3 research outputs found
Selection of the Best Set of Features for sEMG-Based Hand Gesture Recognition Applying a CNN Architecture
The classification of surface myoelectric signals (sEMG) remains a great challenge when focused on its implementation in an electromechanical hand prosthesis, due to its nonlinear and stochastic nature, as well as the great difference between models applied offline and online. In this work, the selection of the set of the features that allowed us to obtain the best results for the classification of this type of signals is presented. In order to compare the results obtained, the Nina PRO DB2 and DB3 databases were used, which contain information on 50 different movements of 40 healthy subjects and 11 amputated subjects, respectively. The sEMG of each subject was acquired through 12 channels in a bipolar configuration. To carry out the classification, a convolutional neural network (CNN) was used and a comparison of four sets of features extracted in the time domain was made, three of which have shown good performance in previous works and one more that was used for the first time to train this type of network. Set one is composed of six features in the time domain (TD1), Set two has 10 features also in the time domain (TD2) including the autoregression model (AR), the third set has two features in the time domain derived from spectral moments (TD-PSD1), and finally, a set of five features also has information on the power spectrum of the signal obtained in the time domain (TD-PSD2). The selected features in each set were organized in four different ways for the formation of the training images. The results obtained show that the set of features TD-PSD2 obtained the best performance for all cases. With the set of features and the formation of images proposed, an increase in the accuracies of the models of 8.16% and 8.56% was obtained for the DB2 and DB3 databases, respectively, compared to the current state of the art that has used these databases
Image set preparation: A platform to prepare a myoelectric signal to train a CNN
Derived from the good performance in the classification of surface Electromyography signals using CNN for its application in prosthetics, rehabilitation, and medicine, we present a platform that, from a surface Electromyography, performs the necessary digital processing to generate an image database to train a Convolutional Neural Network. This platform requires inputting the protocol parameters under which the myoelectric signal was acquired. In addition, it allows selection among four groups of Time-Domain features and four types of images that have shown good performance (above 90%) in the current literature. The platform generates images in separate folders for each movement according to the selected parameters. This work offers a valuable tool in classification using surface Electromyography and Convolutional Neural Networks, enabling more efficient customization and optimization of training processes
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Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study
We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care