882 research outputs found

    Oximetry use in obstructive sleep apnea

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    Producción CientíficaIntroduction. Overnight oximetry has been proposed as an accessible, simple, and reliable technique for obstructive sleep apnea syndrome (OSAS) diagnosis. From visual inspection to advanced signal processing, several studies have demonstrated the usefulness of oximetry as a screening tool. However, there is still controversy regarding the general application of oximetry as a single screening methodology for OSAS. Areas covered. Currently, high-resolution portable devices combined with pattern recognition-based applications are able to achieve high performance in the detection this disease. In this review, recent studies involving automated analysis of oximetry by means of advanced signal processing and machine learning algorithms are analyzed. Advantages and limitations are highlighted and novel research lines aimed at improving the screening ability of oximetry are proposed. Expert commentary. Oximetry is a cost-effective tool for OSAS screening in patients showing high pretest probability for the disease. Nevertheless, exhaustive analyses are still needed to further assess unattended oximetry monitoring as a single diagnostic test for sleep apnea, particularly in the pediatric population and in especial groups with significant comorbidities. In the following years, communication technologies and big data analysis will overcome current limitations of simplified sleep testing approaches, changing the detection and management of OSAS.This research has been partially supported by the projects DPI2017-84280-R and RTC-2015-3446-1 from Ministerio de Economía, Industria y Competitividad and European Regional Development Fund (FEDER), the project 66/2016 of the Sociedad Española de Neumología y Cirugía Torácica (SEPAR), and the project VA037U16 from the Consejería de Educación de la Junta de Castilla y León and FEDER. D. Álvarez was in receipt of a Juan de la Cierva grant IJCI-2014-22664 from the Ministerio de Economía y Competitividad

    수면 호흡음을 이용한 폐쇄성 수면 무호흡 중증도 분류

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    학위논문 (박사)-- 서울대학교 융합과학기술대학원 융합과학부, 2017. 8. 이교구.Obstructive sleep apnea (OSA) is a common sleep disorder. The symptom has a high prevalence and increases mortality as a risk factor for hypertension and stroke. Sleep disorders occur during sleep, making it difficult for patients to self-perceive themselves, and the actual diagnosis rate is low. Despite the existence of a standard sleep study called a polysomnography (PSG), it is difficult to diagnose the sleep disorders due to complicated test procedures and high medical cost burdens. Therefore, there is an increasing demand for an effective and rational screening test that can determine whether or not to undergo a PSG. In this thesis, we conducted three studies to classify the snoring sounds and OSA severity using only breathing sounds during sleep without additional biosensors. We first identified the classification possibility of snoring sounds related to sleep disorders using the features based on the cyclostationary analysis. Then, we classified the patients OSA severity with the features extracted using temporal and cyclostationary analysis from long-term sleep breathing sounds. Finally, the partial sleep sound extraction, and feature learning process using a convolutional neural network (CNN, or ConvNet) were applied to improve the efficiency and performance of previous snoring sound and OSA severity classification tasks. The sleep breathing sound analysis method using a CNN showed superior classification accuracy of more than 80% (average area under curve > 0.8) in multiclass snoring sounds and OSA severity classification tasks. The proposed analysis and classification method is expected to be used as a screening tool for improving the efficiency of PSG in the future customized healthcare service.Chapter 1. Introduction ................................ .......................1 1.1 Personal healthcare in sleep ................................ ..............1 1.2 Existing approaches and limitations ....................................... 9 1.3 Clinical information related to SRBD ................................ .. ..12 1.4 Study objectives ................................ .........................16 Chapter 2. Overview of Sleep Research using Sleep Breathing Sounds ........... 23 2.1 Previous goals of studies ................................ ................23 2.2 Recording environments and related configurations ........................ 24 2.3 Sleep breathing sound analysis ................................ ...........27 2.4 Sleep breathing sound classification ..................................... 35 2.5 Current limitations ................................ ......................36 Chapter 3. Multiple SRDB-related Snoring Sound Classification .................39 3.1 Introduction ................................ .............................39 3.2 System architecture ................................ ......................41 3.3 Evaluation ................................ ...............................52 3.4 Results ................................ ..................................55 3.5 Discussion ................................ ...............................59 3.6 Summary ................................ ..................................63 Chapter 4. Patients OSA Severity Classification .............................65 4.1 Introduction ................................ .............................65 4.2 Existing Approaches ................................ ......................69 4.3 System Architecture ................................ ......................70 4.4 Evaluation ................................ ...............................85 4.5 Results ................................ ..................................87 4.6 Discussion ................................ ...............................94 4.7 Summary ................................ ..................................97 Chapter 5. Patient OSA Severity Prediction using Deep Learning Techniques .....99 5.1 Introduction ................................ .............................99 5.2 Methods ................................ ..................................101 5.3 Results ................................ ..................................109 5.4 Discussion ................................ ...............................115 5.5 Summary ................................ ..................................118 Chapter 6. Conclusions and Future Work ........................................120 6.1 Conclusions ................................ ..............................120 6.2 Future work ................................ ..............................127Docto

    Anesthesiologic Management for Awake Craniotomy

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    Review on biomedical sensors, technologies, and algorithms for diagnosis of sleep-disordered breathing: Comprehensive survey

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    This paper provides a comprehensive review of available technologies for measurements of vital physiology related parameters that cause sleep disordered breathing (SDB). SDB is a chronic disease that may lead to several health problems and increase the risk of high blood pressure and even heart attack. Therefore, the diagnosis of SDB at an early stage is very important. The essential primary step before diagnosis is measurement. Vital health parameters related to SBD might be measured through invasive or non-invasive methods. Nowadays, with respect to increase in aging population, improvement in home health management systems is needed more than even a decade ago. Moreover, traditional health parameter measurement techniques such as polysomnography are not comfortable and introduce additional costs to the consumers. Therefore, in modern advanced self-health management devices, electronics and communication science are combined to provide appliances that can be used for SDB diagnosis, by monitoring a patient's physiological parameters with more comfort and accuracy. Additionally, development in machine learning algorithms provides accurate methods of analysing measured signals. This paper provides a comprehensive review of measurement approaches, data transmission, and communication networks, alongside machine learning algorithms for sleep stage classification, to diagnose SDB

    General questions of anaesthesiology

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    This book covers information about basic principles and methods of the modern anesthesiology. For English-speaking students of higher educational institutions III-IV levels of accreditation, postgraduates

    General questions of anaesthesiology

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    This book covers information about basic principles and methods of the modern anesthesiology. For English-speaking students of higher educational institutions III-IV levels of accreditation, postgraduates

    Diseño y evaluación de metodologías de análisis automático de la oximetría nocturna como método simplificado de detección del síndrome de apnea-hipopnea obstructiva del sueño en niños. Validación en el hospital y en el domicilio.

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    El síndrome de apnea-hipopnea obstructiva del sueño (SAHOS) es una enfermedad de alta prevalencia en la población infantil, con una importante morbilidad y elevado impacto sociosanitario, en la que la detección precoz es esencial para iniciar un adecuado tratamiento, el cual debe ser siempre individualizado. El SAHOS es una alteración fisiopatológica compleja y multifactorial, en la que no sólo influye una susceptibilidad genética e individual (factores anatómicos y dinámicos), sino también de estilo de vida. Los factores de riesgo más frecuentes son la hipertrofia adenoamigdalar y la obesidad. Los síntomas en los niños son escasos, son principalmente nocturnos y requieren un alto nivel de sospecha. El SAHOS no diagnosticado o no tratado se relaciona con diferentes consecuencias metabólicas, cardiovasculares, neurocognitivas, inflamatorias, conductuales y falta de desarrollo estaturoponderal, lo que conduce a un empeoramiento del estado de salud en términos generales y disminución de calidad de vida.Departamento de Anatomía y RadiologíaDoctorado en Investigación en Ciencias de la Salu

    Robin Sequence:Clinical implications and functional outcomes following (non-) surgical management

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    Robin Sequence (RS) is a congenital craniofacial abnormality characterized by mandibular hypoplasia, glossoptosis, and varying degrees of upper airway obstruction. The interaction between the various etiological causes, the great variability in clinical expression, and the lack of a uniform definition continuously pose challenges to clinicians. The aim of this thesis is to gain another step towards a better understanding of this complex and challenging condition by focusing on the clinical characteristics and functional outcomes regarding airway, feeding, swallowing, and growth in patients with RS. In this way, we attempt to add valuable information to the current knowledge of RS and therefore contribute to an improved quality of care for these patients
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