Extreme Situation Experienced by Dental Students of the Medical University of Silesia Due to the SARS-CoV-2 Epidemic during the First Lockdown

The pandemic declared in many countries in 2020 due to COVID-19 led to the freezing of economies and the introduction of distance learning in both schools and universities. This unusual situation has affected the mental state of citizens, which has the potential to lead to the development of post-traumatic stress and depression. This study aimed to assess the level of stress in dental students in the context of the outbreak of the SARS-CoV-2 virus pandemic. A survey on the PSS-10 scale was prepared to measure the level of perceived stress. The study included 164 dental students at the Faculty of Medical Sciences of the Medical University of Silesia in Katowice, Poland. The results showed the impact of COVID-19 on the stress of students, with 67.7% reporting high levels of stress. The study also revealed that stress was higher among older female students. This paper recommends that the university provide more intensive psychological care as psychological first aid strategies in epidemics or natural disasters and to consider telemedicine in order to deliver services due to the limitations of the pandemic

Gyrocardiography: A Review of the Definition, History, Waveform Description, and Applications

Gyrocardiography (GCG) is a non-invasive technique of analyzing cardiac vibrations by a MEMS (microelectromechanical system) gyroscope placed on a chest wall. Although its history is short in comparison with seismocardiography (SCG) and electrocardiography (ECG), GCG becomes a technique which may provide additional insight into the mechanical aspects of the cardiac cycle. In this review, we describe the summary of the history, definition, measurements, waveform description and applications of gyrocardiography. The review was conducted on about 55 works analyzed between November 2016 and September 2020. The aim of this literature review was to summarize the current state of knowledge in gyrocardiography, especially the definition, waveform description, the physiological and physical sources of the signal and its applications. Based on the analyzed works, we present the definition of GCG as a technique for registration and analysis of rotational component of local cardiac vibrations, waveform annotation, several applications of the gyrocardiography, including, heart rate estimation, heart rate variability analysis, hemodynamics analysis, and classification of various cardiac diseases

Heart Rate Variability Analysis on Electrocardiograms, Seismocardiograms and Gyrocardiograms on Healthy Volunteers

Physiological variation of the interval between consecutive heartbeats is known as the heart rate variability (HRV). HRV analysis is traditionally performed on electrocardiograms (ECG signals) and has become a useful tool in the diagnosis of different clinical and functional conditions. The progress in the sensor technique encouraged the development of alternative methods of analyzing cardiac activity: Seismocardiography and gyrocardiography. In our study we performed HRV analysis on ECG, seismocardiograms (SCG signals) and gyrocardiograms (GCG signals) using the PhysioNet Cardiovascular Toolbox. The heartbeats in ECG were detected using the Pan–Tompkins algorithm and the heartbeats in SCG and GCG signals were detected as peaks within 100 ms from the occurrence of the ECG R waves. The results of time domain, frequency domain and nonlinear HRV analysis on ECG, SCG and GCG signals are similar and this phenomenon is confirmed by very strong linear correlation of HRV indices. The differences between HRV indices obtained on ECG and SCG and on ECG and GCG were statistically insignificant and encourage using SCG or GCG for HRV estimation. Our results of HRV analysis confirm stronger correlation of HRV indices computed on ECG and GCG signals than on ECG and SCG signals because of greater tolerance to inter-subject variability and disturbances

The Influence of Gender and Year of Study on Stress Levels and Coping Strategies among Polish Dental

Background and objectives: Stress is a common term used to describe various adverse psychological conditions. Students in the dentistry field face many negative psychological outcomes. The core factors for stress among dental students are related to their training course and social contacts with peers. This research aimed to assess the stress of dental students depending on their gender and study year. Materials and methods: We used the Perceived Stress Scale (PSS-10) and Mini-COPE questionnaire. The surveys were conducted among 446 dental students (320 women and 126 men) at the Faculty of Medical Sciences of the Medical University of Silesia in Katowice. Results: For the second-year and fifth-year students, the differences in scores were statistically significant, while in both cases, men had significantly lower values on the analysed scale. The results of the Kruskal-Wallis test indicated significantly lower values on the PSS-10 scale for the third-year and fourth-year students than in first-year students. The performed statistical analysis of the data obtained from the Mini-COPE questionnaire showed significant differences between men and women in individual years of study. In the first year, women chose more often the strategies related to turning to religion (p = 0.007), seeking emotional support (p = 0.046), seeking instrumental support (p = 0.045) and dealing with something else (p = 0.029) in coping with stress than men. Conclusions: The highest level of stress was found among first-year dental students. Moreover, women were characterised with higher stress levels than men. Men more often use psychoactive substances and resort to a sense of humour to cope with stress. On the other hand, women turn to religion, seek instrumental and emotional support

The Relationship between Stress Levels Measured by a Questionnaire and the Data Obtained by Smart Glasses and Finger Pulse Oximeters among Polish Dental Students

Stress is a physical, mental, or emotional response to a change and is a significant problem in modern society. In addition to questionnaires, levels of stress may be assessed by monitoring physiological signals, such as via photoplethysmogram (PPG), electroencephalogram (EEG), electrocardiogram (ECG), electrodermal activity (EDA), facial expressions, and head and body movements. In our study, we attempted to find the relationship between the perceived stress level and physiological signals, such as heart rate (HR), head movements, and electrooculographic (EOG) signals. The perceived stress level was acquired by self-assessment questionnaires in which the participants marked their stress level before, during, and after performing a task. The heart rate was acquired with a finger pulse oximeter and the head movements (linear acceleration and angular velocity) and electrooculographic signals were recorded with JINS MEME ES_R smart glasses (JINS Holdings, Inc., Tokyo, Japan). We observed significant differences between the perceived stress level, heart rate, the power of linear acceleration, angular velocity, and EOG signals before performing the task and during the task. However, except for HR, these signals were poorly correlated with the perceived stress level acquired during the task

Recognition of Drivers’ Activity Based on 1D Convolutional Neural Network

Background and objective: Driving a car is a complex activity which involves movements of the whole body. Many studies on drivers’ behavior are conducted to improve road traffic safety. Such studies involve the registration and processing of multiple signals, such as electroencephalography (EEG), electrooculography (EOG) and the images of the driver’s face. In our research, we attempt to develop a classifier of scenarios related to learning to drive based on the data obtained in real road traffic conditions via smart glasses. In our approach, we try to minimize the number of signals which can be used to recognize the activities performed while driving a car. Material and methods: We attempt to evaluate the drivers’ activities using both electrooculography (EOG) and a deep learning approach. To acquire data we used JINS MEME smart glasses furnished with 3-point EOG electrodes, 3-axial accelerometer and 3-axial gyroscope. Sensor data were acquired on 20 drivers (ten experienced and ten learner drivers) on the same 28.7 km route under real road conditions in southern Poland. The drivers performed several tasks while wearing the smart glasses and the tasks were linked to the signal during the drive. For the recognition of four activities (parking, driving through a roundabout, city traffic and driving through an intersection), we used one-dimensional convolutional neural network (1D CNN). Results: The maximum accuracy was 95.6% on validation set and 99.8% on training set. The results prove that the model based on 1D CNN can classify the actions performed by drivers accurately. Conclusions: We have proved the feasibility of recognizing drivers’ activity based solely on EOG data, regardless of the driving experience and style. Our findings may be useful in the objective assessment of driving skills and thus, improving driving safety

Sensor-Based Classification of Primary and Secondary Car Driver Activities Using Convolutional Neural Networks

To drive safely, the driver must be aware of the surroundings, pay attention to the road traffic, and be ready to adapt to new circumstances. Most studies on driving safety focus on detecting anomalies in driver behavior and monitoring cognitive capabilities in drivers. In our study, we proposed a classifier for basic activities in driving a car, based on a similar approach that could be applied to the recognition of basic activities in daily life, that is, using electrooculographic (EOG) signals and a one-dimensional convolutional neural network (1D CNN). Our classifier achieved an accuracy of 80% for the 16 primary and secondary activities. The accuracy related to activities in driving, including crossroad, parking, roundabout, and secondary activities, was 97.9%, 96.8%, 97.4%, and 99.5%, respectively. The F1 score for secondary driving actions (0.99) was higher than for primary driving activities (0.93–0.94). Furthermore, using the same algorithm, it was possible to distinguish four activities related to activities of daily life that were secondary activities when driving a car

Experiences of the Telemedicine and eHealth Conferences in Poland—A Cross-National Overview of Progress in Telemedicine

The progress in telemedicine can be observed globally and locally. Technological changes in telecommunications systems are intertwined with developments in telemedicine. The recent COVID-19 pandemic has expanded the potential of teleconsultations and telediagnosis solutions in all areas of medicine. This article presents: (1) an overview of milestones in the development of telecommunications systems that allow progress in telemedicine and (2) an analysis of the experiences of the last seven conferences of telemedicine and eHealth in Poland. The telemedicine and eHealth conferences have grown steadily in Poland since their inception in the late 1990s. An exemplary conference program content was used to assess the scientific maturity of the conference, measured by the indices of research dissemination and the impact of publications. The overview presents progress in selected areas of telemedicine, looking at local developments and broader changes. The growing interest in telemedicine in the world’s medical sciences is demonstrated by visibility metrics in Google Scholar, Pubmed, Scopus and Web of Science. National scientific events are assumed to raise interest in the population and influence the creation of general policies. As seen in the example of Poland, the activity of the scientific community gathered around the Polish Telemedicine Society led to novel legal acts that allowed the general practice of telemedicine during the SARS-CoV-2 pandemic. Local scientific conferences focusing on telemedicine research can be a catalyst for changes in attitudes and regulations and the preparation of recommendations for the practice of telemedicine and electronic health. On the basis of the results of this study, it can be concluded that the progress in telemedicine cannot be analyzed in isolation from the ubiquitous developments in technology and telecommunications. More research is needed to assess the cumulative impact of long-standing scientific conferences in telemedicine, as exemplified by the telemedicine and eHealth conferences in Poland

The detection of alcohol intoxication using electrooculography signals from smart glasses and machine learning techniques

The operation of a motor vehicle under the influence of alcohol poses a significant risk to the safety of the driver, passengers, and other road users. Electrooculographic (EOG) signal analysis can be used to understand the movements and behavior of the eyes while driving. In our study, we used smart glasses to collect EOG data from nine participants who used a driving simulator. Their level of alcoholic intoxication was simulated by drunk vision goggles at three different levels of inebriation (0, 1, 2, and 3‰ blood alcohol content). We used machine learning algorithms (decision trees, support vector machines, nearest-neighbor classifiers, boosted trees, bagged trees, subspace discriminant classifier, subspace k nearest-neighbor classifier, and RUSBoosted Trees) to analyze the data. The Bagged Trees achieved the highest accuracy of 79%. The most important features to detect simulated alcohol intoxication were the blink rate and the velocity of the saccade, a rapid simultaneous movement of both eyes in the same direction. Our study shows the potential of using smart glasses and machine learning for the automated detection of alcohol intoxication, even when alcohol consumption is simulated

Experiences of the Telemedicine and eHealth Conferences in Poland—A Cross-National Overview of Progress in Telemedicine

The progress in telemedicine can be observed globally and locally. Technological changes in telecommunications systems are intertwined with developments in telemedicine. The recent COVID-19 pandemic has expanded the potential of teleconsultations and telediagnosis solutions in all areas of medicine. This article presents: (1) an overview of milestones in the development of telecommunications systems that allow progress in telemedicine and (2) an analysis of the experiences of the last seven conferences of telemedicine and eHealth in Poland. The telemedicine and eHealth conferences have grown steadily in Poland since their inception in the late 1990s. An exemplary conference program content was used to assess the scientific maturity of the conference, measured by the indices of research dissemination and the impact of publications. The overview presents progress in selected areas of telemedicine, looking at local developments and broader changes. The growing interest in telemedicine in the world’s medical sciences is demonstrated by visibility metrics in Google Scholar, Pubmed, Scopus and Web of Science. National scientific events are assumed to raise interest in the population and influence the creation of general policies. As seen in the example of Poland, the activity of the scientific community gathered around the Polish Telemedicine Society led to novel legal acts that allowed the general practice of telemedicine during the SARS-CoV-2 pandemic. Local scientific conferences focusing on telemedicine research can be a catalyst for changes in attitudes and regulations and the preparation of recommendations for the practice of telemedicine and electronic health. On the basis of the results of this study, it can be concluded that the progress in telemedicine cannot be analyzed in isolation from the ubiquitous developments in technology and telecommunications. More research is needed to assess the cumulative impact of long-standing scientific conferences in telemedicine, as exemplified by the telemedicine and eHealth conferences in Poland