Qrs detection based on medical knowledge and cascades of moving average filters

Heartbeat detection is the first step in automatic analysis of the electrocardiogram (ECG). For mobile and wearable devices, the detection process should be both accurate and computationally efficient. In this paper, we present a QRS detection algorithm based on moving average filters, which affords a simple yet robust signal processing technique. The decision logic considers the rhythmic and morphological features of the QRS complex. QRS enhancing is performed with channel-specific moving average cascades selected from a pool of derivative systems we designed. We measured the effectiveness of our algorithm on well-known benchmark databases, reporting F1 scores, sensitivity on abnormal beats and processing time. We also evaluated the performances of other available detectors for a direct comparison with the same criteria. The algorithm we propose achieved satisfying performances on par with or higher than the other QRS detectors. Despite the performances we report are not the highest that have been published so far, our approach to QRS detection enhances computational efficiency while maintaining high accuracy

Sympathetic arousal in children with oppositional defiant disorder and its relation to emotional dysregulation

Background: Emotional dysregulation (ED) is a trans-nosographical condition characterized by mood instability, severe irritability, aggression, temper outburst, and hyper-arousal. Pathophysiology of emotional dysregulation and its potential biomarkers are an emerging field of interest. A Child Behaviour Checklist (CBCL) profile, defined as Dysregulation Profile (DP), has been correlated to ED in youth. We examined the association between the CBCL-DP and indices of sympathetic arousal in children with Oppositional Defiant Disorder (ODD) and healthy controls. Method: The current study sought to compare the arousal level measured via electrodermal activity in response to emotional stimuli in three non-overlapping groups of children: (1) ODD+CBCL-DP (n = 28), (2) ODD without CBCL-DP (n = 35), and (3) typically developing controls (n = 25). Results: Analyses revealed a distinct electrodermal activity profile in the three groups. Specifically, children with ODD+CBCL-DP presented higher levels of sympathetic arousal for anger and sadness stimuli compared to the other two groups. Limitations: The relatively small sample and the lack of assessing causality limit the generalizability of this study which results need to be replicated in larger, different samples. Conclusion: The CBCL-DP was associated to higher levels of arousal for negative emotions, consistently with previous reports in individuals with depression and anxiety. Further work may identify potential longitudinal relationships between this profile and clinical outcomes

Disentangling the initiation from the response in joint attention: an eye-tracking study in toddlers with autism spectrum disorders

Joint attention (JA), whose deficit is an early risk marker for autism spectrum disorder (ASD), has two dimensions: (1) responding to JA and (2) initiating JA. Eye-tracking technology has largely been used to investigate responding JA, but rarely to study initiating JA especially in young children with ASD. The aim of this study was to describe the differences in the visual patterns of toddlers with ASD and those with typical development (TD) during both responding JA and initiating JA tasks. Eye-tracking technology was used to monitor the gaze of 17 children with ASD and 15 age-matched children with TD during the presentation of short video sequences involving one responding JA and two initiating JA tasks (initiating JA-1 and initiating JA-2). Gaze accuracy, transitions and fixations were analyzed. No differences were found in the responding JA task between children with ASD and those with TD, whereas, in the initiating JA tasks, different patterns of fixation and transitions were shown between the groups. These results suggest that children with ASD and those with TD show different visual patterns when they are expected to initiate joint attention but not when they respond to joint attention. We hypothesized that differences in transitions and fixations are linked to ASD impairments in visual disengagement from face, in global scanning of the scene and in the ability to anticipate object's action

NETME: on-the-fly knowledge network construction from biomedical literature

Background: The rapidly increasing biological literature is a key resource to automatically extract and gain knowledge concerning biological elements and their relations. Knowledge Networks are helpful tools in the context of biological knowledge discovery and modeling. Results: We introduce a novel system called NETME, which, starting from a set of full-texts obtained from PubMed, through an easy-to-use web interface, interactively extracts biological elements from ontological databases and then synthesizes a network inferring relations among such elements. The results clearly show that our tool is capable of inferring comprehensive and reliable biological networks

Effects of Probiotic Supplementation on Gastrointestinal, Sensory and Core Symptoms in Autism Spectrum Disorders: A Randomized Controlled Trial

The microbiota-gut-brain axis has been recently recognized as a key modulator of neuropsychiatric health. In this framework, probiotics (recently named “psychobiotics”) may modulate brain activity and function, possibly improving the behavioral profiles of children with Autism Spectrum Disorder (ASD). We evaluated the effects of probiotics on autism in a double-blind randomized, placebo-controlled trial of 85 preschoolers with ASD (mean age, 4.2 years; 84% boys). Participants were randomly assigned to probiotics (De Simone Formulation) (n=42) or placebo (n=43) for six months. Sixty-three (74%) children completed the trial. No differences between groups were detected on the primary outcome measure, the Total Autism Diagnostic Observation Schedule - Calibrated Severity Score (ADOS-CSS). An exploratory secondary analysis on subgroups of children with or without Gastrointestinal Symptoms (GI group, n= 30; NGI group, n=55) revealed in the NGI group treated with probiotics a significant decline in ADOS scores as compared to that in the placebo group, with a mean reduction of 0.81 in Total ADOS CSS and of 1.14 in Social-Affect ADOS CSS over six months. In the GI group treated with probiotics we found greater improvements in some GI symptoms, adaptive functioning, and sensory profiles than in the GI group treated with placebo. These results suggest potentially positive effects of probiotics on core autism symptoms in a subset of ASD children independent of the specific intermediation of the probiotic effect on GI symptoms. Further studies are warranted to replicate and extend these promising findings on a wider population with subsets of ASD patients which share targets of intervention on the microbiota-gut-brain axis. Clinical Trial Registration: ClinicalTrials.gov, identifier NCT02708901

Using Brain Connectivity Measure of EEG Synchrostates for Discriminating Typical and Autism Spectrum Disorder

This is the author accepted manuscript. The final version is available from IEEE via the DOI in this record.In this paper we utilized the concept of stable phase synchronization topography - synchrostates - over the scalp derived from EEG recording for formulating brain connectivity network in Autism Spectrum Disorder (ASD) and typically-growing children. A synchronization index is adapted for forming the edges of the connectivity graph capturing the stability of each of the synchrostates. Such network is formed for 11 ASD and 12 control group children. Comparative analyses of these networks using graph theoretic measures show that children with autism have a different modularity of such networks from typical children. This result could pave the way to a new modality for possible identification of ASD from non-invasively recorded EEG data

Multimodal functional and structural brain connectivity analysis in autism: A preliminary integrated approach with EEG, fMRI and DTI

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.This paper proposes a novel approach of integrating different neuroimaging techniques to characterize an autistic brain. Different techniques like EEG, fMRI and DTI have traditionally been used to find biomarkers for autism, but there have been very few attempts for a combined or multimodal approach of EEG, fMRI and DTI to understand the neurobiological basis of autism spectrum disorder (ASD). Here, we explore how the structural brain network correlate with the functional brain network, such that the information encompassed by these two could be uncovered only by using the latter. In this paper, source localization from EEG using independent component analysis (ICA) and dipole fitting has been applied first, followed by selecting those dipoles that are closest to the active regions identified with fMRI. This allows translating the high temporal resolution of EEG to estimate time varying connectivity at the spatial source level. Our analysis shows that the estimated functional connectivity between two active regions can be correlated with the physical properties of the structure obtained from DTI analysis. This constitutes a first step towards opening the possibility of using pervasive EEG to monitor the long-term impact of ASD treatment without the need for frequent expensive fMRI or DTI investigations

A review of wearable motion tracking systems used in rehabilitation following hip and knee replacement

Clinical teams are under increasing pressure to facilitate early hospital discharge for total hip replacement and total knee replacement patients following surgery. A wide variety of wearable devices are being marketed to assist with rehabilitation following surgery. A review of wearable devices was undertaken to assess the evidence supporting their efficacy in assisting rehabilitation following total hip replacement and total knee replacement. A search was conducted using the electronic databases including Medline, CINAHL, Cochrane, PsycARTICLES, and PubMed of studies from January 2000 to October 2017. Five studies met the eligibility criteria, and all used an accelerometer and a gyroscope for their technology. A review of the studies found very little evidence to support the efficacy of the technology, although they show that the use of the technology is feasible. Future work should establish which wearable technology is most valuable to patients, which ones improve patient outcomes, and the most economical model for deploying the technolog

Registro de movimientos oculares con el eye tracker Mobile eye XG

93 p.Debido a su importancia en la investigación sobre lo que sucede en el cerebro, el estudio sobre el sistema visual humano se ha especializado cada vez más para indagar sobre la influencia de los movimientos oculares en la percepción durante la observación. Con el fin de acceder a este tipo de procesos se ha diseñado un conjunto de herramientas que permiten hacer un seguimiento a los movimientos oculares, conocidos como eye trackers. Este libro tiene como objetivo aportar elementos para la planeación, el diseño y la ejecución de investigaciones que incluya el uso de eye trackers, en particular del eye tracker Mobile eye XG. Esta es una de las primeras revisiones en español que recopila información sobre los movimientos oculares. Contiene una descripción sobre el eye tracker Mobile eye XG y otros dispositivos; una revisión sobre la visión humana y los movimientos oculares; una reseña acerca de los determinantes cognoscitivos de los movimientos oculares; una aproximación a las condiciones para el diseño, la ejecución y el análisis de datos de las investigaciones con esta herramienta y una revisión sobre sus campos de aplicación.Technological advances in recent decades have made eye trackers, especially glasses, an important tool in the field of cognitive, emotional, and social neurosciences, due to the relationship that exists between visual behavior and neuronal processes. This has facilitated the study of a significant number of psychological processes, including perception, emotions, social cognition, decision making, attention, and literacy, among others. Eye trackers have been applied to research a wide range of human activities, including web page and application design and market studies, the visual behavior of drivers and athletes, human-computer interactions, simulations for military training, and as a support for the clinical diagnosis of personality disorders and neurological conditions. This book aims to provide elements for the planning, design, and execution of research that includes the use of eye trackers, in particular the Mobile Eye-XG eye tracker. This is one of the first reviews in Spanish that collects information on eye movements. The study contains a description of the Mobile Eye-XG eye tracker and other devices; a review of human vision and eye movements; a review of the cognitive determinants of eye movements; an exploration of the conditions that determine the design, execution, and data analysis of research that uses this tool, as well as a review of its fields of application.Introducción Parte 1. Descripción del eye tracker Mobile eye XG Parte 2. Visión humana y movimientos oculares Parte 3. Neurobiología de los movimientos oculares Parte 4. Determinantes cognoscitivos de las fijaciones y de los movimientos oculares Parte 5. Condiciones para el diseño y el registro de estudios con el eye tracker Mobile eye XG Parte 6. Análisis y representación gráfica de los datos Parte 7. Condiciones para el reporte de investigación Parte 8. Aplicaciones del eye tracking Referencias Anexo

Developmental Markers of Genetic Liability to Autism in Parents: A Longitudinal, Multigenerational Study

Genetic liability to autism spectrum disorder (ASD) can be expressed in unaffected relatives through subclinical, genetically meaningful traits, or endophenotypes. This study aimed to identify developmental endophenotypes in parents of individuals with ASD by examining parents’ childhood academic development over the school-age period. A cohort of 139 parents of individuals with ASD were studied, along with their children with ASD and 28 controls. Parents’ childhood records in the domains of language, reading, and math were studied from grades K-12. Results indicated that relatively lower performance and slower development of skills (particularly language related skills), and an uneven rate of development across domains predicted ASD endophenotypes in adulthood for parents, and the severity of clinical symptoms in children with ASD. These findings may mark childhood indicators of genetic liability to ASD in parents, that could inform understanding of the subclinical expression of ASD genetic liability