Models and Analysis of Vocal Emissions for Biomedical Applications

The International Workshop on Models and Analysis of Vocal Emissions for Biomedical Applications (MAVEBA) came into being in 1999 from the particularly felt need of sharing know-how, objectives and results between areas that until then seemed quite distinct such as bioengineering, medicine and singing. MAVEBA deals with all aspects concerning the study of the human voice with applications ranging from the neonate to the adult and elderly. Over the years the initial issues have grown and spread also in other aspects of research such as occupational voice disorders, neurology, rehabilitation, image and video analysis. MAVEBA takes place every two years always in Firenze, Italy

Characteristics of Post Traumatic Amnesia among Traumatic Brain Injury Patients Admitted in a Rehabilitation Ward

Introduction:Post traumatic amnesia (PTA) is a recovery process from traumatic brain injury (TBI); characterized by amnesia and confusion with likely behavioural disturbances. A proper assessment of PTA is crucial for rehabilitation planning and prognostication. The purpose of this study was to describe the characteristics of PTA among TBI patients admittedto the rehabilitation ward. Methods: This is a retrospective study on TBI patients who were admitted to the rehabilitation ward, UMMC from December 2016 to May 2018; with a documented Westmead Post Traumatic Amnesia Scale (WPTAS) score on admission. Patients’ characteristics, duration of inpatient rehabilitation stay, duration of PTA and details of WPTAS were analysed. Results: 19 patients were recruited. All of them were male, have severe TBI, with mean age of 27.1 years ±8.3. Motor vehicle accident was the cause of TBI in 18 patients. The mean PTA duration was 49 days ±30. Only 3 patients were out of PTA before discharged. The mean WPTAS score for those discharged while still in PTA was 5.5. During first assessment, the question on examiner’s face in recall component was answered correctly by most patients. Initially, 53% patients showed better performance in recall component. By the end of inpatient stay, most patients (75%) showed better performance in orientation than recall component. 6 patients (32%)had post traumatic agitation that interrupted the WPTAS assessment. 13 patients (68%) showed a temporary drop in WPTAS total score during change of therapist and after long holidays. Conclusion:Orientation component seems to improve first, perhaps due tothe nature of resolution of confusion and enforcement of orientation board in the ward. Post traumatic agitation, change of therapist and long gap in between WPTAS assessment have shown to negatively affect the patient’s PTA recovery. Keywords:Post traumatic amnesia,traumatic brain injury,Westmead Post Traumatic Amnesia Scale,recovery patter

Diagnosis and Management of Pediatric Diseases

A screenshot of some the most rapidly evolving fields in Neonatology and Pediatrics with articles reviewing some metabolic dysregulations as well as non-oncologic diseases that may occur in infancy, childhood, youth. The illustrative material with original photographs and drawings highlighting some pathogenetic concepts are keystones of this book

Accessibility of Health Data Representations for Older Adults: Challenges and Opportunities for Design

Health data of consumer off-the-shelf wearable devices is often conveyed to users through visual data representations and analyses. However, this is not always accessible to people with disabilities or older people due to low vision, cognitive impairments or literacy issues. Due to trade-offs between aesthetics predominance or information overload, real-time user feedback may not be conveyed easily from sensor devices through visual cues like graphs and texts. These difficulties may hinder critical data understanding. Additional auditory and tactile feedback can also provide immediate and accessible cues from these wearable devices, but it is necessary to understand existing data representation limitations initially. To avoid higher cognitive and visual overload, auditory and haptic cues can be designed to complement, replace or reinforce visual cues. In this paper, we outline the challenges in existing data representation and the necessary evidence to enhance the accessibility of health information from personal sensing devices used to monitor health parameters such as blood pressure, sleep, activity, heart rate and more. By creating innovative and inclusive user feedback, users will likely want to engage and interact with new devices and their own data

Heterogeneous recognition of bioacoustic signals for human-machine interfaces

Human-machine interfaces (HMI) provide a communication pathway between man and machine. Not only do they augment existing pathways, they can substitute or even bypass these pathways where functional motor loss prevents the use of standard interfaces. This is especially important for individuals who rely on assistive technology in their everyday life. By utilising bioacoustic activity, it can lead to an assistive HMI concept which is unobtrusive, minimally disruptive and cosmetically appealing to the user. However, due to the complexity of the signals it remains relatively underexplored in the HMI field. This thesis investigates extracting and decoding volition from bioacoustic activity with the aim of generating real-time commands. The developed framework is a systemisation of various processing blocks enabling the mapping of continuous signals into M discrete classes. Class independent extraction efficiently detects and segments the continuous signals while class-specific extraction exemplifies each pattern set using a novel template creation process stable to permutations of the data set. These templates are utilised by a generalised single channel discrimination model, whereby each signal is template aligned prior to classification. The real-time decoding subsystem uses a multichannel heterogeneous ensemble architecture which fuses the output from a diverse set of these individual discrimination models. This enhances the classification performance by elevating both the sensitivity and specificity, with the increased specificity due to a natural rejection capacity based on a non-parametric majority vote. Such a strategy is useful when analysing signals which have diverse characteristics, false positives are prevalent and have strong consequences, and when there is limited training data available. The framework has been developed with generality in mind with wide applicability to a broad spectrum of biosignals. The processing system has been demonstrated on real-time decoding of tongue-movement ear pressure signals using both single and dual channel setups. This has included in-depth evaluation of these methods in both offline and online scenarios. During online evaluation, a stimulus based test methodology was devised, while representative interference was used to contaminate the decoding process in a relevant and real fashion. The results of this research provide a strong case for the utility of such techniques in real world applications of human-machine communication using impulsive bioacoustic signals and biosignals in general

Augmentation of Brain Function: Facts, Fiction and Controversy. Volume III: From Clinical Applications to Ethical Issues and Futuristic Ideas

The final volume in this tripartite series on Brain Augmentation is entitled “From Clinical Applications to Ethical Issues and Futuristic Ideas”. Many of the articles within this volume deal with translational efforts taking the results of experiments on laboratory animals and applying them to humans. In many cases, these interventions are intended to help people with disabilities in such a way so as to either restore or extend brain function. Traditionally, therapies in brain augmentation have included electrical and pharmacological techniques. In contrast, some of the techniques discussed in this volume add specificity by targeting select neural populations. This approach opens the door to where and how to promote the best interventions. Along the way, results have empowered the medical profession by expanding their understanding of brain function. Articles in this volume relate novel clinical solutions for a host of neurological and psychiatric conditions such as stroke, Parkinson’s disease, Huntington’s disease, epilepsy, dementia, Alzheimer’s disease, autism spectrum disorders (ASD), traumatic brain injury, and disorders of consciousness. In disease, symptoms and signs denote a departure from normal function. Brain augmentation has now been used to target both the core symptoms that provide specificity in the diagnosis of a disease, as well as other constitutional symptoms that may greatly handicap the individual. The volume provides a report on the use of repetitive transcranial magnetic stimulation (rTMS) in ASD with reported improvements of core deficits (i.e., executive functions). TMS in this regard departs from the present-day trend towards symptomatic treatment that leaves unaltered the root cause of the condition. In diseases, such as schizophrenia, brain augmentation approaches hold promise to avoid lengthy pharmacological interventions that are usually riddled with side effects or those with limiting returns as in the case of Parkinson’s disease. Brain stimulation can also be used to treat auditory verbal hallucination, visuospatial (hemispatial) neglect, and pain in patients suffering from multiple sclerosis. The brain acts as a telecommunication transceiver wherein different bandwidth of frequencies (brainwave oscillations) transmit information. Their baseline levels correlate with certain behavioral states. The proper integration of brain oscillations provides for the phenomenon of binding and central coherence. Brain augmentation may foster the normalization of brain oscillations in nervous system disorders. These techniques hold the promise of being applied remotely (under the supervision of medical personnel), thus overcoming the obstacle of travel in order to obtain healthcare. At present, traditional thinking would argue the possibility of synergism among different modalities of brain augmentation as a way of increasing their overall effectiveness and improving therapeutic selectivity. Thinking outside of the box would also provide for the implementation of brain-to-brain interfaces where techniques, proper to artificial intelligence, could allow us to surpass the limits of natural selection or enable communications between several individual brains sharing memories, or even a global brain capable of self-organization. Not all brains are created equal. Brain stimulation studies suggest large individual variability in response that may affect overall recovery/treatment, or modify desired effects of a given intervention. The subject’s age, gender, hormonal levels may affect an individual’s cortical excitability. In addition, this volume discusses the role of social interactions in the operations of augmenting technologies. Finally, augmenting methods could be applied to modulate consciousness, even though its neural mechanisms are poorly understood. Finally, this volume should be taken as a debate on social, moral and ethical issues on neurotechnologies. Brain enhancement may transform the individual into someone or something else. These techniques bypass the usual routes of accommodation to environmental exigencies that exalted our personal fortitude: learning, exercising, and diet. This will allow humans to preselect desired characteristics and realize consequent rewards without having to overcome adversity through more laborious means. The concern is that humans may be playing God, and the possibility of an expanding gap in social equity where brain enhancements may be selectively available to the wealthier individuals. These issues are discussed by a number of articles in this volume. Also discussed are the relationship between the diminishment and enhancement following the application of brain-augmenting technologies, the problem of “mind control” with BMI technologies, free will the duty to use cognitive enhancers in high-responsibility professions, determining the population of people in need of brain enhancement, informed public policy, cognitive biases, and the hype caused by the development of brain- augmenting approaches

Hearing Loss

Authored by 17 international researchers and research teams, the book provides up-to-date insights on topics in five different research areas related to normal hearing and deafness. Techniques for assessment of hearing and the appropriateness of the Mongolian gerbil as a model for age-dependent hearing loss in humans are presented. Parental attitudes to childhood deafness and role of early intervention for better treatment of hearing loss are also discussed. Comprehensive details are provided on the role of different environmental insults including injuries in causing deafness. Additionally, many genes involved in hearing loss are reviewed and the genetics of recessively inherited moderate to severe and progressive deafness is covered for the first time. The book also details established and evolving therapies for treatment of deafness

2014 - 2015 University Catalog

This is a one-year Catalog, effective beginning Summer Quarter 2014. Volume 104, Number 1, July 2014https://scholarsrepository.llu.edu/univcatalog/1002/thumbnail.jp

Psychological and care impact of the daily use of a pediatric gait exoskeleton in children with spinal muscular atrophy

Introducción: La Atrofia Muscular Espinal Tipo II, es una enfermedad neurodegenerativa de origen genético que cursa con debilidad muscular y provoca deterioro motor e incapacidad para caminar en los niños. Se relaciona con graves problemas respiratorios, musculoesqueléticos, gastrointestinales y otros de salud y cuidado. Los exoesqueletos robóticos de miembros inferiores son dispositivos médicos que ayudan a la marcha de pacientes que no pueden caminar. Nuestro objetivo fue evaluar el impacto en la dimensión psicológica y de autocuidado derivado del uso del exoesqueleto ATLAS en el hogar en niños con Atrofia Muscular Espinal Tipo II. Metodología: tres niños con Atrofia Muscular Espinal Tipo II utilizaron el exoesqueleto en casa cinco días a la semana durante un período de dos meses para caminar y realizar actividades. Se realizó una evaluación del autocuidado de enfermería antes y durante el uso del dispositivo para evaluar los cambios en los resultados del autocuidado y los diagnósticos de enfermería. Se realizaron entrevistas en profundidad y semiestructuradas, además de la observación durante las sesiones, para evaluar el impacto de la experiencia en la dimensión psicológica de los participantes. Resultados: el uso del exoesqueleto produjo cambios en los condicionantes básicos de los niños y una mejora en los organismos de autocuidado. También aparecieron nuevas demandas de autocuidado. Tres de los diez diagnósticos de enfermería fueron resueltos. Asimismo, los niños mostraron una buena tolerancia a la actividad además de una mejora funcional evaluada en el tercer participante. Los niños y los cuidadores principales valoraron la experiencia como positiva y significativa. Los niños tenían una mayoría de emociones positivas, y se incrementó su autonomía y comportamiento social y exploratorio. Conclusiones: la tecnología del exoesqueleto podría considerarse como un nuevo recurso para el cuidado de niños con enfermedades neuromusculares. Su uso tuvo un impacto positivo tanto en las variables de autocuidado como en la dimensión psicológica de tres niños con atrofia muscular espinal tipo II. Aunque este estudio aporta ya evidencia, más estudios sobre el tema aportarían un mayor conocimiento