Few-mode and multi-core fibers are proposed and demonstrated for contactless vital signs monitoring in this paper.In-line optical fiber interferometers using few-mode and multi-core fibers are designed and offset spli...Few-mode and multi-core fibers are proposed and demonstrated for contactless vital signs monitoring in this paper.In-line optical fiber interferometers using few-mode and multi-core fibers are designed and offset splicing is utilized for mode excitation.Extinction ratio and insertion loss are analyzed experimentally under different offset distances.The fabricated in-line interferometers are packaged under the mattress to realize contactless vital signs signals collection.By using filtering techniques,both respiration and heartbeat signals can be recovered successfully,and respiration as well as heartbeat ratio are obtained.Mode excitation and interference are theoretically analyzed in few-mode fiber while curvature sensing experiments using multi-core fiber interferometer are performed to verify its excellent performance on vital signs monitoring.The successful demonstration on contactless vital signs monitoring makes few-mode and multi-core fibers promising candidates for healthcare applications.展开更多
This study aimed to produce a prototype system for non-contact vital sign monitoring of the elderly using microwave radar with the intention of reducing the burdens on monitored individuals and nursing caregivers. In ...This study aimed to produce a prototype system for non-contact vital sign monitoring of the elderly using microwave radar with the intention of reducing the burdens on monitored individuals and nursing caregivers. In addition, we tested the ability of the proposed prototype system to measure the respiratory and heart rates of the elderly in a nursing home and discussed the systems effectiveness and problems by examining results of real-time monitoring. The prototype system consisted of two 24-GHz microwave radar antennas and an analysis system. The antennas were positioned below a mattress to monitor motion on the body surface for measuring cardiac and respiratory rates from the dorsal side of the subjects (23.3 ± 1.2 years) who would be lying on the mattress. The heart rates determined by the prototype system correlated significantly with those measured by electrocardiography (r = 0.92). Similarly, the respiratory rates determined by the prototype correlated with those obtained from respiration curves (r = 0.94). Next, we investigated the effectiveness of the prototype system with 7 elderly patients (93.3 ± 10.56 years) at a nursing home. The proposed system appears to be a promising tool for monitoring the vital signs of the elderly in a way that alleviates the need to attach electrodes overnight to confirm patient safety.展开更多
Objective: To assess the utility and relative strength of markedly abnormal vital signs thresholds (triggers) in prediction of the needs for intensive care unit (ICU) admission from the emergency department (ED). Meth...Objective: To assess the utility and relative strength of markedly abnormal vital signs thresholds (triggers) in prediction of the needs for intensive care unit (ICU) admission from the emergency department (ED). Methods: A retrospective cohort study performed in a 37 000 annual visit, urban, community teaching ED. All adult patient encounters from July 10, 2011 to July 9, 2013 were eligible for inclusion. The primary outcome was ICU admission from the ED. We collected the incidence of trigger vital signs (heart rate>130 bpm, heart rate<40 bpm, respiratory rate>30 breaths per minute, respiratory rate< breaths 8 per minute, oxygen saturation<90%, systolic blood pressure<90 mmHg) as binary variables for each patient enrolled. Univariate and multi-variable logistic regression models were created to determine the ability of the trigger vital signs to predict ICU admission. Results: Total of 68 554 patient encounters were included in the analysis. Of these, 2 355 [3.4%, 95% confidence intervals (CI) 3.3%-3.6%] patients exhibited trigger vital signs, and 1 135 (1.7%, 95% CI 1.6%-1.8%) patients were admitted to ICU. All trigger vital signs were strongly associated with admission to the ICU and demonstrated higher odds of ICU admission with HR<40 (odds ratio 5.2, with 95% CI 2.7-10.1) being the best predictor among the studied covariates. The likelihood of ICU admission increased in a linear fashion with the number of trigger vital signs exhibited. Conclusions: Trigger vital signs serve as predictors that an ED patient may need admission to the ICU and may serve as a tool to expedite disposition of these resource-intensive patients.展开更多
Objective: Influenza is a highly infectious viral disease, which occurs epidemically almost every winter in Japan. Rapid screening of patients with suspected influenza in places of mass gathering is important to delay...Objective: Influenza is a highly infectious viral disease, which occurs epidemically almost every winter in Japan. Rapid screening of patients with suspected influenza in places of mass gathering is important to delay or prevent transmission of the infection. The aim of this study was to assess the effectiveness of our newly developed infection screening system that employed vital signs and percutaneous oxygen saturation (SpO2) as parameters in a clinical setting. Methods: Since SpO2 accurately reflects respiratory status during influenza virus infection, we upgraded our previous system by adding SpO2 as a new parameter to improve the screening accuracy. This system instantly measures SpO2 and vital signs (i.e., heart rate, respiration rate, and facial temperature), which automatically detects infected individuals via a neural network-based nonlinear discriminant function using these derived parameters. We tested the system on 45 patients with seasonal influenza (35.8℃ < body temperature < 40.0℃, 18-35 years) and 64 normal control subjects (35.0℃ < body temperature < 37.5℃, 18-30 years) at Japan Self-Defense Central Hospital in 2012. Results: The system identified 40/45 patients with influenza and 60/64 normal control subjects, and provided sensitivity, specificity, and positive and negative predictive value (PPV, NPV) of 88.8%, 93.8%, 90.9%, and 92.3%, respectively. By including SpO2 as a screening parameter, we achieved superior sensitivity and NPV compared to that reported in our previous paper (sensitivity = 88%;NPV = 82%). Conclusions: Our results suggest that SpO2 is a good screening parameter that improves the accuracy of infection screening. The proposed system has the potential to efficiently identify infected individuals, thereby delaying or preventing the spread of infection during epidemic seasons.展开更多
In this paper,the spectral estimation algorithm is extended to the detection of human vi-tal signs by mm-wave frequency modulated continuous wave(FMCW)radar,and a comprehensive algorithm based on spectrum refinement a...In this paper,the spectral estimation algorithm is extended to the detection of human vi-tal signs by mm-wave frequency modulated continuous wave(FMCW)radar,and a comprehensive algorithm based on spectrum refinement and the extended differentiate and cross multiply al-gorithm(DCMA)has been proposed.Firstly,the improved DFT algorithm is used to accurately obtain the distance window of human body.Secondly,phase ambiguity in phase extraction is avoided based on extended DCMA algorithm.Then,the spectrum range of refinement is determ-ined according to the peak position of the spectrum,and the respiratory and heartbeat frequency information is obtained by using chirp z-transform(CZT)algorithm to perform local spectrum re-finement.For verification,this paper has simulated the radar echo signal modulated by the simu-lated cardiopulmonary signal according to the proposed algorithm.By recovering the simulated car-diopulmonary signal,the high-precision respiratory and heartbeat frequency have been obtained.The results show that the proposed algorithm can effectively restore human breathing and heart-beat signals,and the relative error of frequency estimation is basically kept below 1.5%.展开更多
目的:探讨危机理论指导下的创伤急救护理对颅脑外伤患者急救时间、神经功能和生命体征的影响。方法:选择2020年9月—2023年9月在连云港市中医院接受颅脑外伤急救治疗的102例患者作为研究对象,根据随机数表法将患者分为对照组和观察组,...目的:探讨危机理论指导下的创伤急救护理对颅脑外伤患者急救时间、神经功能和生命体征的影响。方法:选择2020年9月—2023年9月在连云港市中医院接受颅脑外伤急救治疗的102例患者作为研究对象,根据随机数表法将患者分为对照组和观察组,各51例。对照组接受常规急救护理,观察组在对照组基础上接受危机理论指导下的创伤急救护理。比较两组急救时间(有效抢救时间、确诊时间和急诊至手术时间)、神经功能[美国国立卫生研究院脑卒中量表(National Institutes of Health stroke scale,NIHSS)评分和格拉斯哥昏迷指数(Glasgow coma scale,GCS)]、生命体征(呼吸频率、心率、收缩压和舒张压)及并发症(缺血性痉挛、电解质紊乱和肢体功能障碍)发生情况。结果:观察组有效抢救时间、确诊时间、急诊至手术时间短于对照组,差异有统计学意义(P<0.05);观察组护理后NIHSS评分低于对照组,GCS评分高于对照组,差异有统计学意义(P<0.05);观察组护理后呼吸频率、心率、收缩压、舒张压低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:危机理论指导下的创伤急救护理可有效缩短颅脑外伤患者急救时间,改善神经功能和生命体征,降低并发症发生率。展开更多
基金The Hong Kong Polytechnic University(1-ZVHA and 1-ZVGB)HK GRC GRF(15211317).
文摘Few-mode and multi-core fibers are proposed and demonstrated for contactless vital signs monitoring in this paper.In-line optical fiber interferometers using few-mode and multi-core fibers are designed and offset splicing is utilized for mode excitation.Extinction ratio and insertion loss are analyzed experimentally under different offset distances.The fabricated in-line interferometers are packaged under the mattress to realize contactless vital signs signals collection.By using filtering techniques,both respiration and heartbeat signals can be recovered successfully,and respiration as well as heartbeat ratio are obtained.Mode excitation and interference are theoretically analyzed in few-mode fiber while curvature sensing experiments using multi-core fiber interferometer are performed to verify its excellent performance on vital signs monitoring.The successful demonstration on contactless vital signs monitoring makes few-mode and multi-core fibers promising candidates for healthcare applications.
文摘This study aimed to produce a prototype system for non-contact vital sign monitoring of the elderly using microwave radar with the intention of reducing the burdens on monitored individuals and nursing caregivers. In addition, we tested the ability of the proposed prototype system to measure the respiratory and heart rates of the elderly in a nursing home and discussed the systems effectiveness and problems by examining results of real-time monitoring. The prototype system consisted of two 24-GHz microwave radar antennas and an analysis system. The antennas were positioned below a mattress to monitor motion on the body surface for measuring cardiac and respiratory rates from the dorsal side of the subjects (23.3 ± 1.2 years) who would be lying on the mattress. The heart rates determined by the prototype system correlated significantly with those measured by electrocardiography (r = 0.92). Similarly, the respiratory rates determined by the prototype correlated with those obtained from respiration curves (r = 0.94). Next, we investigated the effectiveness of the prototype system with 7 elderly patients (93.3 ± 10.56 years) at a nursing home. The proposed system appears to be a promising tool for monitoring the vital signs of the elderly in a way that alleviates the need to attach electrodes overnight to confirm patient safety.
文摘Objective: To assess the utility and relative strength of markedly abnormal vital signs thresholds (triggers) in prediction of the needs for intensive care unit (ICU) admission from the emergency department (ED). Methods: A retrospective cohort study performed in a 37 000 annual visit, urban, community teaching ED. All adult patient encounters from July 10, 2011 to July 9, 2013 were eligible for inclusion. The primary outcome was ICU admission from the ED. We collected the incidence of trigger vital signs (heart rate>130 bpm, heart rate<40 bpm, respiratory rate>30 breaths per minute, respiratory rate< breaths 8 per minute, oxygen saturation<90%, systolic blood pressure<90 mmHg) as binary variables for each patient enrolled. Univariate and multi-variable logistic regression models were created to determine the ability of the trigger vital signs to predict ICU admission. Results: Total of 68 554 patient encounters were included in the analysis. Of these, 2 355 [3.4%, 95% confidence intervals (CI) 3.3%-3.6%] patients exhibited trigger vital signs, and 1 135 (1.7%, 95% CI 1.6%-1.8%) patients were admitted to ICU. All trigger vital signs were strongly associated with admission to the ICU and demonstrated higher odds of ICU admission with HR<40 (odds ratio 5.2, with 95% CI 2.7-10.1) being the best predictor among the studied covariates. The likelihood of ICU admission increased in a linear fashion with the number of trigger vital signs exhibited. Conclusions: Trigger vital signs serve as predictors that an ED patient may need admission to the ICU and may serve as a tool to expedite disposition of these resource-intensive patients.
文摘Objective: Influenza is a highly infectious viral disease, which occurs epidemically almost every winter in Japan. Rapid screening of patients with suspected influenza in places of mass gathering is important to delay or prevent transmission of the infection. The aim of this study was to assess the effectiveness of our newly developed infection screening system that employed vital signs and percutaneous oxygen saturation (SpO2) as parameters in a clinical setting. Methods: Since SpO2 accurately reflects respiratory status during influenza virus infection, we upgraded our previous system by adding SpO2 as a new parameter to improve the screening accuracy. This system instantly measures SpO2 and vital signs (i.e., heart rate, respiration rate, and facial temperature), which automatically detects infected individuals via a neural network-based nonlinear discriminant function using these derived parameters. We tested the system on 45 patients with seasonal influenza (35.8℃ < body temperature < 40.0℃, 18-35 years) and 64 normal control subjects (35.0℃ < body temperature < 37.5℃, 18-30 years) at Japan Self-Defense Central Hospital in 2012. Results: The system identified 40/45 patients with influenza and 60/64 normal control subjects, and provided sensitivity, specificity, and positive and negative predictive value (PPV, NPV) of 88.8%, 93.8%, 90.9%, and 92.3%, respectively. By including SpO2 as a screening parameter, we achieved superior sensitivity and NPV compared to that reported in our previous paper (sensitivity = 88%;NPV = 82%). Conclusions: Our results suggest that SpO2 is a good screening parameter that improves the accuracy of infection screening. The proposed system has the potential to efficiently identify infected individuals, thereby delaying or preventing the spread of infection during epidemic seasons.
文摘In this paper,the spectral estimation algorithm is extended to the detection of human vi-tal signs by mm-wave frequency modulated continuous wave(FMCW)radar,and a comprehensive algorithm based on spectrum refinement and the extended differentiate and cross multiply al-gorithm(DCMA)has been proposed.Firstly,the improved DFT algorithm is used to accurately obtain the distance window of human body.Secondly,phase ambiguity in phase extraction is avoided based on extended DCMA algorithm.Then,the spectrum range of refinement is determ-ined according to the peak position of the spectrum,and the respiratory and heartbeat frequency information is obtained by using chirp z-transform(CZT)algorithm to perform local spectrum re-finement.For verification,this paper has simulated the radar echo signal modulated by the simu-lated cardiopulmonary signal according to the proposed algorithm.By recovering the simulated car-diopulmonary signal,the high-precision respiratory and heartbeat frequency have been obtained.The results show that the proposed algorithm can effectively restore human breathing and heart-beat signals,and the relative error of frequency estimation is basically kept below 1.5%.
文摘目的:探讨危机理论指导下的创伤急救护理对颅脑外伤患者急救时间、神经功能和生命体征的影响。方法:选择2020年9月—2023年9月在连云港市中医院接受颅脑外伤急救治疗的102例患者作为研究对象,根据随机数表法将患者分为对照组和观察组,各51例。对照组接受常规急救护理,观察组在对照组基础上接受危机理论指导下的创伤急救护理。比较两组急救时间(有效抢救时间、确诊时间和急诊至手术时间)、神经功能[美国国立卫生研究院脑卒中量表(National Institutes of Health stroke scale,NIHSS)评分和格拉斯哥昏迷指数(Glasgow coma scale,GCS)]、生命体征(呼吸频率、心率、收缩压和舒张压)及并发症(缺血性痉挛、电解质紊乱和肢体功能障碍)发生情况。结果:观察组有效抢救时间、确诊时间、急诊至手术时间短于对照组,差异有统计学意义(P<0.05);观察组护理后NIHSS评分低于对照组,GCS评分高于对照组,差异有统计学意义(P<0.05);观察组护理后呼吸频率、心率、收缩压、舒张压低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:危机理论指导下的创伤急救护理可有效缩短颅脑外伤患者急救时间,改善神经功能和生命体征,降低并发症发生率。
