedro Machado Nery dos Santos, Matheus Zamai, Ronney B Panerai, Andre M Duarte, Edson Bor-Seng-Shu and Angela Salomao Macedo Salinet Source Type: research

Night to night variability of pulse oximetry features in children at home and at the hospital
Objective . Investigation of the night-to-night (NtN) variability of pulse oximetry features in children with suspicion of Sleep Apnea. Approach . Following ethics approval and informed consent, 75 children referred to British Columbia Children's Hospital for overnight PSG were recorded on three consecutive nights, including one at the hospital simultaneously with polysomnography and 2 nights at home. During all three nights, a smartphone-based pulse oximeter sensor was used to record overnight pulse oximetry (SpO2 and photoplethysmogram). Features characterizing SpO2 dynamics and heart rate were derived. The NtN var...
Source: Physiological Measurement - October 28, 2021 Category: Physiology Authors: Xenia L R Hoppenbrouwer, Aryannah U Rollinson, Dustin Dunsmuir, J Mark Ansermino, Guy Dumont, Wendy Oude Nijeweme-d ’Hollosy, Peter Veltink and Ainara Garde Source Type: research

Estimating confidence intervals for cerebral autoregulation: a parametric bootstrap approach
The objective of this paper is to present a novel parametric bootstrap method, used to estimate the sampling distribution and hence confidence intervals (CIs) of the mean phase estimate in the low-frequency band, in order to optimise estimation of measures of CA function and allow more robust inferences on the status of CA from individual recordings. A set of simulations was used to veri... (Source: Physiological Measurement)
Source: Physiological Measurement - October 28, 2021 Category: Physiology Authors: Jack E D Bryant, Anthony A Birch, Ronney B Panerai, Dragana Nikolic, Diederik Bulters and David M Simpson Source Type: research

Estimation of aortic pulse wave velocity based on waveform decomposition of central aortic pressure waveform
In this study, the aortic PWV is estimated using a single radial pressure waveform and compared with cfPWV. 111 subjects ’ aortic PWVs are estimated from the decomposition of the derived central aortic pressure waveform based on three types of reconstructed flow waveform: the peak of triangular flow waveform based on 30% ejection time ( Q 30%tri ), the peak of triangular flow waveform based on inflection point ( Q tri ), and averaged flow waveform ( Q avg ). The central aortic pressure waveform is derived from a radial pressure waveform via a validated transfer function. Main results. The Q (Source: Physiological Measurement)
Source: Physiological Measurement - October 28, 2021 Category: Physiology Authors: Wenyan Liu, Yang Yao, Jinzhong Yang, Daiyuan Song, Yuelan Zhang, Guozhe Sun, Lisheng Xu and Alberto Avolio Source Type: research

Ventilation improvement after pneumonia treatment evaluated with electrical impedance tomography: an observational study
Objective. Due to radiation exposure, not all patients with pneumonia receive chest x-rays or CT measurements to confirm treatment effectiveness. The aim of this study was to examine the ability to use electrical impedance tomography (EIT) to evaluate the treatment effectiveness in such patient group. Approach . A total of 35 consecutive patients with non-severe pneumonia were included in this prospective study. The patients received standard treatment according to our internal protocol. EIT measurements were performed in supine position before the treatment started and on day 6 of the treatment period. The EIT-based...
Source: Physiological Measurement - October 28, 2021 Category: Physiology Authors: Hong-Ying Jiang, Qing Li, Xin Yu, Chen-Xi Zhang, Yi Li, Guang-Yu Niu, Zhao-Hui Tong, Jia-Ning Xi and Zhanqi Zhao Source Type: research

Comment on ‘pulse rate variability in cardiovascular health: a review on its applications and relationship with heart rate variability ’
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Source: Physiological Measurement - October 6, 2021 Category: Physiology Authors: Jacquelin Peck, Michael J Wishon, Harrison Wittels, Hector Davila, S Howard Wittels and Stephen J. Lee Source Type: research

Dynamic lung behavior under high G acceleration monitored with electrical impedance tomography
Objective . During launch and atmospheric re-entry in suborbital space flights, astronauts are exposed to high G-acceleration. These acceleration levels influence gas exchange inside the lung and can potentially lead to hypoxaemia. The distribution of air inside the lung can be monitored by electrical impedance tomography. This imaging technique might reveal how high gravitational forces affect the dynamic behavior of ventilation and impair gas exchange resulting in hypoxaemia. Approach . We performed a trial in a long-arm centrifuge with ten participants lying supine while being exposed to +2, +4 and +6 G x (chest-t...
Source: Physiological Measurement - September 27, 2021 Category: Physiology Authors: Tobias Menden, Gema B Alca ín, Alec T Stevenson, Ross D Pollock, Henry Tank, Peter Hodkinson, Caroline Jolley, Thomas G Smith, Steffen Leonhardt and Marian Walter Source Type: research

Physiological vital sign reference ranges for well late preterm newborns calculated during a typical 2 h newborn period between 2 h and 7 days of life
Objectives . To calculate 95% reference ranges for heart rate, respiratory rate, oxygen saturation, temperature and blood pressure for well late preterm newborns between 34 +0/7 and 36 +6/7 weeks of gestation during typical neonatal behaviour. Approach. A single-site, prospective cohort study in a major Australian quaternary hospital between February and September 2019. A total of 120 late preterm newborns had their heart rate, respiratory rate and oxygen saturation measurements recorded every 2 s for up to 2 h with unconditional 95% reference ranges determined using a linear mixed effects model with random intercept...
Source: Physiological Measurement - September 27, 2021 Category: Physiology Authors: Michelle Paliwoda, Karen New, Fiona Bogossian and Emma Ballard Source Type: research

Quantification of sweat urea in diabetes using electro-optical technique
OBJECTIVE: To develop a device for quantifying sweats urea concentration. APPROACH: The proposed optical device uses light source, light sensor with time and intensity controlled operation. Sweat samples are collected from a group of volunteers belonging to control and diabetes. After sedimentation and suitable pre-processing, sweat samples are irradiated by primary colour light sources operated sequentially. Reflected light intensity is used to compute the sweat urea concentration. At first the test is performed using aqueous solution with known urea concentration. After ascertaining the correctness of the device, t...
Source: Physiological Measurement - September 27, 2021 Category: Physiology Authors: Sudha S, Kalpana R and Soundararajan P Source Type: research

Deep learning based classification of unsegmented phonocardiogram spectrograms leveraging transfer learning
Objective. Cardiovascular diseases (CVDs) are a main cause of deaths all over the world. This research focuses on computer-aided analysis of phonocardiogram (PCG) signals based on deep learning that can enable improved and timely detection of heart abnormalities. The two widely used publicly available PCG datasets are from the PhysioNet/CinC (2016) and PASCAL (2011) challenges. The datasets are significantly different in terms of the tools used for data acquisition, clinical protocols, digital storages and signal qualities, making it challenging to process and analyze. Approach. In this work, we have used short-time ...
Source: Physiological Measurement - September 27, 2021 Category: Physiology Authors: Kaleem Nawaz Khan, Faiq Ahmad Khan, Anam Abid, Tamer Olmez, Zumray Dokur, Amith Khandakar, Muhammad E H Chowdhury and Muhammad Salman Khan Source Type: research

Motion robust ICG measurements using a two-step spectrum denoising method
Objective . Impedance cardiography (ICG) is a noninvasive and continuous method for evaluating stroke volume and cardiac output. However, the ICG measurement is easily interfered due to respiration and body movements. Taking into consideration about the spectral correlations between the simultaneously collected ICG, electrocardiogram (ECG), and acceleration signals, this paper introduces a two-step spectrum denoising method to remove motion artifacts of ICG measurements in both resting and exercising scenarios. Approach . First, the major motion artifacts of ECG and ICG are separately suppressed by the spectral subtr...
Source: Physiological Measurement - September 27, 2021 Category: Physiology Authors: Yao Xie, Rencheng Song, Dong Yang, Honglong Yu, Cuimin Sun, Qilian Xie and Ronald X Xu Source Type: research

Executive dysfunction after multiple concussions is not related to cerebrovascular dysfunction
Objective. We investigated the relation between prior concussion history and working memory (WM), self-reported cognitive symptom burden, and cerebrovascular function in adolescents and young adults (14 –21 years old). Approach. We recruited 59 participants, 34 clinically diagnosed with a sports-related concussion and 25 controls. Concussed subjects were studied at baseline (within 28 days of their injury) and eight weeks after, while control subjects only had one assessment. We assessed WM ( n -back task up to four-back), and neurovascular coupling (cerebrovascular responses at middle cerebral artery during n -bac...
Source: Physiological Measurement - September 27, 2021 Category: Physiology Authors: Erin D Ozturk, Mary Alexis Iaccarino, Jason W Hamner, Stacey E Aaron, Danielle L Hunt, William P Meehan III, David R Howell and Can Ozan Tan Source Type: research

External validation of a novel signature of illness in continuous cardiorespiratory monitoring to detect early respiratory deterioration of ICU patients
Objective: The goal of predictive analytics monitoring is the early detection of patients at high risk of subacute potentially catastrophic illnesses. An excellent example of a targeted illness is respiratory failure leading to urgent unplanned intubation, where early detection might lead to interventions that improve patient outcomes. Previously, we identified signatures of this illness in the continuous cardiorespiratory monitoring data of intensive care unit (ICU) patients and devised algorithms to identify patients at rising risk. Here, we externally validated three logistic regression models to estimate the risk...
Source: Physiological Measurement - September 27, 2021 Category: Physiology Authors: Rachael A Callcut, Yuan Xu, J Randall Moorman, Christina Tsai, Andrea Villaroman, Anamaria J Robles, Douglas E Lake, Xiao Hu and Matthew T Clark Source Type: research

Electrical-tomographic imaging of physiological-induced conductive response in calf muscle compartments during voltage intensity change of electrical muscle stimulation ( vic -EMS)
Objectives . The electrical-tomographic imaging has been achieved for exploring differential tendency of physiological-induced conductive response in calf muscle compartments during voltage intensity change of electrical muscle stimulation ( vic -EMS). Approach . In the experiments, the differential tendency of conductivity distribution images σ during vic -EMS were clearly imaged as three responsive muscle compartments, which are called M 1 compartment composed of gastrocnemius muscle, M 2 compartment composed of tibialis anterior, extensor digitorum longus, and peroneus longus muscles, and M 3 compartment composed...
Source: Physiological Measurement - September 27, 2021 Category: Physiology Authors: Bo Sun, Panji Nursetia Darma, Tomoyuki Shirai, Kosei Narita and Masahiro Takei Source Type: research

Continuous cardiorespiratory monitoring is a dominant source of predictive signal in machine learning for risk stratification and clinical decision support *
Beaulieu-Jones and coworkers propose a litmus test for the field of predictive analytics —performance improvements must be demonstrated to be the result of non-clinician-initiated data, otherwise, there should be caution in assuming that predictive models could improve clinical decision-making (Beaulieu-Jones et al 2021). They demonstrate substantial prognostic information in unsorted physician orders made before the first midnight of hospital admission, and we are persuaded that it is fair to ask —if the physician thought of it first, what exactly is machine learning for in-patient risk stratification learning a...
Source: Physiological Measurement - September 27, 2021 Category: Physiology Authors: Oliver Monfredi, Jessica Keim-Malpass and J Randall Moorman Source Type: research