Search Results (47)

Since the COVID-19 pandemic, the utilization of transthoracic ultrasonography (TTU) in the evaluation of pulmonary field artefacts has become standard practice among clinicians. However, there is a considerable lack of knowledge regarding the assessment of diaphragm mobility in the context of various lung diseases. Although numerous conditions are known to affect diaphragm mobility, including neurological, cardiovascular, and infectious diseases, it appears that pulmonary diseases may also limit the mobility of this major respiratory muscle. Despite the evidence of diaphragm mobility disorders in patients diagnosed with lung cancer, there is a discrepancy in the literature regarding the function of the diaphragm in individuals with chronic obstructive pulmonary disease (COPD). A shared aetiological factor frequently results in the co-occurrence of the aforementioned diseases. It is, however, possible to detect patients whose obstructive airway disease is caused only by the compression of infiltrative and nodal lesions rather than COPD. Bilateral TTU of diaphragmatic mobility in correlation with other available pulmonary function tests and radiological imaging may prove to be a valuable approach to isolating lung cancer patients with COPD overdiagnosis. Conversely, the overdiagnosis of COPD has been implicated in the potentially unnecessary and harmful use of inhaled medications with their adverse effects (e.g., cardiac arrhythmias, limb tremor, cough, and pneumonia), the failure to decrease obstruction in cases of other lung disorders, and the potential to contribute to the delayed diagnosis of the underlying condition responsible for the respiratory symptoms. This paper aims to provide a comprehensive overview of the utilization of ultrasound in the evaluation of diaphragm movement impairments for the detection of obstructions while also delineating the underlying limitations of this technique. Moreover, we propose a diagnostic algorithm for the purpose of excluding unilateral obstruction resulting from infiltrative neoplastic masses based on the ultrasound assessment of diaphragmatic mobility. Full article

Echocardiographic values can vary between dog breeds, making breed-specific reference intervals (RIs) preferable. Two-dimensional speckle tracking echocardiography (2-D STE) is an advanced imaging technique that enables the measurement of myocardial deformation parameters, contributing to the assessment of systolic function. The objective was to determine breed-specific RIs for 2-D, M-mode, and Doppler-derived echocardiographic parameters for Dutch Sheepdogs, and to obtain 2-D STE-derived strain and strain rate values in this breed. Apparently healthy, purebred Dutch Sheepdogs (1–7 years) were recruited. Each dog underwent a physical examination and transthoracic echocardiography. Conventional 2-D, M-mode, and Doppler measurements were obtained; strain analysis was performed with 2-D STE software. RIs were established for conventional echocardiographic parameters; clinically relevant parameters were compared with commonly used RIs. The effects of gender, age, body weight (BW) and heart rate were tested. Sixty dogs were included. Panting and/or tachycardia were observed in 24 dogs, which affected the quality of the analysis to varying degrees (e.g., out-of-sector movement, lung artefacts). The selected parameters for left ventricular (LV) and atrial dimension showed good agreement with published RIs. BW was an independent variable influencing LV dimensions. This study provides RIs for conventional echocardiographic measurements and reports 2-D STE-derived strain and strain rate values obtained in Dutch Sheepdogs. The selected parameters of LV and left atrial dimension showed good agreement with commonly used RIs. Anxious behavior could represent a breed peculiarity to take into account when performing echocardiography, as it can affect image quality. Full article

Automated tasks, mainly in the biomedical field, help to develop new technics to provide faster solutions for monitoring patients’ health status. For instance, they help to measure different types of human bio-signal, perform fast data analysis, and enable overall patient status monitoring. Eulerian Video Magnification (EVM) can reveal small-scale and hidden changes in real life such as color and motion changes that are used to detect actual pulse. However, due to patient movement during the measurement, the EVM process will result in the wrong estimation of the pulse. In this research, we provide a working prototype for effective artefact elimination using a face movement compensated EVM (MC-EVM) which aims to track the human face as the main Region Of Interest (ROI) and then use EVM to estimate the pulse. Our primary contribution lays on the development and training of two face detection models using TensorFlow Lite: the Single-Shot MultiBox Detector (SSD) and the EfficientDet-Lite0 models that are used based on the computational capabilities of the device in use. By employing one of these models, we can crop the face accurately from the video, which is then processed using EVM to estimate the pulse. MC-EVM showed very promising results and ensured robust pulse measurement by effectively mitigating the impact of patient movement. The results were compared and validated against ground-truth data that were made available online and against pre-existing solutions from the state-of-the-art. Full article

There is currently a certain pressure from various mnemonic communities, animated by vernacular interests, to canonize new saints within what is regarded as the flawed saints’ cultural-political movement. Among these new, uncanonized saints, whose memory is commemorated unofficially in various cultural-political registers, there is also the football star Diego Armando Maradona, called by his millions of fans “the Hand of God” (La Mano de Dios). The commemorative culture that thrived around Maradona’s persona—materialized in artefacts, shrines, icon-like paintings, prints, graffiti, stencils, and other memorabilia—do not fit the customary narratives of sainthood, nor to the display and content of the recently inaugurated (2023) memorial to the new martyrs of both the 20th and 21st centuries at Saint Bartholomew Basilica in Rome. The article argues that the commemoration of Maradona by his fans in Italy, Argentina, and worldwide is enacted in pop culture formats aimed at addressing different sets of contemporary mnemonic and spiritual needs. The aim is to offer a fresh conceptual engagement with the contemporary cultural-political phenomenon of “flawed saints” commemoration through the lens of contemporary popular culture, taking the culture of commemoration of Diego Maradona as a case study. Full article

Recently, inertial measurement units have been gaining popularity as a potential alternative to optical motion capture systems in the analysis of joint kinematics. In a previous study, the accuracy of knee joint angles calculated from inertial data and an extended Kalman filter and smoother algorithm was tested using ground truth data originating from a joint simulator guided by fluoroscopy-based signals. Although high levels of accuracy were achieved, the experimental setup leveraged multiple iterations of the same movement pattern and an absence of soft tissue artefacts. Here, the algorithm is tested against an optical marker-based system in a more challenging setting, with single iterations of a loaded squat cycle simulated on seven cadaveric specimens on a force-controlled knee rig. Prior to the optimisation of local coordinate systems using the REference FRame Alignment MEthod (REFRAME) to account for the effect of differences in local reference frame orientation, root-mean-square errors between the kinematic signals of the inertial and optical systems were as high as 3.8° ± 3.5° for flexion/extension, 20.4° ± 10.0° for abduction/adduction and 8.6° ± 5.7° for external/internal rotation. After REFRAME implementation, however, average root-mean-square errors decreased to 0.9° ± 0.4° and to 1.5° ± 0.7° for abduction/adduction and for external/internal rotation, respectively, with a slight increase to 4.2° ± 3.6° for flexion/extension. While these results demonstrate promising potential in the approach’s ability to estimate knee joint angles during a single loaded squat cycle, they highlight the limiting effects that a reduced number of iterations and the lack of a reliable consistent reference pose inflicts on the sensor fusion algorithm’s performance. They similarly stress the importance of adapting underlying assumptions and correctly tuning filter parameters to ensure satisfactory performance. More importantly, our findings emphasise the notable impact that properly aligning reference-frame orientations before comparing joint kinematics can have on results and the conclusions derived from them. Full article

In this study, the alpha and beta spectral frequency bands and amplitudes of EEG signals recorded from 10 healthy volunteers using an experimental cap with neoprene jacketed electrodes were analysed. Background: One of the main limitations in the analysis of EEG signals during movement is the presence of artefacts due to cranial muscle contraction; the objectives of this study therefore focused on two main aspects: (1) validating a tool capable of decreasing movement artefacts, while developing a reliable method for the quantitative analysis of EEG data; (2) using this method to analyse the EEG signal recorded during a particular motor activity (bi- and monopodalic postural control). Methods: The EEG sampling frequency was 512 Hz; the signal was acquired on 16 channels with monopolar montage and the reference on Cz. The recorded signals were processed using a specifically written Matlab script and also by exploiting open-source software (Eeglab). Results: The procedure used showed excellent reliability, allowing for a significant decrease in movement artefacts even during motor tasks performed both with eyes open and with eyes closed. Conclusions: This preliminary study lays the foundation for correctly recording EEG signals as an additional source of information in the study of human movement. Full article

Automated labelling of epileptic seizures on electroencephalograms is an essential interdisciplinary task of diagnostics. Traditional machine learning approaches operate in a supervised fashion requiring complex pre-processing procedures that are usually labour intensive and time-consuming. The biggest issue with the analysis of electroencephalograms is the artefacts caused by head movements, eye blinks, and other non-physiological reasons. Similarly to epileptic seizures, artefacts produce rare high-amplitude spikes on electroencephalograms, complicating their separability. We suggest that artefacts and seizures are rare events; therefore, separating them from the rest data seriously reduces information for further processing. Based on the occasional nature of these events and their distinctive pattern, we propose using anomaly detection algorithms for their detection. These algorithms are unsupervised and require minimal pre-processing. In this work, we test the possibility of an anomaly (or outlier) detection algorithm to detect seizures. We compared the state-of-the-art outlier detection algorithms and showed how their performance varied depending on input data. Our results evidence that outlier detection methods can detect all seizures reaching 100% recall, while their precision barely exceeds 30%. However, the small number of seizures means that the algorithm outputs a set of few events that could be quickly classified by an expert. Thus, we believe that outlier detection algorithms could be used for the rapid analysis of electroencephalograms to save the time and effort of experts. Full article

Given the importance of respiratory frequency (f_R) as a valid marker of physical effort, there is a growing interest in developing wearable devices measuring f_R in applied exercise settings. Biosensors measuring chest wall movements are attracting attention as they can be integrated into textiles, but their susceptibility to motion artefacts may limit their use in some sporting activities. Hence, there is a need to exploit sensors with signals minimally affected by motion artefacts. We present the design and testing of a smart facemask embedding a temperature biosensor for f_R monitoring during cycling exercise. After laboratory bench tests, the proposed solution was tested on cyclists during a ramp incremental frequency test (RIFT) and high-intensity interval training (HIIT), both indoors and outdoors. A reference flowmeter was used to validate the f_R extracted from the temperature respiratory signal. The smart facemask showed good performance, both at a breath-by-breath level (MAPE = 2.56% and 1.64% during RIFT and HIIT, respectively) and on 30 s average f_R values (MAPE = 0.37% and 0.23% during RIFT and HIIT, respectively). Both accuracy and precision (MOD ± LOAs) were generally superior to those of other devices validated during exercise. These findings have important implications for exercise testing and management in different populations. Full article

The success of kinematic analysis that relies on inertial measurement units (IMUs) heavily depends on the performance of the underlying algorithms. Quantifying the level of uncertainty associated with the models and approximations implemented within these algorithms, without the complication of soft-tissue artefact, is therefore critical. To this end, this study aimed to assess the rotational errors associated with controlled movements. Here, data of six total knee arthroplasty patients from a previously published fluoroscopy study were used to simulate realistic kinematics of daily activities using IMUs mounted to a six-degrees-of-freedom joint simulator. A model-based method involving extended Kalman filtering to derive rotational kinematics from inertial measurements was tested and compared against the ground truth simulator values. The algorithm demonstrated excellent accuracy (root-mean-square error $\le 0.9$°, maximum absolute error $\le 3.2$°) in estimating three-dimensional rotational knee kinematics during level walking. Although maximum absolute errors linked to stair descent and sit-to-stand-to-sit rose to 5.2° and 10.8°, respectively, root-mean-square errors peaked at 1.9° and 7.5°. This study hereby describes an accurate framework for evaluating the suitability of the underlying kinematic models and assumptions of an IMU-based motion analysis system, facilitating the future validation of analogous tools. Full article

Background: Inertial measurement units (IMUs) offer the possibility to capture the lower body motions of players of outdoor team sports. However, various sources of error are present when using IMUs: the definition of the body frames, the soft tissue artefact (STA) and the orientation filter. Methods to minimize these errors are currently being used without knowing their exact influence on the various sources of errors. The goal of this study was to present a method to quantify each of the sources of error of an IMU separately. Methods: An optoelectronic system was used as a gold standard. Rigid marker clusters (RMCs) were designed to construct a rigid connection between the IMU and four markers. This allowed for the separate quantification of each of the sources of error. Ten subjects performed nine different football-specific movements, varying both in the type of movement, and in movement intensity. Results: The error of the definition of the body frames (11.3–18.7 deg RMSD), the STA (3.8–9.1 deg RMSD) and the error of the orientation filter (3.0–12.7 deg RMSD) were all quantified separately for each body segment. Conclusions: The error sources of IMU-based motion analysis were quantified separately. This allows future studies to quantify and optimize the effects of error reduction techniques. Full article

Real-time monitoring of heart rate is useful for monitoring workers. Wearable heart rate monitors worn on the upper body are less susceptible to artefacts caused by arm and wrist movements than popular wristband-type sensors using the photoplethysmography method. Therefore, they are considered suitable for stable and accurate measurement for various movements. In this study, we conducted an experiment to verify the accuracy of our developed and commercially available wearable heart rate monitor consisting of a smart shirt with bioelectrodes and a transmitter, assuming a real-world work environment with physical loads. An exercise protocol was designed to light to moderate intensity according to international standards because no standard exercise protocol for the validation simulating these works has been reported. This protocol includes worker-specific movements such as applying external vibration and lifting and lowering loads. In the experiment, we simultaneously measured the instantaneous heart rate with the above wearable device and a Holter monitor as a reference to evaluate mean absolute percentage error (MAPE). The MAPE was 0.92% or less for all exercise protocols conducted. This value indicates that the accuracy of the wearable device is high enough for use in real-world cases of physical load in light to moderate intensity tasks such as those in our experimental protocol. In addition, the experimental protocol and measurement data devised in this study can be used as a benchmark for other wearable heart rate monitors for use for similar purposes. Full article

Flamingos (Phoenicopteriformes) are obligate colonial species that nest in large colonies, with monogamous pairs rearing a single chick following a synchronised group courtship display. Within this relatively simplistic behavioural description, deviations from these social and reproductive norms are apparent. Same sex pairings, multi-bird relationships and extra pair copulations are documented in the literature. Flamingos display highly sexually selected characteristics of plumage colour, carotenoid accumulation and diversity of display movements that underpin mate choice decisions. The brightest birds in best body condition are more successful at breeding. Therefore, documented mate guarding of female birds by male partners, is a relevant response to maximise investment in a pair bond. Limited information that describes the action of forced copulation by the male flamingo and the response of the female bird is available in the literature. This paper describes an occurrence of an attempted forced copulation by an older male Greater Flamingo to a younger female bird. Such behaviour may be an artefact of the captive environment, and limited mate choice when compared to the sizes of wild flocks, or it could be regularly apparent in the wild and therefore worthy of more scrutiny and empirical study. Full article

A micro-expression (ME) is a kind of involuntary facial expressions, which commonly occurs with subtle intensity. The accurately recognition ME, a. k. a. micro-expression recognition (MER), has a number of potential applications, e.g., interrogation and clinical diagnosis. Therefore, the subject has received a high level of attention among researchers in affective computing and pattern recognition communities. In this paper, we proposed a straightforward and effective deep learning method called uncertainty-aware magnification-robust networks (UAMRN) for MER, which attempts to address two key issues in MER including the low intensity of ME and imbalance of ME samples. Specifically, to better distinguish subtle ME movements, we reconstructed a new sequence by magnifying the ME intensity. Furthermore, a sparse self-attention (SSA) block was implemented which rectifies the standard self-attention with locality sensitive hashing (LSH), resulting in the suppression of artefacts generated during magnification. On the other hand, for the class imbalance problem, we guided the network optimization based on the confidence about the estimation, through which the samples from rare classes were allotted greater uncertainty and thus trained more carefully. We conducted the experiments on three public ME databases, i.e., CASME II, SAMM and SMIC-HS, the results of which demonstrate improvement compared to recent state-of-the-art MER methods. Full article

Assuring a proper environment for the fulfillment of professional activities is one of the Sustainable Development Goals and is contemplated in the One Health approach assumed by the World Health Organization. This particular study is applied to an often neglected sector of our society—the conservators/restorers—despite the many health issues reported by these professionals. Three different specialties (textiles, paintings and wood sculpture) and locations were selected for evaluation by placement of electrostatic dust cloths. After treatment of the samples, bacterial and fungal contamination were assessed, as well as mycotoxin determination, the presence of azole-resistant strains and cytotoxicity of the microorganisms encountered. Bacteria were only present in one of medias used and showed relatively low numbers. The highest level of contamination by fungi was identified in one of the textiles settings. The textile area also showed the highest variability for fungi. Aspergillus sp. are one indicator of possible environmental issues, and A. sections Fumigati and Circumdati were particularly relevant in two of the settings and identified in all of them. No mycotoxins were detected and the large majority of the fungi identified were non-cytotoxic. Overall, these can be considered low-contaminated environments but attention should be given to the Aspergillus sp. contamination. Additional studies are needed not only to make these results more robust, but also to test if the environmental sampling alone is the best approach in a setting where there is very little movement and dust displacement and where professionals are in very close proximity to the artefacts being treated, which may suggest the existence of a micro-atmosphere worth evaluating and comparing to the obtained results. Full article

Breathing is essential for human life. Issues related to respiration can be an indicator of problems related to the cardiorespiratory system; thus, accurate breathing monitoring is fundamental for establishing the patient’s condition. This paper presents a ready-to-use and discreet chest band for monitoring the respiratory parameters based on the piezoresistive transduction mechanism. In detail, it relies on a strain sensor realized with a pressure-sensitive fabric (EeonTex LTT-SLPA-20K) for monitoring the chest movements induced by respiration. In addition, the band includes an Inertial Measurement Unit (IMU), which is used to remove the motion artefacts from the acquired signal, thereby improving the measurement reliability. Moreover, the band comprises a low-power conditioning and acquisition section that processes the signal from sensors, providing a reliable measurement of the respiration rate (RR), in addition to other breathing parameters, such as inhalation (TI) and exhalation (TE) times, inhalation-to-exhalation ratio (IER), and flow rate (V). The device wirelessly transmits the extracted parameters to a host device, where a custom mobile application displays them. Different test campaigns were carried out to evaluate the performance of the designed chest band in measuring the RR, by comparing the measurements provided by the chest band with those obtained by breath count. In detail, six users, of different genders, ages, and physical constitutions, were involved in the tests. The obtained results demonstrated the effectiveness of the proposed approach in detecting the RR. The achieved performance was in line with that of other RR monitoring systems based on piezoresistive textiles, but which use more powerful acquisition systems or have low wearability. In particular, the inertia-assisted piezoresistive chest band obtained a Pearson correlation coefficient with respect to the measurements based on breath count of 0.96 when the user was seated. Finally, Bland–Altman analysis demonstrated that the developed system obtained 0.68 Breaths Per Minute (BrPM) mean difference (MD), and Limits of Agreement (LoAs) of +3.20 and −1.75 BrPM when the user was seated. Full article