Mimo : a non-pharmacological comforting solution for preterm neonates

Preterm neonates often suffer from pain, distress and discomfort during the first weeks of their lives. While residing in special Neonatal Intensive Care Units (NICUs) that are designed for optimal care, they are subject to numerous interventions ranging from a simple diaper change to surgery. Although pharmacological pain treatment often is available, it cannot always be applied to relieve a neonate from pain or discomfort. Therefore, new non-pharmacological solutions are required to reduce the discomfort experienced by these babies during the first weeks of their lives. This paper describes a novel solution, called Mimo, that provides comfort through mediation of a parent’s physiological features to the distressed neonate. We discuss the design and the implementation and pilot-evaluation of a first prototype. Results show that the concept is promising enough to pursue a full-scale clinical trial

Mimo pillow : an intelligent cushion designed with maternal heart beat vibrations for comforting newborn infants

Premature infants are subject to numerous interventions ranging from a simple diaper change to surgery while residing in Neonatal Intensive Care Units (NICUs). These neonates often suffer from pain, distress and discomfort during the first weeks of their lives. Although pharmacological pain treatment often is available, it cannot always be applied to relieve a neonate from pain or discomfort. This paper describes a non-pharmacological solution, called Mimo, which provides comfort through mediation of a parent's physiological features to the distressed neonate via an intelligent pillow system embedded with sensing and actuating functions. We present the design, the implementation and the evaluation of the prototype. Clinical tests at Máxima Medical Centre in the Netherlands show that among the 9 of 10 infants who showed discomfort following diaper change, a shorter recovery time to baseline Skin Conductance Analgesimeter (SCA) values could be measured when the maternal heartbeat vibration in the Mimo was switched on and in 7 of these 10 a shorter crying time was measure

Retinal Structural Changes in Preterm Children without Retinopathy of Prematurity

Purpose: The aim of this study was to compare all retinal layers' thickness in full-term and preterm children without retinopathy of prematurity (ROP). Methods: Cross-sectional study including two groups of patients: group 1 children with history of preterm gestation without ROP (gestational age < 37 weeks) and group 2 healthy children with history of full-term gestation. All subjects underwent an ophthalmic examination including spectral domain-optical coherence tomography. After automatic retinal segmentation, each retinal layer thickness (eight separate layers and overall thickness) was calculated in all nine Early Treatment Diabetic Retinopathy Study areas. Demographic, systemic, gestational, and birth data were collected. Generalized additive regression models were used to analyze the data. Results: Fifty-one children (51 eyes) were recruited, 19 full-term and 32 preterm children, mean age at ophthalmic examination of 10.58 (4.21) and 14.13 (3.16), respectively. In multivariable analysis, the preterm group's retinal thickness was significantly decreased in total retina nasal outer sector, ganglion cell layer (GCL), and inner plexiform layer (IPL), specifically GCL temporal outer (p = 0.010), GCL superior outer (p = 0.009), IPL temporal outer (p = 0.022), and IPL superior outer (p = 0.004), when compared with full-term group. From the variables compared only with birth head circumference that influenced the models, a non-linear association was identified and consequently modeled with splines through a generalized additive model. Conclusion: This study suggests that preterm children without ROP have structural retinal alterations, mostly in GCL and IPL in outer areas of the macula. Therefore, it is crucial to question gestational history since these retinal changes may be found later in life leading to useless investigation.info:eu-repo/semantics/publishedVersio

Mechanisms of spray formation and combustion from a multi-hole injector with E85 and gasoline

The spray formation and combustion characteristics of gasoline and E85 (85% ethanol, 15% gasoline) have been investigated using a multi-hole injector with asymmetric nozzle-hole arrangement. Experiments were carried out in a quiescent optical chamber using high-speed shadowgraphy (9 kHz) to characterise the spray sensitivity to both injector temperature and ambient pressure in the range of 20-120 °C and 0.5, 1.0 bar. Spray-tip penetrations and umbrella spray cone angles were calculated for all conditions. Phase Doppler Anemometry was also used to measure droplet sizes in the core of one of the spray plumes, 25 mm below the injector tip. To study the effect of fuel properties on vaporisation and mixture preparation under realistic operating conditions, a separate set of experiments was carried out in a direct-injection spark-ignition optical engine. The engine was run at 1500 RPM under cold and fully warmed-up conditions (20 °C and 90 °C) at part load and full load (0.5 and 1.0 bar intake pressure). Floodlit laser Mie-scattering images of the sprays on two orthogonal planes corresponding to the swirl and tumble planes of in-cylinder flow motion were acquired to study the full injection event and post-injection mixing stage. These were used to make comparisons with the static chamber sprays and to quantify the liquid-to-vapour phase evaporation process for both fuels by calculating the projected footprint of the sprays at different conditions. Analysis of the macroscopic structure and turbulent primary break-up properties of the sprays was undertaken in light of jet exit conditions described in terms of non-dimensional numbers. The effects on stoichiometric combustion were investigated by imaging the natural flame chemiluminescence through the engines piston crown (swirl plane) and by post-processing to derive flame growth rates and trajectories of flame motion. © 2009 The Combustion Institute

Identifying Imaging Predictors of Intermediate Age-Related Macular Degeneration Progression

Flores, R., Fradinho, A. C., Pereira, R. S., Mendes, J. M., Seabra, M. C., Tenreiro, S., & Carneiro, Â. (2023). Identifying Imaging Predictors of Intermediate Age-Related Macular Degeneration Progression. Translational Vision Science & Technology, 12(7), 1-13. [22]. https://doi.org/10.1167/tvst.12.7.22 --- Supported by iNOVA4Health – UIDB/04462/2020 and UIDP/04462/2020, and by the Associated Laboratory LS4FUTURE (LA/P/0087/2020), two programs financially supported by Fundação para a Ciência e Tecnologia (FCT)/Ministério da Ciência, Tecnologia e Ensino Superior. ACF was recipient of individual PhD fellowship funded by FCT (PD/BD/135503/2018).Purpose: Intermediate age-related macular degeneration (iAMD) is a risk factor for progression to advanced stages, but rates of progression vary between individuals. Predicting individual risk is advantageous for programing timely and effective treatment and for patient stratification into future clinical trials. Methods: We conducted a prospective and noninterventional study following patients with iAMD for 24 months. Optical coherence tomography parameters related with drusen, hyper-reflective foci (HRF), presence of incomplete retinal pigment epithelial and outer retinal atrophy (iRORA) and ellipsoid zone (EZ) status were explored at the baseline. Patients were reclassified at the end of the follow-up period and divided according to their progression. A risk prediction model for progression to late AMD was developed. Results: A total of 135 patients were enrolled in the study and 30.4% developed late disease. A multivariate logistic regression model was created using those optical coherence tomography parameters, further optimized by backward feature elimination. Parameters offering the best fit in prediction progression were presence of iRORA, EZ status, drusen area and presence of HRF. iRORA is the feature that provides a higher probability of developing late AMD (odds ratio, 12.91; P = 0.000), followed by EZ disruption status (odds ratio, 3.54; P = 0.0018). The area under the receiver operating characteristic curve calculated for the testing set was 0.77 (95% confidence interval, 0.56–0.98). Conclusions: The combination of iRORA and EZ disruption constitute a high risk of progression to complete RORA within 2 years. Translational Relevance: We propose a practical and useful model to help clinicians in their daily practice in predicting individual progression to advanced AMD.publishersversionpublishe

Mimicking expressiveness of movements by autistic children in game play

Children with Autistic Spectrum Disorder (ASD)have marked impairments in social interaction. Imitation is a basic social interaction behavior, and mimicking as an element of imitation can be a diagnostic marker for autism and thus a skill that can be targeted by behavioral training. In a comparative study between children with and without autism (n=20), we designed a test that aims to find differences in mimicking expressiveness in a real-life setting. The Wii boxing game was chosen as an environment that can trigger expressiveness in children. Two measures were chosen to rate expressiveness: using observers and using a Microsoft Kinect 3-D camera in combination with motion analysis software. Results from the software tool show that the ASD-group is not influenced by the expressiveness of a confederate, while the control-group is. These results suggest that autistic children do not mimic expressiveness in game play and that this can be detected using a software tool

A perceptual and behavioral analysis of facial cues to deception in interactions between children and a virtual agent

This study focused on the facial expressions that children exhibit while trying to deceive a virtual agent. An interactive lie elicitation game was developed to record children’s facial expressions during deceptive and truthful utterances. Our participants did this task either alone or in the presence of peers. A manual method and an automatic recognition approach were used to examine facial expressions and facial action units (AUs). Results show that the facial expressions of deceivers differ from those of truth-tellers: most clearly, they try to cover their lie as they smile significantly more often than truthful children. Moreover, co-presence enhances children’s facial expressive behavior and the number of deceptive cues. To understand whether such features serve as cues for deception detection, using data from children playing alone or together with another child, a perception test was carried out to examine observers’ ability to distinguish young deceivers from truth-tellers. Results show that observers found it easier to discriminate between deceivers and truth-tellers who had played the game in the co-present condition. Our research thus shows that virtual agents can be used as tools to elicit lies in a playful manner, which would be relevant for developmental, educational and behavioral analyses of deceit in growing children