Detección Automática y Clasificación de Eventos en Sonidos Cardiopulmonares de Sujetos Saludables / Automatic Detection and Classification of Cardiopulmonary Events

Resumen: La auscultación de señales basada en un estetoscopio estándar y/o electrónico no solo incluye sonidos internos del cuerpo, también incluye frecuentemente ruido externo de interferencia con componentes en el mismo rango. Esta forma de examinar es incluso afectada por los umbrales auditivos variantes de los profesionales de la salud y el grado de experiencia en reconocimiento de indicadores peculiares. Además, los resultados son a menudo caracterizados en términos cualitativos descriptivos sujetos a interpretaciones individuales. Para direccionar esta preocupación, los estudios presentados en este artículo contienen un procesamiento concurrente de las componentes dominantes de sonidos del corazón (HS) y del pulmón (HS), y una etapa de acondicionamiento que incluye la reducción de HS presente en señales LS. Específicamente, la transformada de Hilbert fue una técnica de caracterización para HS. En el caso de señales enfocadas a LS, las técnicas de detección de actividad de voz y el cálculo de umbrales de algunos componentes de los vectores acústicos de Coeficientes Cepstrales en Frecuencia Mel (MFCC), fueron útiles en la caracterización de eventos acústicos asociados. Las fases de inspiración y expiración fueron diferenciadas por medio de la sexta componente de MFCC. Con el fin de evaluar la eficiencia de esta aproximación, proponemos los Modelos Ocultos de Markov con Modelos Mesclados Gaussianos (HMM-GMM). Los resultados utilizando esta forma de detección son superiores cuando se desarrolla la clasificación con modelos HMM-GMM, la cual refleja las ventajas de la forma de detección cuantificable y clasificación sobre la aproximación clínica tradicional.

Abstract: A standard and/or electronic stethoscope based auscultatory signals include not only the internal sounds of the body but also interfering external noise often with similar frequency components. This form of examination is also affected by varying thresholds of clinical practitioner's hearing and degree of experience in recognition of peculiar auscultatory indicators. Further, the results are often characterized in qualitative descriptive terms subject to individual's interpretation. To address these concerns, presented studies include concurrent processing of dominant heart (HS) and lung (LS) sounds components and a conditioning stage involving HS presence reduction within LS focused signals. Specifically as determined, the Hilbert transform was a technique of choice in HS characterization. In the case of LS focused signals, the speech activity detection techniques (VAD) and the thresholds calculation of some components of acoustic vectors of Cepstral Coefficients in Mel Frequency (MFCC), were useful in characterization of associated acoustic events. The phases of inspiration and expiration were differentiated by means of the sixth component of MFCC. In order to evaluate the efficiency of this approach, we propose Hidden Markov Models with Mixed Gaussian Models (HMM-GMM). The results utilizing this form of detection are superior when performing classification with HMM-GMM models, which reflect the advantages of presented form of quantifiable detection and classification over traditional clinical approach.

Una presentación infrecuente de un síndrome poco frecuente / An uncommon presentation of a syndrome very rare

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Saline irrigation and Zn amendment effect on Cd phytoavailability to Swiss chard (Beta vulgaris L.) grown on a long-term amended agricultural soil: a human risk assessment.

Crops, particularly in the Northeast region of Mexico, have to cope with increasing soil salinization due to irrigation. Chloride (Cl(-)) concentration has been strongly related to enhance cadmium (Cd) uptake by plants due to increased solubility in the soil solution. The effect of irrigation with slightly saline water from a local well was evaluated in this work on the accumulation and translocation of Cd in Swiss chard (Beta vulgaris L.) grown in soil historically amended with stabilized sewage sludge under a regime of phosphorus and zinc fertilization. A factorial pot experiment was conducted with two phosphate fertilizer levels (PF, 0 and 80 kg ha(-1) dry soil, respectively), two Zn levels (0 and 7 kg ha(-1) dry soil), and two sources of water for irrigation deionized water (DW) and slightly saline well water (WW) from an agricultural site. Additionally, a human risk assessment for Cd ingestion from plants was assessed. Results showed that Cl(-) salinity in the WW effectively mobilized soil Cd and increased its phytoavailability. A higher level of Cd was found in roots (46.41 mg kg(-1)) compared to shoots (10.75 mg kg(-1)). Although the total content of Cd in the edible parts of the Swiss chard irrigated with WW exceeded permissible recommended consumption limit, bioavailable cadmium in the aboveground parts of the plant in relation to the total cadmium content was in the range from 8 to 32 %. Therefore, human health risks might be overestimated when the total concentration is taken into account.