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1.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 41(3): 455-460, 2024 Jun 25.
Article in Chinese | MEDLINE | ID: mdl-38932530

ABSTRACT

The main magnetic field, generated by the excitation coil of the magnetic induction phase shift technology detection system, is mostly dispersed field with small field strength, and the offset effect needs to be further improved, which makes the detection signal weak and the detection system difficult to achieve quantitative detection, thus the technology is rarely used in vivo experiments and clinical trials. In order to improve problems mentioned above, a new Helmholtz birdcage sensor was designed. Stimulation experiment was carried out to analyze the main magnetic field in aspects of intensity and magnetic distribution, then different bleeding volume and bleeding rates experiments were conducted to compared with traditional sensors. The results showed that magnetic field intensity in detection region was 2.5 times than that of traditional sensors, cancellation effect of the main magnetic field was achieved, the mean value of phase difference of 10 mL rabbit blood was (-3.34 ± 0.21)°, and exponential fitting adjusted R 2 between phase difference and bleeding volumes and bleeding rates were both 0.99. The proposed Helmholtz birdcage sensor has a uniform magnetic field with a higher field strength, enable more accurate quantification of hemorrhage and monitored change of bleeding rates, providing significance in magnetic induced technology research for cerebral hemorrhage detection.


Subject(s)
Cerebral Hemorrhage , Magnetic Fields , Animals , Rabbits
2.
J Phys Chem Lett ; 15(4): 1089-1096, 2024 Feb 01.
Article in English | MEDLINE | ID: mdl-38261607

ABSTRACT

The catalytic activity of single-atom catalysts (SACs) is crucially affected by the actual ligand configurations under the reaction condition; thus, carefully considering the reaction condition is crucial for the theoretical design of SACs. With single metal atoms supported by g-C3N4 as a model system, a self-consistent screening framework is proposed for the theoretical design of SACs with respect to the nitrogen reduction reaction (NRR). Pourbaix diagrams are constructed on the basis of various co-adsorption configurations of N2, H, and OH. Possible stable configurations containing N2 under the expected reaction condition are considered to obtain the limiting potential of NRR, and the stability of the configuration at the calculated UL is rechecked. With this framework, AC stacking of double-layer g-C3N4-supported Nb and AA stacking and AB stacking of double-layer g-C3N4-supported W are predicted to exhibit superior NRR activity with UL values of -0.36, -0.45, and -0.52 V, respectively. This procedure can be widely applied to the screening of SACs for electrocatalytic reactions.

3.
Biomed Eng Online ; 22(1): 78, 2023 Aug 09.
Article in English | MEDLINE | ID: mdl-37559130

ABSTRACT

BACKGROUND: Cerebrovascular autoregulation (CVAR) is the mechanism that maintains constant cerebral blood flow by adjusting the caliber of the cerebral vessels. It is important to have an effective, contactless way to monitor and assess CVAR in patients with ischemia. METHODS: The adjustment of cerebral blood flow leads to changes in the conductivity of the whole brain. Here, whole-brain conductivity measured by the magnetic induction phase shift method is a valuable alternative to cerebral blood volume for non-contact assessment of CVAR. Therefore, we proposed the correlation coefficient between spontaneous slow oscillations in arterial blood pressure and the corresponding magnetic induction phase shift as a novel index called the conductivity reactivity index (CRx). In comparison with the intracranial pressure reactivity index (PRx), the feasibility of the conductivity reactivity index to assess CVAR in the early phase of cerebral ischemia has been preliminarily confirmed in animal experiments. RESULTS: There was a significant difference in the CRx between the cerebral ischemia group and the control group (p = 0.002). At the same time, there was a significant negative correlation between the CRx and the PRx (r = - 0.642, p = 0.002) after 40 min after ischemia. The Bland-Altman consistency analysis showed that the two indices were linearly related, with a minimal difference and high consistency in the early ischemic period. The sensitivity and specificity of CRx for cerebral ischemia identification were 75% and 20%, respectively, and the area under the ROC curve of CRx was 0.835 (SE = 0.084). CONCLUSION: The animal experimental results preliminarily demonstrated that the CRx can be used to monitor CVAR and identify CVAR injury in early ischemic conditions. The CRx has the potential to be used for contactless, global, bedside, and real-time assessment of CVAR of patients with ischemic stroke.


Subject(s)
Brain Ischemia , Brain , Animals , Rabbits , Monitoring, Physiologic/methods , Brain/blood supply , Cerebral Infarction , Cerebrovascular Circulation/physiology , Homeostasis/physiology , Intracranial Pressure/physiology
4.
Small ; 19(30): e2302266, 2023 Jul.
Article in English | MEDLINE | ID: mdl-37178389

ABSTRACT

Electroreduction of nitrate to ammonia reaction (NO3 - RR) is considered as a promising carbon-free energy technique, which can eliminate nitrate from waste-water also produce value-added ammonia. However, it remains a challenge for achieving satisfied ammonia selectivity and Faraday efficiency (FE) due to the complex multiple-electron reduction process. Herein, a novel Tandem electrocatalyst that Ru dispersed on the porous graphitized C3 N4 (g-C3 N4 ) encapsulated with self-supported Cu nanowires (denoted as Ru@C3 N4 /Cu) for NO3 - RR is presented. As expected, a high ammonia yield of 0.249 mmol h-1  cm-2 at -0.9 V and high FENH3 of 91.3% at -0.8 V versus RHE can be obtained, while achieving excellent nitrate conversion (96.1%) and ammonia selectivity (91.4%) in neutral solution. In addition, density functional theory (DFT) calculations further demonstrate that the superior NO3 - RR performance is mainly resulted from the synergistic effect between the Ru and Cu dual-active sites, which can significantly enhance the adsorption of NO3 - and facilitate hydrogenation, as well as suppress the hydrogen evolution reaction, thus lead to highly improved NO3 - RR performances. This novel design strategy would pave a feasible avenue for the development of advanced NO3 - RR electrocatalysts.

5.
J Phys Chem Lett ; 14(18): 4185-4191, 2023 May 11.
Article in English | MEDLINE | ID: mdl-37114901

ABSTRACT

Electrocatalytic reduction of nitrate (NO3RR) to synthesize ammonia (NH3) can effectively degrade nitrate while producing a valuable product. By utilizing density functional theory calculations, we investigate the potential catalytic performance of a range of single transition-metal (TM) atoms supported on nitrogenated holey doped graphene (g-C2N) (TM/g-C2N) for the reduction of nitrates to NH3. Based on the screening procedure, Zr/g-C2N and Hf/g-C2N are predicted as potential electrocatalysts for the NO3RR with limiting potential (UL) values of -0.28 and -0.27 V, respectively. The generation of byproducts such as dioxide (NO2), nitric oxide (NO), and nitrogen (N2) is hindered on Zr/g-C2N and Hf/g-C2N due to the high energy cost. The NO3RR activity of TM/g-C2N is closely related to the adsorption free energy of NO3-. The study not only proposes a competent electrocatalyst for enhancing NO3RR in ammonia synthesis but also provides a comprehensive understanding of the NO3RR mechanism.

6.
Front Bioeng Biotechnol ; 11: 1082254, 2023.
Article in English | MEDLINE | ID: mdl-36911185

ABSTRACT

Introduction: Mechanical properties of biological tissue are important for numerical simulations. Preservative treatments are necessary for disinfection and long-term storage when conducting biomechanical experimentation on materials. However, few studies have been focused on the effect of preservation on the mechanical properties of bone in a wide strain rate. The purpose of this study was to evaluate the influence of formalin and dehydration on the intrinsic mechanical properties of cortical bone from quasi-static to dynamic compression. Methods: Cube specimens were prepared from pig femur and divided into three groups (fresh, formalin, and dehydration). All samples underwent static and dynamic compression at a strain rate from 10-3 s-1 to 103 s-1. The ultimate stress, ultimate strain, elastic modulus, and strain-rate sensitivity exponent were calculated. A one-way ANOVA test was performed to determine if the preservation method showed significant differences in mechanical properties under at different strain rates. The morphology of the macroscopic and microscopic structure of bones was observed. Results: The results show that ultimate stress and ultimate strain increased as the strain rate increased, while the elastic modulus decreased. Formalin fixation and dehydration did not affect elastic modulus significantly whereas significantly increased the ultimate strain and ultimate stress. The strain-rate sensitivity exponent was the highest in the fresh group, followed by the formalin group and dehydration group. Different fracture mechanisms were observed on the fractured surface, with fresh and preserved bone tending to fracture along the oblique direction, and dried bone tending to fracture along the axial direction. Discussion: In conclusion, preservation with both formalin and dehydration showed an influence on mechanical properties. The influence of the preservation method on material properties should be fully considered in developing a numerical simulation model, especially for high strain rate simulation.

7.
Med Phys ; 50(4): 2565-2576, 2023 Apr.
Article in English | MEDLINE | ID: mdl-36433681

ABSTRACT

BACKGROUND: Magnetic-induction phase shift (MIPS) was rarely used in vivo and clinically because of low sensitivity and nonquantitative detection. The conventional single excitation coil and single detection coil (single coil-coil) generates divergent excitation magnetic field, resulting in different sensitivity of different object positions. PURPOSE: To improve the sensitivity and linearity of MIPS and object volume to realize quantitative detection, a novel sensor system was proposed. METHODS: The novel sensor system adopted uniform rotating magnetic field replacing the divergent magnetic field for the first time integrated with primary field cancellation. The uniform rotating magnetic field was generated by a birdcage coil excited by two orthogonal current; the primary field cancellation was realized by a specially arranged solenoid receiver coil installed co-axially with the birdcage coil detecting the z, not x and y-component of the secondary magnetic field. RESULTS: The saltwater simulation experiment showed that MIPS changed high linearity with the injection volume of all four different conductivity solutions. The experimental results of rabbit cerebral hemorrhage (CH) revealed that with injected blood volume increased to 3 ml, the MIPS linearly decreased to -1.916°, which was 5.5 times higher than that of the single coil-coil method. CONCLUSION: Compared with the single coil-coil method, this novel detection system was more sensitive and linearly correlated for the detection of bleeding volume. It provided the probability of quantitative detection of the CH volume and a series of brain-content diseases.


Subject(s)
Cerebral Hemorrhage , Magnetic Fields , Animals , Rabbits , Cerebral Hemorrhage/diagnosis , Computer Simulation , Phantoms, Imaging , Physical Phenomena , Magnetic Resonance Imaging/methods
8.
Front Public Health ; 10: 972948, 2022.
Article in English | MEDLINE | ID: mdl-36438283

ABSTRACT

Background: Road traffic safety has considerably improved in China. However, the changes may differ in the economically backward and altitude higher western region. This study aims to investigate changes in the occurrence and severity of traffic casualties in western China and illuminate several key causal factors. Materials and methods: Traffic accident data from the Annual Traffic Accident Statistics Report combined with population and vehicle data from the China Statistics Bureau between 2009 and 2019, were retrospectively analyzed. Traffic accident numbers, fatalities, human injury (HI), case fatality rates (CFR), mortality per 100,000 population (MRP), and mortality per 10,000 vehicles (MRV) were compared between the western and eastern regions. The HI, CFR, MRV, and MRP between the four groups based on the altitude of cities, below 500 meters, 500 to 1,500 meters, 1,500 to 3,000 meters, and over 3,000 meters, were compared using one-way analysis of variance. One hundred and seventy-eight cases of extremely serious traffic accidents were further analyzed in terms of accident occurrence time, vehicle type, road grade, road shape, accident pattern, and accident reason. The differences of accident characteristics between the eastern and western regions were compared using the chi-square test. Results: The number of traffic accidents and fatalities decreased in low-altitude areas in western China. However, there was a significant increasing trend in the high altitude area. The HI, CFR, MRV, and MRP were higher in the western region than that in the eastern and national. Those accident indicators tended to increase with increasing altitude. And there were statistically significant differences (p < 0.05) among groups from different altitudes. Chi-square test results show that there are statistically significant differences (p < 0.05) in term of road grade, road shape, accident pattern between eastern and western. Low-grade roads, combined curved and sloping roads, and rollover were significant features associated with traffic accidents in the western region. Bad roads were the main cause of rollover accidents in western China, which will lead to more serious casualties. Over speeding, overloading, bad weather, vehicle failure, and driver error were the top five accident causes. Conclusion: Traffic accidents are increasing in high-altitude areas of western China, and they lead to more severe casualties. The characteristics of serious traffic accidents in this part of the country differ from those of the eastern regions. Improving road safety facilities, restrictions of speed, and improving medical treatment at accident scenes may be effective measures to reduce traffic accidents related injuries in the western region.


Subject(s)
Accidents, Traffic , Motor Vehicles , Humans , Retrospective Studies , China/epidemiology , Weather
9.
ACS Nano ; 16(5): 7755-7771, 2022 05 24.
Article in English | MEDLINE | ID: mdl-35491982

ABSTRACT

The inability of commercial personal protective equipment (PPE) to inactivate microbes in the droplets/aerosols they intercept makes used PPE a potential source of cross-contamination. To make PPE spontaneously and continuously antimicrobial, we incorporate PPE with oxidase-like catalysts, which efficiently convert O2 into reactive oxygen species (ROS) without requiring any externally applied stimulus. Using a single-atom catalyst (SAC) nanoparticle containing atomically dispersed copper atoms as the reactive centers (Cu-SAC) and a silver-palladium bimetallic alloy nanoparticle (AgPd0.38) as models for oxidase-like catalysts, we show that the incorporation of oxidase-like catalysts enables PPE to inactivate bacteria in the droplets/aerosols they intercept without requiring any externally applied stimulus. Notably, this approach works both for PPE that are fibrous and woven such as a commercial KN95 facial respirator and for those made of solid plastics such as an apron. This work suggests a feasible and global approach for preventing PPE from spreading infectious diseases.


Subject(s)
Anti-Infective Agents , Personal Protective Equipment , Humans , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Oxidoreductases , Health Personnel , Aerosols , Anti-Infective Agents/pharmacology
10.
Acta Bioeng Biomech ; 24(4): 31-38, 2022.
Article in English | MEDLINE | ID: mdl-37341047

ABSTRACT

PURPOSE: The purpose of this work was to understand the biomechanical response and injury risk of thorax and abdomen of vehicle front seat occupants caused by seat belt load under different frontal crash pulses. METHODS: A vehicle-seat-occupant subsystem finite element (FE) model was developed using the a assembly of vehicle front seat and seat belt together with the THUMS (Total Human body Model for Safety) AM50 (50th% Adult Male) occupant model. Then the typical vehicle frontal crash pulses from different impact scenarios were applied to the vehicle-seat-occupant subsystem FE model, and the predictions from the occupant model were analyzed. RESULTS: The modeling results indicate that the maximum sternal compression of the occupant caused by seat belt load is not sensitive to the peek of the crash pulse but sensitive to the energy contained by the crash pulse in the phrase before seat belt load reaching its limit. Injury risk analysis implies that seat belt load of the four crash scenarios considered in the current work could induce a high thorax AIS2+ injury risk (>80%) to the occupants older than 70 years, and a potential injury risk to the spleen. CONCLUSIONS: The findings suggest that control of the energy in the first 75 ms of the crash pulse is crucial for vehicle safety design, and thorax tolerance of the older population and spleen injury prevention are the key considerations in developing of seat belt system.


Subject(s)
Accidents, Traffic , Seat Belts , Adult , Male , Humans , Biomechanical Phenomena , Thorax/physiology , Abdomen
11.
Biomed Eng Online ; 20(1): 74, 2021 Aug 03.
Article in English | MEDLINE | ID: mdl-34344370

ABSTRACT

BACKGROUND: Cerebral edema is a common condition secondary to any type of neurological injury. The early diagnosis and monitoring of cerebral edema is of great importance to improve the prognosis. In this article, a flexible conformal electromagnetic two-coil sensor was employed as the electromagnetic induction sensor, associated with a vector network analyzer (VNA) for signal generation and receiving. Measurement of amplitude data over the frequency range of 1-100 MHz is conducted to evaluate the changes in cerebral edema. We proposed an Amplitude-based Characteristic Parameter Extraction (Ab-CPE) algorithm for multi-frequency characteristic analysis over the frequency range of 1-100 MHz and investigated its performance in electromagnetic induction-based cerebral edema detection and distinction of its acute/chronic phase. Fourteen rabbits were enrolled to establish cerebral edema model and the 24 h real-time monitoring experiments were carried out for algorithm verification. RESULTS: The proposed Ab-CPE algorithm was able to detect cerebral edema with a sensitivity of 94.1% and specificity of 95.4%. Also, in the early stage, it can detect cerebral edema with a sensitivity of 85.0% and specificity of 87.5%. Moreover, the Ab-CPE algorithm was able to distinguish between acute and chronic phase of cerebral edema with a sensitivity of 85.0% and specificity of 91.0%. CONCLUSION: The proposed Ab-CPE algorithm is suitable for multi-frequency characteristic analysis. Combined with this algorithm, the electromagnetic induction method has an excellent performance on the detection and monitoring of cerebral edema.


Subject(s)
Brain Edema , Algorithms , Animals , Brain Edema/diagnosis , Electromagnetic Phenomena , Rabbits
12.
PeerJ ; 9: e10583, 2021.
Article in English | MEDLINE | ID: mdl-33505798

ABSTRACT

Intracranial hemorrhage (ICH) carrying extremely high morbidity and mortality can only be detected by CT, MRI and other large equipment, which do not meet the requirements for bedside continuous monitoring and pre-hospital first aid. Since the biological tissues have different dielectric properties except the pure resistances, and the permittivity of blood is far larger than that of other brain tissues, here a new method was used to detect events of change at the blood/tissue volume ratio by measuring of the head permittivity. In this paper, we use a self-made parallel plate capacitor to detect the intracranial hemorrhage in rabbits by contactless capacitance measurement. The sensitivity of the parallel-plate capacitor was also evaluated by the physical solution measurement. The results of physical experiments show that the capacitor can distinguish between three solutions with different permittivity, and the capacitance increased with the increase of one solution between two plates. At the next step in the animal experiment, the capacitance changes caused by 2 ml blood injection into the rabbit brain were measured. The results of animal experiments show that the capacitance was almost unchanged before and after the blood injection, but increased with the increase of the blood injection volume. The increase of capacitance caused by blood injection was much larger than that before and after blood injection (P < 0.01). The experiments show that this method is feasible for the detection of intracranial hemorrhage in a non-invasive and contactless manner.

13.
Technol Health Care ; 29(1): 111-120, 2021.
Article in English | MEDLINE | ID: mdl-32280073

ABSTRACT

BACKGROUND: Real-time clinical monitoring of cerebral edema (CE) is of great importance and requires continuously improved and optimized measurement hardware. METHODS: A new excitation source with higher frequency stability and wide output power range is presented in this work. The proposed excitation source is small in size and easy to integrate. The output power range of excitation signal used is 1.5 ∼ 33 dBm with a reference signal of 9 ∼ 11 dBm, and the phase shift stability of the excitation signal and reference signal reach 10-7 within 20 min. RESULTS: When normal saline (0.9%, 10 mL, 20 mL, 30 mL, 40 mL, and 50 mL) is injected into a human head phantom model, the magnetic induction phase shift (MIPS) changes from 252.78 ± 7.61 degrees to 252.40 ± 7.77 degrees. The MIPS signal shows a downward trend with increasing volume, indicating that MIPS can reflect the volume change of the measured object. Moreover, a more dramatic trend is visible when the solution volume increases from 0 to 10 mL and from 40 to 50 mL. This occurs where the volume increment is closer to the upper and lower sides of the over-ear sensor, where the magnetic field is strongest. CONCLUSION: The phantom simulation experiments illustrate that the proposed MIPS detection system based on a signal source can detect the real-time progress of CE. Advantages of low cost, high precision, and high sensitivity endow this system with excellent application prospects.


Subject(s)
Brain Edema , Humans , Magnetics , Monitoring, Physiologic
14.
Sci Rep ; 10(1): 21647, 2020 12 10.
Article in English | MEDLINE | ID: mdl-33303768

ABSTRACT

The hemorrhagic and the ischemic types of stroke have similar symptoms in the early stage, but their treatments are completely different. The timely and effective discrimination of the two types of stroke can considerable improve the patients' prognosis. In this paper, a 16-channel and noncontact microwave-based stroke detection system was proposed and demonstrated for the potential differentiation of the hemorrhagic and the ischemic stroke. In animal experiments, 10 rabbits were divided into two groups. One group consisted of five cerebral hemorrhage models, and the other group consisted of five cerebral ischemia models. The two groups were monitored by the system to obtain the Euclidean distance transform value of microwave scattering parameters caused by pathological changes in the brain. The support vector machine was used to identify the type and the severity of the stroke. Based on the experiment, a discrimination accuracy of 96% between hemorrhage and ischemia stroke was achieved. Furthermore, the potential of monitoring the progress of intracerebral hemorrhage or ischemia was evaluated. The discrimination of different degrees of intracerebral hemorrhage achieved 86.7% accuracy, and the discrimination of different severities of ischemia achieved 94% accuracy. Compared with that with multiple channels, the discrimination accuracy of the stroke severity with a single channel was only 50% for the intracerebral hemorrhage and ischemia stroke. The study showed that the microwave-based stroke detection system can effectively distinguish between the cerebral hemorrhage and the cerebral ischemia models. This system is very promising for the prehospital identification of the stroke type due to its low cost, noninvasiveness, and ease of operation.


Subject(s)
Microwaves , Monitoring, Physiologic , Stroke/physiopathology , Animals , Humans , Rabbits , Stroke/diagnosis , Stroke/drug therapy , Support Vector Machine , Thrombolytic Therapy
15.
Biomed Eng Online ; 19(1): 83, 2020 Nov 11.
Article in English | MEDLINE | ID: mdl-33176808

ABSTRACT

BACKGROUND: As a serious clinical disease, ischemic stroke is usually detected through magnetic resonance imaging and computed tomography. In this study, a noninvasive, non-contact, real-time continuous monitoring system was constructed on the basis of magnetic induction phase shift (MIPS) technology. The "thrombin induction method", which conformed to the clinical pathological development process of ischemic stroke, was used to construct an acute focal cerebral ischemia model of rabbits. In the MIPS measurement, a "symmetric cancellation-type" magnetic induction sensor was used to improve the sensitivity and antijamming capability of phase detection. METHODS: A 24-h MIPS monitoring experiment was carried out on 15 rabbits (10 in the experimental group and five in the control group). Brain tissues were taken from seven rabbits for the 2% triphenyl tetrazolium chloride staining and verification of the animal model. RESULTS: The nonparametric independent-sample Wilcoxon rank sum test showed significant differences (p < 0.05) between the experimental group and the control group in MIPS. Results showed that the rabbit MIPS presented a declining trend at first and then an increasing trend in the experimental group, which may reflect the pathological development process of cerebral ischemic stroke. Moreover, TTC staining results showed that the focal cerebral infarction area increased with the development of time CONCLUSIONS: Our experimental study indicated that the MIPS technology has a potential ability of differentiating the development process of cytotoxic edema from that of vasogenic edema, both of which are caused by cerebral ischemia.


Subject(s)
Cerebral Hemorrhage/physiopathology , Electric Conductivity , Magnetic Phenomena , Monitoring, Physiologic/methods , Acute Disease , Animals , Rabbits , Time Factors
16.
PeerJ ; 8: e10079, 2020.
Article in English | MEDLINE | ID: mdl-33083136

ABSTRACT

Cerebral edema (CE) is a non-specific pathological swelling of the brain secondary to any type of neurological injury. The real-time monitoring of focal CE mostly found in early stage is of great significance to reduce mortality and disability. Magnetic Induction Phase Shift (MIPS) is expected to achieve non-invasive continuous monitoring of CE. However, most existing MIPS sensors are made of hard materials which makes it difficult to accurately retrieve CE information. In this article, we designed a conformal two-coil structure and a single-coil structure, and studied their sensitivity map using finite element method (FEM). After that, the conformal MIPS sensor that is preferable for local CE monitoring was fabricated by flexible printed circuit (FPC). Next, physical experiments were conducted to investigate its performance on different levels of simulated CE solution volume, measurement distance, and bending. Subsequently, 14 rabbits were chosen to establish CE model and another three rabbits were selected as controls. The 24-hour MIPS real-time monitoring experiments was carried out to verify that the feasibility. Results showed a gentler attenuation trend of the conformal two-coil structure, compared with the single-coil structure. In addition, the novel flexible conformal MIPS sensor has a characteristic of being robust to bending according to the physical experiments. The results of animal experiments showed that the sensor can be used for CE monitoring. It can be concluded that this flexible conformal MIPS sensor is desirable for local focusing measurement of CE and subsequent multidimensional information extraction for predicting model. Also, it enables a much more comfortable environment for long-time bedside monitoring.

17.
Physiol Meas ; 41(9): 095004, 2020 10 06.
Article in English | MEDLINE | ID: mdl-32759483

ABSTRACT

OBJECTIVE: This study aimed to perform experiments to investigate the change trend in brain magnetic induction phase shift (MIPS) during hemorrhagic shock of different degrees of severity and to find the correlation between brain MIPS value and commonly used physiological indicators for detecting shock so as to explore a noninvasive method suitable for prehospital real-time detection of cerebral blood perfusion in hemorrhagic shock. APPROACH: The self-developed MIPS detection system was used to monitor the brain MIPS value in the whole process of hemorrhagic shock models of rabbits with different degrees of severity (control, mild, moderate, and severe) of shock in real time. Meanwhile, common physiological parameters, including arterial blood lactate (ABL), mean arterial pressure (MAP), heart rate (HR),core body temperature (CBT), regional cerebral blood flow (rCBF), and electroencephalogram (EEG), were also evaluated. MAIN RESULTS: The findings suggested that the brain MIPS value showed a downward trend in the shock process, and the decline degree of the MIPS value positively correlated with the severity of shock. Moreover, it showed a good detection and resolution ability in time/process and severity (P < 0.05). The MIPS values significantly correlated with ABL (P < 0.01), CBT (P < 0.01), and EEG (P < 0.05) at all four shock levels; with MAP (P < 0.05) and rCBF (P < 0.05) in the control, moderate, and severe groups; and with HR (P < 0.01) only in the severe group. SIGNIFICANCE: The results demonstrated that the brain MIPS value has the capability of detecting hemorrhagic shock. The MIPS technique is a noninvasive method suitable for prehospital real-time detection of cerebral blood perfusion in hemorrhagic shock.


Subject(s)
Brain , Cerebrovascular Circulation , Shock, Hemorrhagic , Animals , Brain/diagnostic imaging , Magnetic Phenomena , Perfusion , Rabbits , Shock, Hemorrhagic/diagnosis
18.
Technol Health Care ; 28(S1): 289-301, 2020.
Article in English | MEDLINE | ID: mdl-32364161

ABSTRACT

BACKGROUND: Hemorrhagic stroke and ischemic stroke have similar symptoms at the onset of the disease, but their clinical treatment is completely different. The early, effective identification of stroke types can effectively improve the cure rate. OBJECTIVE: In this study, an early, noncontact identification of the stroke type, i.e., hemorrhagic or ischemic, based on a microwave measurement technique was investigated. METHODS: This study was based on animal models of cerebral hemorrhage and cerebral ischemia and the design of a microwave scattering parameter measurement system. RESULTS: The accuracy of the cerebral hemorrhage model with a blood loss interval of 2 ml reached 93.75%. While the accuracy of the cerebral ischemia model with an ischemic interval of 42 minutes reached 91.7%. CONCLUSION: The experimental results show that the system for identifying cerebral stroke based on microwaves can distinguish between cerebral hemorrhage and cerebral ischemia models and effectively distinguish between different degrees of cerebral hemorrhage or different durations of cerebral ischemia. This experimental system is inexpensive, portable, noninvasive, simple, and rapid and thus has good potential as a method for identifying the stroke type prior to hospitalization.


Subject(s)
Hemorrhagic Stroke/diagnosis , Ischemic Stroke/diagnosis , Microwaves , Animals , Diagnosis, Differential , Disease Models, Animal , Female , Male , Rabbits , Sensitivity and Specificity
19.
Technol Health Care ; 27(S1): 273-285, 2019.
Article in English | MEDLINE | ID: mdl-31045546

ABSTRACT

BACKGROUND: Cerebral edema is a common secondary disease after stroke. It is very important to realize real-time continuous monitoring of cerebral edema for stroke patients. OBJECTIVE: A non-contact magnetic induction phase shift (MIPS) detection system is used to monitor the change of global brain electrical conductivity during cerebral edema. METHODS: In order to verify the feasibility of this system monitoring, we carry out salt solution simulation experiments and healthy people breath holding experiments. As a comparison of later clinical experiments, 13 young healthy volunteers aged 22-35 are selected for this study to carry out a 10 minute/time monitoring experiment. RESULTS: It is found that the MIPS values measured by the salt solution of edema and the salt solution of bleeding are significantly different. The results show that the MIPS value of healthy young people is in a stable state with an MIPS mean value of 1.106 (± 0.736)∘. Compare it with the monitoring results of a cerebral edema patient. The MIPS of patient fluctuates greatly, and the changes of MIPS and intracranial pressure show consistent trend at the peak of the edema period. CONCLUSIONS: We preliminarily verify that the system can be used for cerebral edema monitoring.


Subject(s)
Brain Edema/diagnosis , Electromagnetic Fields , Healthy Volunteers , Monitoring, Physiologic/methods , Adult , Electric Conductivity , Feasibility Studies , Female , Humans , Intracranial Pressure , Male , Monitoring, Physiologic/instrumentation , Young Adult
20.
PeerJ ; 7: e6717, 2019.
Article in English | MEDLINE | ID: mdl-30997290

ABSTRACT

Closed cerebral hemorrhage (CCH) is a common symptom in traumatic brain injury (TBI) patients who suffer intracranial hemorrhage with the dura mater remaining intact. The diagnosis of CCH patients prior to hospitalization and in the early stage of the disease can help patients get earlier treatments that improve outcomes. In this study, a noncontact, portable system for early TBI-induced CCH detection was constructed that measures the magnetic induction phase shift (MIPS), which is associated with the mean brain conductivity caused by the ratio between the liquid (blood/CSF and the intracranial tissues) change. To evaluate the performance of this system, a rabbit CCH model with two severity levels was established based on the horizontal biological impactor BIM-II, whose feasibility was verified by computed tomography images of three sections and three serial slices. There were two groups involved in the experiments (group 1 with 10 TBI rabbits were simulated by hammer hit with air pressure of 600 kPa by BIM-II and group 2 with 10 TBI rabbits were simulated with 650 kPa). The MIPS values of the two groups were obtained within 30 min before and after injury. In group 1, the MIPS values showed a constant downward trend with a minimum value of -11.17 ± 2.91° at the 30th min after 600 kPa impact by BIM-II. After the 650 kPa impact, the MIPS values in group 2 showed a constant downward trend until the 25th min, with a minimum value of -16.81 ± 2.10°. Unlike group 1, the MIPS values showed an upward trend after that point. Before the injury, the MIPS values in both group 1 and group 2 did not obviously change within the 30 min measurement. Using a support vector machine at the same time point after injury, the classification accuracy of the two types of severity was shown to be beyond 90%. Combined with CCH pathological mechanisms, this system can not only achieve the detection of early functional changes in CCH but can also distinguish different severities of CCH.

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