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Journal of Medical Engineering & Technology

Srinivas Kuntamalla, Ram Gopal Reddy Lekkala
Currently, heartbeat intervals required for the analysis of heart rate variability (HRV) are derived from electrocardiogram (ECG). Many investigators have explored the possibility of using photoplethysmography (PPG), for the analysis of HRV. However, all these studies are based on statistical approach and have used the correlation coefficient for the comparison of HRV data obtained using ECG and PPG, which is inappropriate as the causal relationship between the R-peaks in ECG and the systolic peaks in PPG is well known in physiology...
October 16, 2018: Journal of Medical Engineering & Technology
Ian J S Boddy, Simon Fulford, Charlotte R Kemp
Patients with a spinal cord injury above the 6th thoracic vertebrae may be prone to autonomic dysreflexia (AD) in response to bladder stimulus associated with a urodynamics investigation. It is essential that these patients are managed carefully in the urodynamics clinic in order to prevent life-threatening hypertension and bradycardia. Part of this management is the measurement and manual recording of pulse rate (PR) and non-invasive blood pressure (NIBP), alongside the standard urodynamics data set. The purpose of recording these additional data is to identify the characteristic drop in PR and rise in NIBP that indicates the onset of AD...
October 16, 2018: Journal of Medical Engineering & Technology
Zheng Fang, Zheng Yang, Qian Wang, Chao Wang, Siyuan Chen
Gait analysis is important for lower limb movement evaluation and rehabilitation research. More and more laboratories focus on it. Researchers need biomechanical data sampling equipment to obtain original signals for their analysis, sometimes even need kinds of signals for data fusion processing. But, the market supply of relative products is very limited. Moreover, one device acquires only one kind of signal, and needs computer as the control centre. So, there are two problems: moving range limitation, and synchronisation in data fusion processing...
October 16, 2018: Journal of Medical Engineering & Technology
Shona Michael, Tapiwa Marvin Mapunde, Nick Elgar, Joel Brown
The objectives of this study were, for a large NHS Trust, to (1) Implement a medical devices training information system which connects the medical equipment inventory to the electronic staff record. (2) Monitor the changes in safety-related practice in the Trust after implementation (3) Examine the association between training compliance and Trust-wide adverse incident data for high risk medical devices. (4) Identify possible gaps in training course content from adverse incident data. A new system was made available, showing medical devices training records for staff in each location...
September 25, 2018: Journal of Medical Engineering & Technology
Marcelo Coelho Goiato, Guilherme Sarauza Arsufi, Rodrigo Antonio de Medeiros, Aldiéris Alves Pesqueira, Emily Vivianne Freitas da Silva, Mariana Vilela Sonego, Daniela Micheline Dos Santos
In some clinical situations, the clinician may encounter previously installed implants that should be associated with other implants for a proper rehabilitation. The aim of this study was to evaluate the biomechanical behaviour of a multiple prosthesis joined by different implant connections using photoelasticity. Photoelastic models with a screwed fixed prosthesis supported by implants with different connection systems (Morse taper, external hexagon, internal hexagon, and Flexcone), and different combinations among them, were fabricated...
September 25, 2018: Journal of Medical Engineering & Technology
Meena Gupta, Bablu Lal Rajak, Dinesh Bhatia, Arun Mukherjee
BACKGROUND: Neuromodulation is emerging as a new therapeutic field towards treatment of neurological disorders through advances in medical devices. Repetitive Transcranial Magnetic Stimulation (rTMS) is one such neuromodulatory device that has received increasing interest as a tool for modulating cortical excitability that influence motor activity in both normal and diseased population. However, the therapeutic effect of rTMS varies depending on stimulation frequency, intensity, pulse trains, duration, etc...
September 3, 2018: Journal of Medical Engineering & Technology
Shanti Chandra, Ambalika Sharma, Girish Kumar Singh
This paper deals with new approaches to analyse electrocardiogram (ECG) signals for extracting useful diagnostic features. Initially, elimination of different types of noise is carried out using maximal overlap discrete wavelet transform (MODWT) and universal thresholding. Next, R-peak fiducial points are detected from these noise free ECG signals using discrete wavelet transform along with thresholding. Then, extraction of other features, viz., Q waves, S waves, P waves, T waves, P wave onset and offset points, T wave onset and offset points, QRS onset and offset points are identified using some rule based algorithms...
May 2018: Journal of Medical Engineering & Technology
S G Caliskan, M Polatli, M D Bilgin
Chronic obstructive pulmonary disease (COPD) is one of the causes of mortality worldwide with an increasing prevalence. Heart rate variability (HRV) reflects the regulation mechanism of the cardiac activity by the autonomic nervous system. The assessment of HRV by using nonlinear methods is more sensitive for the detection of complexity when compared to linear methods. This study aims to get information about the autonomic dysfunction occurred in patients with COPD by analysing the complexity of HRV. Electrocardiogram signals recorded from healthy subjects, patients with moderate COPD and severe COPD (eight subjects per group) were analysed...
May 2018: Journal of Medical Engineering & Technology
A St-Laurent, M M Mony, M È Mathieu, S M Ruchat
Physical activity (PA) is a part of a healthy pregnancy. To date, no consumer-based activity monitors have been validated with this population. The aim of this study was to validate the Fitbit Zip and Fitbit Flex monitors in free-living conditions with pregnant women using the ActiGraph GT3X as the ?gold standard?. We compared the accuracy of the Fitbit Zip and Fitbit Flex devices in measuring steps, sedentary time and time spent in different activity intensities. Sixteen women in their third trimester of pregnancy wore the ActiGraph GT3X (hip) plus one Fibit Zip (hip) and one Fitbit Flex (wrist) during seven consecutive days...
May 2018: Journal of Medical Engineering & Technology
Jiawen Liu, Paul Chappell, Neil White
Functional prosthetics hands which have the ability to help amputees perform tasks in daily life have been developed over many years. These hands need a control system which is fed information from sensors mounted on a prosthetic hand and human-machine interface. A variety of sensors therefore been developed for the prosthetic hand to measure fingertip force, joint angle (position), object slip, texture and temperature. However, most of the strain/stress sensors are attached to the fingertip. In this paper, the potential positions for strain sensors on the side of the finger link of the prosthetic hand are investigated that, in the future, will allow for force control in a lateral or key grip...
May 2018: Journal of Medical Engineering & Technology
Gurmeet Singh, Sneh Anand, Brejesh Lall, Anurag Srivastava, Vaneet Singh
Electrical impedance tomography (EIT) is an upcoming and capable imaging modality used for clinical imaging. It is non-invasive, non-ionising and an inexpensive technique. This paper explains the designing and the analysis of a low-cost multifrequency electrical impedance-based system (MFEIBS) having a flexible mechanism of interfacing up to 32 electrodes, suitable for 1 kHz-2 MHz. Various indicators to check the performance of the EIT system were evaluated and presented here. The performance of VCO and VCCS was measured up to 2 MHz...
May 2018: Journal of Medical Engineering & Technology
Bahae Abidi, Abdelillah Jilbab, El Haziti Mohamed
The wireless body area networks (WBANs) play an important role in monitoring and minimising the duration of patients stays at the hospital. The aim of our study was to design an energy efficient routing protocol for WBANs taking into consideration the minimisation of energy and maximisation of the network lifetime, such as that the routing is recognised as a resource hungry operation. In this protocol, to confront the different constraints, we use the concept of the gateway body sensor which is responsible for sending data to the base station...
May 2018: Journal of Medical Engineering & Technology
Fateme Badie, Hamid Reza Katouzian, Mostafa Rostami
The varus knee has been defined as a Hip-Knee-Ankle alignment of less than 180 degrees. Varus knee alignment increases the load on the medial knee and also the risk of osteoarthritis. High tibial osteotomy has been designed to modify the malalignment of varus knee. The aim of this study was to investigate the osteotomy effects on knee adduction moment (KAM) and contact forces using a musculoskeletal and subject-specific knee model. A patient with varus knee and no symptoms of any other disease or disability participated in this study...
May 2018: Journal of Medical Engineering & Technology
Veronika Pribyslavska, Jennifer L Caputo, John M Coons, Vaughn W Barry
PURPOSE: To examine the accuracy of activity monitors in estimating energy expenditure (EE) during activities of varying mode and intensity and to evaluate the impact of including energy expended during recovery from activity (EPOC) on the EE estimate. EE estimates obtained from the Fitbit Surge (FBS), Garmin Vívofit (GV) and SenseWear Armband Mini (SWA) were compared to criterion EE with and without EPOC adjustments during moderate- and vigorous-intensity treadmill and cycling activities...
May 2018: Journal of Medical Engineering & Technology
Laís Morandini Rodrigues, Luís Felipe das Chagas E Silva Carvalho, Franck Bonnier, Ana Lia Anbinder, Herculano da Silva Martinho, Janete Dias Almeida
Fourier transform infrared (FTIR) spectroscopy is a powerful diagnosis technique and has been used to identify patterns of molecular changes based on vibration modes. The objective of this study was to evaluate inflammatory fibrous hyperplasia (IFH) lesions and oral normal mucosa (NM) initially with histopathological exam and then using micro-FTIR spectroscopy to analyse the samples. Eleven IFH and 11 NM samples were analysed at five different points to cover the largest area possible by the micro-FTIR technique...
April 2018: Journal of Medical Engineering & Technology
Matthew B Rhudy, Joseph M Mahoney
The goal of this work is to compare the differences between various step counting algorithms using both accelerometer and gyroscope measurements from wrist and ankle-mounted sensors. Participants completed four different conditions on a treadmill while wearing an accelerometer and gyroscope on the wrist and the ankle. Three different step counting techniques were applied to the data from each sensor type and mounting location. It was determined that using gyroscope measurements allowed for better performance than the typically used accelerometers, and that ankle-mounted sensors provided better performance than those mounted on the wrist...
April 2018: Journal of Medical Engineering & Technology
Ryo Tanaka, Takuya Kubota, Takahiro Yamasaki, Ariaki Higashi
PURPOSE: The purpose of this study was to examine the validity of total body centre of gravity (COG) measurement during gait with markerless motion capture system (MLS) on the basis of values acquired with a marker-based motion capture system (MBS). MATERIALS AND METHODS: Thirty young healthy subjects walked on a flat surface as coordinate data from their bodies were acquired using the Kinect v2 (as a MLS) and Vicon systems (as a MBS). COG was calculated using coordinate data of the total body...
April 2018: Journal of Medical Engineering & Technology
A Sharmila, P Geethanjali
Pattern recognition plays an important role in the detection of epileptic seizure from electroencephalogram (EEG) signals. In this pattern recognition study, the effect of filtering with the time domain (TD) features in the detection of epileptic signal has been studied using naive Bayes (NB) and supports vector machines (SVM). It is the first time the authors attempted to use TD features such as waveform length (WL), number of zero-crossings (ZC) and number of slope sign changes (SSC) derived from the filtered and unfiltered EEG data, and performance of these features is studied along with mean absolute value (MAV) which has been already attempted by the researchers...
April 2018: Journal of Medical Engineering & Technology
Aarti Sharma, J K Rai, R P Tewari
Electric activity of brain gets disturbed prior to epileptic seizure onset. Early prediction of an upcoming seizure can help to increase effectiveness of antiepileptic drugs. The scalp electroencephalogram signals contain information about the dynamics of brain and have been used to predict an upcoming seizure and localise its zone. The objective of this paper is to localise the epileptogenic region and predict an upcoming seizure at the earliest. To localise epileptogenic region, Electroencephalogram signals are categorised into four regions of brain (Frontal, Temporal, Parietal and Central)...
April 2018: Journal of Medical Engineering & Technology
Esmaeil Biazar, Masoumeh Najafi S, Saeed Heidari K, Meysam Yazdankhah, Ataollah Rafiei, Dariush Biazar
In the last decade, the use of new technologies in the reconstruction of body tissues has greatly developed. Utilising stem cell technology, nanotechnology and scaffolding design has created new opportunities in tissue regeneration. The use of accurate engineering design in the creation of scaffolds, including 3D printers, has been widely considered. Three-dimensional printers, especially high precision bio-printers, have opened up a new way in the design of 3D tissue engineering scaffolds. In this article, a review of the latest applications of this technology in this promising area has been addressed...
April 2018: Journal of Medical Engineering & Technology
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