Photoplethysmography-based derivation of physiological information using the BioPoint.

The BioPoint is a new wireless and wearable device, targeting both the ambulatory and on-site monitoring of biosignals. It is described as being capable of streaming and recording the i) electromyography, ii) electrocardiography, iii) electrodermal activity, iv) photoplethysmography, v) skin temperature and vi) actigraphy simultaneously, while making the raw signals recorded by the sensors readily available. However, an in-depth assessment of the biophysical signals recorded by this device, as well as its ability to derive vital signs and other health metrics, remains to be carried out. Consequently, this work proposes a preliminary study to evaluate the quality of the signals that can be acquired by this wearable with a focus on the derivation of heart rate and peripheral blood oxygenation via photoplethysmography. The device is quantitatively compared to the medical-grade pulse oximeter NoninConnect 3245, by Nonin inc. This study was performed with participants wearing the BioPoint at different positions on the body (finger, wrist, forearm, biceps and plantar arch), while the NoninConnect was worn on the fingertip and used as the ground truth. The results show that the BioPoint can accurately determine both heart rate and oxygen saturation from various locations on the body. However, as the BioPoint's photoplethysmograph is not calibrated it cannot be used for medical purposes (non-medical-grade).

Optimization & Characterization of Interdigitated Electrodes for Microbial Growth Monitoring.

This study optimally designed and implemented highly sensitive microscale interdigitated electrodes (IDEs) to monitor microorganisms' growth in diverse environments. Gold interdigitated electrodes (AuIDE) with 4 mm×4 mm effective sensing area and varying microscale interdigitate gaps were designed and fabricated. The electrodes were electrically characterized voltametrically. Electrochemical impedance spectroscopy (EIS) measurements were conducted to determine the optimal geometry by observing the impedance spectra of microelectrodes through varying pH and temperature. Furthermore, the sensors sensitivity was evaluated by measuring the impedance properties of a microscale volume of microorganism concentrations in growth media solution.

A versatile wearable sEMG recording system for long-term epileptic seizure monitoring.

Surface electromyography (sEMG) can be used to detect motor epileptic seizures non-invasively. For clinical use, a compact-size, user-friendly, safe and accurate sEMG measurement system can be worn by epileptic patients to detect and characterize a seizure. Such devices must be small, wireless, power-efficient minimally invasive and robust to avoid movement artefacts, friction, and slipping of the electrode, which can compromise data integrity and/or generate false positives or false negatives. This paper presents a highly versatile device that can be worn in different locations on the body to capture sEMG signals in a freely moving user without movement artefact. The system can be safely worn on the body for several hours to capture sEMG from wet Ag/AgCl electrodes, while sEMG data is wirelessly transmitted to a host computer within a range of 20 m. We demonstrate the versatility of our sensor by recording sEMG from five different body locations in a freely moving volunteer. Then, simulated seizure data was captured while the device was placed on the extensor carpi ulnaris. We show that sEMG bursts were successfully recorded to characterize the seizure afterward. The presented sensor prototype is small (5 cm x 3.5 cm x 1 cm), lightweight (46 g), and has an autonomy of 12 hrs from a small 110-mAh battery.

The EcoChip 2: An Autonomous Sensor Platform for Multimodal Bio-environmental Monitoring of the Northern Habitat.

This paper presents the EcoChip 2, an autonomous multimodal bio-environmental sensor platform for the monitoring of microorganisms in the northern habitat. The EcoChip 2 prototype includes an array of 96-wells for the continuous monitoring of microbiological growth through a multichannel electrochemical impedance analyzer circuit. In addition, the platform includes luminosity, humidity, temperature sensors and monitoring. The developed electronic board uses an ultra-low-power microcontroller unit, a custom power management unit, a low-power wireless ISM-2.45 GHz transceiver, and a flash memory to accumulate and store the sensor data over extended monitoring periods. When a wireless base station is placed within the transmission range of the EcoChip 2, an embedded low-power wireless transceiver transmits the 96-wells impedance data and the other sensor data stored in the flash memory to the user interface. We present the measured performance of the prototype, along with laboratory test results of bacterial growth measurements inside the 96 wells in parallel. We show that the EcoChip 2 can successfully measure the impedances associated with bacterial growth over several hours using an excitation frequency of 2 kHz with power consumption of 114.6 mW under operating mode.

A Wearable Wireless Armband Sensor for High-Density Surface Electromyography Recording.

This paper presents a portable and modular wireless multichannel sensor system for high-density surface electromyography (HD-sEMG) signals acquisition. Featuring low-power and high-quality off-the-shelf components such as the Intan Technologies RHD2132 digital electrophysiology interface chip, the current iteration of the proposed sensor system allows the recording of 32 surface electromyography (sEMG) channels, each at a sampling rate of 1 kHz, and a sample resolution of 16 bits. It features the RHD2132's typical input-referred noise of 2.4 µVrms, with <; 15% variation with amplifier bandwidth as specified by the manufacturer, and a total power consumption of 49.5 mW. Data is sent in real-time to a base station using a 2.4-GHz industrial, scientific and medical (ISM) wireless link. Along with the recording platform, the integrated sensor system includes a dry surface electrodes array prototype directly built on a printed circuit board. Intended for complex muscles activity patterns detection on the forearm, the flexible 32 surface electrodes array is designed to be placed flat or to fit a curved area like the forearm in a hand gestures recognition prosthetic system. In such applications, this device will offer improved prosthesis control scheme intuitiveness and ease-of-use. Among other core features of the system are its compact, light-weight and easy to install physical design. The complete system fits on a 2 by 6.5 cm2 printed circuit board mounted on a 7.6 by 11.8 cm2 electrodes array. HD-sEMG user forearm output data collected with the system is presented with a proposed frequency-time-space cross-domain preprocessing method for visualization of HD-EMG data and building training datasets.

A Wireless Optoelectronic Neuroscience Platform for Chronic Fluorescence Sensing in Freely Behaving Rodents.

We present a new head mountable wireless fiber biophotometry microsystem conceived to detect fluorescent signal fluctuations correlated with neuronal activity. The proposed system incorporates all aspects of a conventional tethered fiber-based biophotometry system encompassed into a wireless microsystem. The interface includes an LED as excitation light source, a custom designed CMOS biosensor, a multimode fiber, a microcontroller (MCU), and a wireless data transceiver enclosed within a 3D-printed, small and light weight, plastic housing. Precisely, the system incorporates a new optoelectronic biosensor merging two individual building blocks, namely a low-noise sensing front-end and $\mathrm {a}2 ^{nd}$ order continuous-time $\Sigma \Delta $ modulator (CTSDM), into a single module for enabling high-sensitivity and high energy-efficiency photo-sensing. The proposed CMOS biosensor is implemented in $\mathrm {a}0 .18- \mu m$ CMOS technology, consuming $41 \mu W$ from $\mathrm {a}1 .8- V$ supply voltage, while achieving a peak dynamic range of $86 dB$ over a $50- Hz$ input bandwidth at a 20-kS/s sampling rate. This new interface opens new avenues for conducting in-vivo experiments with live animals.

Low-power adaptive spike detector based on a sigma-delta control loop.

This paper presents a resources-optimized digital action potential (AP) detector featuring an adaptive threshold based on a new Sigma-delta control loop. The proposed AP detector is optimized for utilizing low hardware resources, which makes it suitable for implementation on most popular low-power microcontrollers units (MCU). The adaptive threshold is calculated using a digital control loop based on a Sigma-delta modulator that precisely estimates the standard deviation of the amplitude of the neuronal signal. The detector was implemented on a popular low-power MCU and fully characterized experimentally using previously recorded neural signals with different signal-to-noise ratios. A comparison of the obtained results with other thresholding approaches shows that the proposed method can compete with high performance and highly resources demanding spike detection approaches while achieving up to 100% of true positive detection rate at high SNR, and up to 63% for an SNR as low as 0 dB, while necessitating an execution time as low as 11 µs with the MCU operating at 8 MHz.

Multichannel spike detector with an adaptive threshold based on a Sigma-delta control loop.

In this paper, we present a digital spike detector using an adaptive threshold which is suitable for real time processing of 32 electrophysiological channels in parallel. Such a new scheme is based on a Sigma-delta control loop that precisely estimates the standard deviation of the amplitude of the noise of the input signal to optimize the detection rate. Additionally, it is not dependent on the amplitude of the input signal thanks to a robust algorithm. The spike detector is implemented inside a Spartan-6 FPGA using low resources, only FPGA basic logic blocks, and is using a low clock frequency under 6 MHz for minimal power consumption. We present a comparison showing that the proposed system can compete with a dedicated off-line spike detection software. The whole system achieves up to 100% of true positive detection rate for SNRs down to 5 dB while achieving 62.3% of true positive detection rate for an SNR as low as -2 dB at a 150 AP/s firing rate.

Another feature of TURP syndrome: hyperglycaemia and lactic acidosis caused by massive absorption of sorbitol.

Endoscopic transurethral resection of the prostate (TURP) can be complicated by absorption of a large volume of irrigation fluid. The clinical features of this complication are referred as the TURP syndrome. We report a case where hyperglycaemia and lactic acidosis complicated the TURP syndrome caused by the massive absorption (approximately 15 litres) of a sorbitol- mannitol irrigation solution. The proposed mechanism is a type B lactic acidosis related to the metabolism of sorbitol.

Ethanol production from AFEX-treated forages and agricultural residues.

Lignocellulosic materials derived from forages, namely timothy grass, alfalfa, reed canary grass, and agricultural residues, such as corn stalks and barley straw, were pretreated using ammonia fiber explosion (AFEX) process. The pretreated materials were directly saccharified by cellulolytic enzymes. Sixty to 80% of theoretical yield of sugars were obtained from the pretreated biomasses. Subsequent ethanolic fermentation of the hydrolysates by Pachysolen tannophilus ATCC 32691 resulted in 40-60% of theoretical yield after 24 h, based on the sugars present in the hydrolysates. The uptake of sugars was not complete, indicating a possible inhibitory effect on P. tannophilus during the fermentation of these substrates.

A new rapid immunoinhibition pancreatic amylase assay: diagnostic value for pancreatitis.

A new rapid immunoinhibition pancreatic amylase assay was compared to total amylase and lipase in an unbiased sample of 1005 emergency department patients with suspicion of pancreatitis, of which 55 had a final diagnosis of pancreatitis. Imprecision of the assays for both amylases (less than 2.5%) were better than for lipase (less than 6.1%). Correlation (R2) of pancreatic amylase with total amylase was 0.991 but only 0.789 with lipase. Using Receiver Operator Characteristics analysis, the best diagnostic cutoff point for all three enzymes was near the upper limit of the reference interval. With pancreatic amylase, sensitivity, specificity, and predictive values for positive and negative results are, respectively, 85.5, 92.5, 39.8, and 99.1%; we found similar values for lipase but poorer values (78.2, 92.0, 36.1, and 98.7%) for total amylase. Tests combination did not improve the diagnostic performance significantly. In the diagnosis of pancreatitis, pancreatic amylase (p = 0.037) and lipase (p = 0.049) had better diagnostic performance than total amylase. The correct diagnosis of pancreatitis could be achieved in 47 instead of 43 patients with either pancreatic amylase or lipase as opposed to total amylase among 1005 patients in this study. We conclude that pancreatic amylase and lipase are incrementally better diagnostic tools than total amylase for the diagnosis of pancreatitis.

How pregnant workers see their work, its risks and the right to precautionary leave in Québec.

In 1981, the Québec government passed a law providing "precautionary leave" or reassignment to other jobs for pregnant workers exposed to a risk for their health or that of their fetus. This measure was much more popular than expected, with about 30% of pregnant workers taking leave in 1987. Uncertainty about what constitutes a risk for pregnancy, conflicts between views of pregnancy as a social or private act, and differing ideas on employers' responsibility for protection of pregnant workers have combined with worries about cost to stimulate debate on this law. Since 1986, there has been pressure on the government to restrict access to precautionary leave. This article describes research designed to answer some of the questions raised during the debate. Data banks of the Health and Safety Commission and responses of 2500 women workers were examined to characterize the jobs of women who did and those who did not take leave. Leave was usually taken by those who worked in sectors traditionally associated with risks, and women who applied for precautionary leave more often reported their working conditions to be difficult. Women taking leave accorded more importance to their maternal and domestic roles, but equal value to their roles in the workplace. The article concludes that the popularity of the measure is not due to laziness or lack of responsibility on the part of women workers, but to poor conditions in women's traditional jobs. It is suggested that more emphasis be placed on improving conditions rather than on early leave from work.

Radiation-inactivation size of transformed and non-transformed androgen receptors.

The nucleic acid sequence of the androgen receptor (AR) gene predicts that the protein structure possesses DNA- and steroid-binding domains that show high degrees of sequence similarity with those of other steroid receptors. Since the steroid-binding domain of the AR corresponds to a 30 kDa portion of the protein, and the AR structure may be monomeric or hetero-oligomeric depending on its transformation state, we have herein determined the AR radiation-inactivation size (RIS) in relation to the molecular structure whose binding activity toward methyltrienolone (R1881) is abolished by a radiation 'hit'. Soluble fractions from whole canine prostatic tissue were used as a source of non-transformed AR. The AR transformation was induced by the addition of 0.6 M-KCl, and these preparations were used together with high-salt nuclear extracts as a source of transformed AR. To maximize the binding activity, molybdate and dithiothreitol were included during AR extraction. Receptor transformation was verified by modifications of both the sedimentation coefficients (from 7.5 S to 4.1 S on sucrose gradients) and molecular masses (from 260 kDa to 115 kDa by gel filtration). The RIS values of the non-transformed and transformed ARs were not statistically different: 92 +/- 19 kDa and 110 +/- 25 kDa respectively. In addition, the inactivation of AR binding activity by radiation was attributed to a loss of binding sites, with no significant change in the Kd. When benzoic acid, a free-electron scavenger, was added together with dithiothreitol before and after irradiation, no change in the RIS value was observed. Thus, in the canine prostate, the RIS value of the AR represents the monomeric protein, independently of its association with other proteins, and this value corresponds to that predicted by cloning studies and photoaffinity-labelling of AR.

Multiple binding components for methyltrienolone in canine prostatic epithelial cells.

Using a whole cell assay system, the androgen binding capacity of canine prostatic epithelial cells was evaluated in relation to their function. Radiolabeled Methyltrienolone (R1881) was used as the ligand in the presence of an excess of Triamcinolone acetonide and the amount of [3H]R1881 bound to the cells at equilibrium was determined by either displacement or saturation studies. With immature cells in culture (3 days of attachment), displacement analysis revealed the presence of high affinity binding sites which were also present in cells cultured for 10 days. With freshly dispersed prostatic cells (mostly secretory epithelial cells) as well as with older cells in culture (17 and 24 days), only less specific binding sites were observed with both unlabeled R1881 and/or dihydrotesterone (DHT). In contrast, only the high affinity androgen receptor (AR) was present in cytosolic extracts prepared from normal glands. Displacement studies performed with cultured cells at different stages of growth also showed that the basal level as well as the degree of low affinity binding increased during the maturation of non-proliferating cells. The presence of multiple binding components was demonstrated by saturation studies performed with either cultured or freshly dispersed cells. The first component, that was saturated at 5 nM of [3H]R1881, was due to AR while the other two binding components, showing positive-cooperativity (Hill coefficients of 1.90 and 5.07, respectively), were saturated at concentrations of 15 and 30 nM of [3H]R1881. In contrast, the Hill coefficient for the AR was 0.88 indicating the presence of an independent component. It was calculated that only 11.4% of the total uptake of R1881 was attributed to AR binding, suggesting that the remainder may represent an intracellular pool of androgens. Thus, a whole cell binding assay represents a dynamic system for the detection, by saturation studies, of binding components that are not revealed using the conventional displacement studies or cell-free systems. It is proposed that these acceptor sites may play a role in differentiated prostatic function rather than in cell proliferation.

Androgen binding as evidenced by a whole cell assay system using cultured canine prostatic epithelial cells.

The androgen receptor content in the prostate has been usually evaluated using subcellular fractions without taking into account cellular and functional heterogeneity of the gland. Using enriched populations of immature canine prostatic epithelial cells cultured in primary monolayers, a whole cell assay system was developed to measure androgen receptors. Tritiated dihydrotestosterone (DHT) and/or methyltrienolone (R1881) in serum-free medium were used as ligands and Triamcinolone acetonide (0.5 microM) was added to prevent the binding of R1881 to other types of receptors. The amount of radiolabelled ligand specifically bound to the cells was determined at equilibrium. Specific binding was proportional to the number of cells seeded. Scatchard analysis revealed the presence of at least two types of binding sites. The Kd for the high affinity binding site was 2 x 10(-9) M. Competition studies indicated that this component was specific for androgens; Methyltrienolone, Mibolerone and the antiandrogen RU 23908 were the most efficient competitors. They were followed by DHT, 5 alpha-androstane-3 alpha, 17 beta-diol, testosterone, estradiol and estrone. Progesterone, 5 alpha-androstane-3 beta, 17 beta-diol and epitestosterone were not inhibitors. The level of specific binding was 11.0 +/- 7.6 fmol of bound R1881 per 10(6) cells (n = 34) or 2075 +/- 1434 fmol per mg of DNA; these values correspond to an average of 6624 +/- 4577 sites per cell. Thus, using this whole cell assay system, specific and androgen receptors were detected in immature prostatic epithelial cells in culture. This assay will therefore be useful to study the interrelationship between androgen binding activity and specific cell functions.

Analytic clinical chemistry precision and medical needs. The Canadian Interlab Program (CIP).

Precision obtained with two different serum pools used daily as internal quality-control specimens by 130 laboratories throughout Canada (Canadian Interlab Program) is reported for 14 analytes assayed by either manual or automated methods over a period of 16 months. Precision criteria set by Barnett to meet medical needs were not met for calcium, glucose, phosphorus, and urea nitrogen by more than 10% of the laboratories studied. Specific guidelines for laboratory precision are suggested for optimal and minimal performance in the assays of albumin, bilirubin, calcium, chloride, cholesterol, creatinine, glucose, phosphorus, potassium, sodium, total protein, triglyceride, urea nitrogen, and uric acid.