Advanced extravehicular activity systems requirements definition study. Phase 2: Extravehicular activity at a lunar base

The focus is on Extravehicular Activity (EVA) systems requirements definition for an advanced space mission: remote-from-main base EVA on the Moon. The lunar environment, biomedical considerations, appropriate hardware design criteria, hardware and interface requirements, and key technical issues for advanced lunar EVA were examined. Six remote EVA scenarios (three nominal operations and three contingency situations) were developed in considerable detail

Study of applications of bio-space technology to patient monitoring systems Progress report

Patient monitoring system design and equipment specifications with physiological response display device and warning syste

The Application of Computer Techniques to ECG Interpretation

This book presents some of the latest available information on automated ECG analysis written by many of the leading researchers in the field. It contains a historical introduction, an outline of the latest international standards for signal processing and communications and then an exciting variety of studies on electrophysiological modelling, ECG Imaging, artificial intelligence applied to resting and ambulatory ECGs, body surface mapping, big data in ECG based prediction, enhanced reliability of patient monitoring, and atrial abnormalities on the ECG. It provides an extremely valuable contribution to the field

A Mobile ECG Monitoring System with Context Collection

An objective of a health process is one where patients can stay healthy with the support of expert medical advice when they need it, at any location and any time. An associated aim would be the development of a system which places increased emphasis on preventative measures as a first point of contact with the patient. This research is a step along the road towards this type of preventative healthcare for cardiac patients. It seeks to develop a smart mobile ECG monitoring system that requests and records context information about what is happening around the subject when an arrhythmia event occurs. Context information about the subject’s activities of daily living will, it is hoped, provide an enriched data set for clinicians and so improve clinical decision making. As a first step towards a mobile cardiac wellness guidelines system, the focus of this work is to develop a system that can receive bio-signals wirelessly, analyzing and storing the bio-signal in a handheld device and can collect context information when there are significant changes in bio-signs. For this purpose the author will use a low cost development environment to program a state of the art wireless prototype on a handheld computer that detects and responds to changes in the heart rate as calculated form the interval between successive heart beats. Although the general approach take in this work could be applied to a wide range of bio-signals, the research will focus on ECG signals. The pieces of the system are, A wireless receiver, data collection and storage module An efficient real time ECG beat detection algorithm A rule based (Event-Condition-Action) interactive system A simple user interface, which can request additional information form the user. A selection of real-time ECG detection algorithms have been investigated and one algorithm was implemented in MATLAB [110] and then in Java [142] for this project. In order to collect ECG signals (and in principle any signals) the generalised data collection architecture has also been developed utilizing Java [142] and Bluetooth [5] technology. This architecture uses an implementation of the abstract factory pattern [91] to ensure that the communication channel can be changed conveniently. Another core part of this project is a “wellness” guideline based on Event-Condition-Action (E-C-A) [68] production rule approach that originated in active databases. The work also focuses on design of a guideline based expert system which an E-C-A based implementation will be fully event driven using the Java programming language. Based on the author’s experience and the literature review, some important issues in mobile healthcare along with the corresponding reasons, consequences and possible solutions will be presented

Study of applications of bio-space technology to patient monitoring systems Final report

Investigation of application of NASA developed technology to cardiovascular and pulmonary patient monitoring to improve availability of data for medical diagnosi

Technology Applications Team: Applications of aerospace technology

Highlights of the Research Triangle Institute (RTI) Applications Team activities over the past quarter are presented in Section 1.0. The Team's progress in fulfilling the requirements of the contract is summarized in Section 2.0. In addition to our market-driven approach to applications project development, RTI has placed increased effort on activities to commercialize technologies developed at NASA Centers. These Technology Commercialization efforts are summarized in Section 3.0. New problem statements prepared by the Team in the reporting period are presented in Section 4.0. The Team's transfer activities for ongoing projects with the NASA Centers are presented in Section 5.0. Section 6.0 summarizes the status of four add-on tasks. Travel for the reporting period is described in Section 7.0. The RTI Team staff and consultants and their project responsibilities are listed in Appendix A. The authors gratefully acknowledge the contributions of many individuals to the RTI Technology Applications Team program. The time and effort contributed by managers, engineers, and scientists throughout NASA were essential to program success. Most important to the program has been a productive working relationship with the NASA Field Center Technology Utilization (TU) Offices. The RTI Team continues to strive for improved effectiveness as a resource to these offices. Industry managers, technical staff, medical researchers, and clinicians have been cooperative and open in their participation. The RTI Team looks forward to continuing expansion of its interaction with U.S. industry to facilitate the transfer of aerospace technology to the private sector

Continuous assessment of epileptic seizures with wrist-worn biosensors

Thesis (Ph. D.)--Harvard-MIT Division of Health Sciences and Technology, 2011.Cataloged from PDF version of thesis.Includes bibliographical references (p. 145-159).Epilepsy is a neurological disorder characterized predominantly by an enduring predisposition to generate epileptic seizures. The apprehension about injury, or even death, resulting from a seizure often overshadows the lives of those unable to achieve complete seizure control. Moreover, the risk of sudden death in people with epilepsy is 24 times higher compared to the general population and the pathophysiology of sudden unexpected death in epilepsy (SUDEP) remains unclear. This thesis describes the development of a wearable electrodermal activity (EDA) and accelerometry (ACM) biosensor, and demonstrates its clinical utility in the assessment of epileptic seizures. The first section presents the development of a wrist-worn sensor that can provide comfortable and continuous measurements of EDA, a sensitive index of sympathetic activity, and ACM over extensive periods of time. The wearable biosensor achieved high correlations with a Food and Drug Administration (FDA) approved system for the measurement of EDA during various classic arousal experiments. This device offers the unprecedented ability to perform comfortable, long-term, and in situ assessment of EDA and ACM. The second section describes the autonomic alterations that accompany epileptic seizures uncovered using the wearable EDA biosensor and time-frequency mapping of heart rate variability. We observed that the post-ictal period was characterized by a surge in sympathetic sudomotor and cardiac activity coinciding with vagal withdrawal and impaired reactivation. The impact of autonomic dysregulation was more pronounced after generalized tonic-clonic seizures compared to complex partial seizures. Importantly, we found that the intensity of both sympathetic activation and parasympathetic suppression increased approximately linearly with duration of post-ictal EEG suppression, a possible marker for the risk of SUDEP. These results highlight a critical window of post-ictal autonomic dysregulation that may be relevant in the pathogenesis of SUDEP and hint at the possibility for assessment of SUDEP risk by autonomic biomarkers. Lastly, this thesis presents a novel algorithm for generalized tonic-clonic seizure detection with the use of EDA and ACM. The algorithm was tested on 4213 hours (176 days) of recordings from 80 patients containing a wide range of ordinary daily activities and detected 15/16 (94%) tonic-clonic seizures with a low rate of false alarms (<; 1 per 24 h). It is anticipated that the proposed wearable biosensor and seizure detection algorithm will provide an ambulatory seizure alarm and improve the quality of life of patients with uncontrolled tonic-clonic seizures.by Ming-Zher Poh.Ph.D