Non Contact Heart Monitoring

Electrocardiograms are one of the most widely used methods for evaluating the structure-function relationships of the heart in health and disease. This book is the first of two volumes which reviews recent advancements in electrocardiography. This volume lays the groundwork for understanding the technical aspects of these advancements. The five sections of this volume, Cardiac Anatomy, ECG Technique, ECG Features, Heart Rate Variability and ECG Data Management, provide comprehensive reviews of advancements in the technical and analytical methods for interpreting and evaluating electrocardiograms. This volume is complemented with anatomical diagrams, electrocardiogram recordings, flow diagrams and algorithms which demonstrate the most modern principles of electrocardiography. The chapters which form this volume describe how the technical impediments inherent to instrument-patient interfacing, recording and interpreting variations in electrocardiogram time intervals and morphologies, as well as electrocardiogram data sharing have been effectively overcome. The advent of novel detection, filtering and testing devices are described. Foremost, among these devices are innovative algorithms for automating the evaluation of electrocardiograms. Permanenet links: Full chapter: http://www.intechopen.com/articles/show/title/non-contact-heart-monitoring Book: http://www.intechopen.com/books/show/title/advances-in-electrocardiograms-methods-and-analysi

Accuracy and Precision of Wearable Devices for Real-Time Monitoring of Swimming Athletes

none4noNowadays, the use of wearable devices is spreading in different fields of application, such as healthcare, digital health, and sports monitoring. In sport applications, the present trend is to continuously monitor the athletes’ physiological parameters during training or competitions to maximize performance and support coaches. This paper aims to evaluate the performances in heart rate assessment, in terms of accuracy and precision, of both wrist-worn and chest-strap commercial devices used during swimming activity, considering a test population of 10 expert swimmers. Three devices were employed: Polar H10 cardiac belt, Polar Vantage V2, and Garmin Venu Sq smartwatches. The former was used as a reference device to validate the data measured by the two smartwatches. Tests were performed both in dry and wet conditions, considering walking/running on a treadmill and different swimming styles in water, respectively. The measurement accuracy and precision were evaluated through standard methods, i.e., Bland–Altman plot, analysis of deviations, and Pearson’s correlation coefficient. Results show that both precision and accuracy worsen during swimming activity (with an absolute increase of the measurement deviation in the range of 13–56 bpm for mean value and 49–52 bpm for standard deviation), proving how water and arms movement act as relevant interference inputs. Moreover, it was found that wearable performance decreases when activity intensity increases, highlighting the need for specific research for wearable applications in water, with a particular focus on swimming-related sports activitiesCosoli, Gloria; Antognoli, Luca; Veroli, Valentina; Scalise, LorenzoCosoli, Gloria; Antognoli, Luca; Veroli, Valentina; Scalise, Lorenz

Heartbeat detection by Laser Doppler Vibrometry and Machine Learning

none6openAntognoli, Luca; Moccia, Sara; Migliorelli, Lucia; Casaccia, Sara; Scalise, Lorenzo; Frontoni, EmanueleAntognoli, Luca; Moccia, Sara; Migliorelli, Lucia; Casaccia, Sara; Scalise, Lorenzo; Frontoni, Emanuel

Wireless Sensing for the Respiratory Activity of Human Beings: Measurements and Wide-band Numerical Analysis

An electromagnetic sensing system for the measurement of the respiratory activity is presented. The aims are to demonstrate the feasibility of the proposed approach and in particular to evaluate the effect on the measured signal of the distance between the subject and the sensing apparatus. Moreover, an electromagnetic model of the system, including the monitored subject, is proposed as a tool to solve the problem of selecting working parameters for system design. The sensing system is based on the measurement of the phase variation of the reflection coefficient caused by the respiratory activity. The phase signal compared with the thorax displacement measured by a reference instrument shows a high correlation () for different subject postures (sitting, standing, and lying) and a reduction of the signal amplitude with the distance  dB/cm is reported. The numerical simulations performed on a wide-band highlight the frequencies where the method exhibits the highest sensitivity to thorax movements. The sensitivity can be further improved by reducing the antenna beamwidth. Despite the signal amplitude reduction, the proposed system makes it possible to correctly operate at distances up to 2.5 m

Development of a Novel Medical Device for Mucositis and Peri-Implantitis Treatment

In spite of all the developments in dental implantology techniques, peri-implant diseases are frequent (prevalence up to 80% and 56% of subjects for mucositis and peri-implantitis, respectively) and there is an urgency for an effective treatment strategy. This paper presents an innovative electromedical device for the electromagnetic treatment of mucositis and peri-implantitis diseases. This device is also equipped with a measurement part for bioimpedance, which reflects the health conditions of a tissue, thus allowing clinicians to objectively detect impaired areas and to monitor the severity of the disease, evaluate the treatment efficacy, and adjust it accordingly. The design of the device was realized considering literature data, clinical evidence, numerical simulation results, and electromagnetic compatibility (EMC) pre-compliance tests, involving both clinicians and engineers, to better understand all the needs and translate them into design requirements. The reported system is being tested in more than 50 dental offices since 2019, providing efficient treatments for mucositis and peri-implantitis, with success rates of approximately 98% and 80%, respectively

A New Method for the Experimental Assessment of Finger Haemodynamic Effects Induced by a Hydraulic Breaker in Operative Conditions

Abstract: A New Method for the Experimental Assessment of Finger Haemodynamic Effects Induced by a Hydraulic Breaker in Operative Conditions: Matteo VALENTINO, et al

Luminescence and Structural Characterization of Gd2O2S Scintillators Doped with Tb3+, Ce3+, Pr3+ and F for Imaging Applications

none14siRadiodiagnostic technologies are powerful tools for preventing diseases and monitoring the condition of patients. Medicine and sectors such as industry and research all use this inspection methodology. This field demands innovative and more sophisticated systems and materials for improving resolution and sensitivity, leading to a faster, reliable, and safe diagnosis. In this study, a large characterization of gadolinium oxysulfide (Gd2O2S) scintillator screens for imaging applications has been carried out. Seven scintillator samples were doped with praseodymium (Pr3+), terbium (Tb3+) activators and co-doped with praseodymium, cerium, and fluorine (Gd2O2S:Pr,Ce,F). The sample screens were prepared in the laboratory in the form of high packing density screens, following the methodology used in screen sample preparation in infrared spectroscopy and luminescence. Parameters such as quantum detection efficiency (QDE), energy absorption efficiency (EAE), and absolute luminescence efficiency (ALE) were evaluated. In parallel, a structural characterization was performed, via XRD and SEM analysis, for quality control purposes as well as for correlation with optical properties. Spatial resolution properties were experimentally evaluated via the Modulation Transfer Function. Results were compared with published data about Gd2O2S:Pr,Ce,F screens produced with a standard method of a sedimentation technique. In particular, the ALE rose with the X-ray tube voltage up to 100 kVp, while among the different dopants, Gd2O2S:Pr exhibited the highest ALE value. When comparing screens with different thicknesses, a linear trend for the ALE value was not observed; the highest ALE value was measured for the 0.57 mm thick Gd2O2S:Pr,Ce,F sample, while the best MTF values were found in the thinner Gd2O2S:Pr,Ce,F screen with 0.38 mm thickness.De Martinis, Alessia; Montalto, Luigi; Scalise, Lorenzo; Rinaldi, Daniele; Mengucci, Paolo; Michail, Christos; Fountos, George; Martini, Nicki; Koukou, Vaia; Valais, Ioannis; Bakas, Athanasios; Fountzoula, Christine; Kandarakis, Ioannis; David, StratosDe Martinis, Alessia; Montalto, Luigi; Scalise, Lorenzo; Rinaldi, Daniele; Mengucci, Paolo; Michail, Christos; Fountos, George; Martini, Nicki; Koukou, Vaia; Valais, Ioannis; Bakas, Athanasios; Fountzoula, Christine; Kandarakis, Ioannis; David, Strato

Comparison Between Invasive and Noninvasive Methods to Estimate Subendocardial Oxygen Supply and Demand Imbalance

Background Estimation of the balance between subendocardial oxygen supply and demand could be a useful parameter to assess the risk of myocardial ischemia. Evaluation of the subendocardial viability ratio (SEVR, also known as Buckberg index) by invasive recording of left ventricular and aortic pressure curves represents a valid method to estimate the degree of myocardial perfusion relative to left ventricular workload. However, routine clinical use of this parameter requires its noninvasive estimation and the demonstration of its reliability. Methods and Results Arterial applanation tonometry allows a noninvasive estimation of SEVR as the ratio of the areas directly beneath the central aortic pressure curves obtained during diastole (myocardial oxygen supply) and during systole (myocardial oxygen demand). However, this "traditional" method does not account for the intra-ventricular diastolic pressure and proper allocation to systole and diastole of left ventricular isometric contraction and relaxation, respectively, resulting in an overestimation of the SEVR values. These issues are considered in the novel method for SEVR assessment tested in this study. SEVR values estimated with carotid tonometry by "traditional" and "new" method were compared with those evaluated invasively by cardiac catheterization. The "traditional" method provided significantly higher SEVR values than the reference invasive SEVR: average of differences +/- SD= 44 +/- 11% (limits of agreement: 23% - 65%). The noninvasive "new" method showed a much better agreement with the invasive determination of SEVR: average of differences +/- SD= 0 +/- 8% (limits of agreement: -15% to 16%). Conclusions Carotid applanation tonometry provides valid noninvasive SEVR values only when all the main factors determining myocardial supply and demand flow are considered

Experimental and Numerical dynamic characterization of a human tibia

Many studies form the early 70s have determined the possibility, through the use of vibrations, to analyze the response of a human tibia in order to study its dynamic behavior under different excitation conditions and for different purposes. Comparative studies between contact and non-contact techniques have been carried out over the years, but in the case of non-uniform structures in form and materials, such as a human tibia, there is a lack of information. The aim of this paper is to dynamically characterize a human tibia replica,with the same mechanical and morphological proprieties, with and without an external fixation system highlighting limits and advantages of contact and non-contact approaches. This work proposes a comparison, in terms of FRFs and modal parameters, between the tibia alone and in the presence of an external fixation system, moreover the experimental data are compared also with a numerical model of such structures. Tests have been carried out using a mono-axial accelerometer for the contact measurement approaches and a laser Doppler vibrometer (632nm wavelength) for the non-contact one. The tibia has been placed on a foam support in order to simulate free-free conditions. The input was supplied both by a shaker and by a micro-hammer, keeping the same excitation direction. Results show that shaker-based excitation and micro-hammer excitation method can cause issues on the response measured with lasers. Modal analysis results tend to smooth these issues, even though laser-based data tend to senses a vertical in-plane in correspondence of the third horizontal mode because multiple components are sensed simultaneously during the scan