Standard Devices Research Articles

Evaluating the Usability of a Remote Ischemic Conditioning Device for Pre-Hospital Stroke Management: Insights from Paramedic Simulations

Background/Objectives: In acute stroke, often-prolonged hospital transport times present an opportunity for early interventions to salvage brain tissue. Remote ischemic conditioning (RIC), where brief cycles of ischemia–reperfusion in a limb are induced to protect the brain, is a promising treatment for this setting. We assessed the usability of a novel RIC system in a simulated emergency response scenario. Methods: Paramedics were asked to use the RIC device in an emergency stroke care and ambulance transport simulation, overseen by a confederate. Feedback on device use was collected through questionnaires, including the System Usability Scale (SUS) and the NASA Task Load Index (NASA-TLX), and a semi-structured interview. Questionnaire responses were summarized using descriptive statistics; interview transcripts were analyzed thematically. Results: Nine paramedics (including the confederate) participated, with a mean of 10.0 ± 10.3 years of professional experience. Questionnaire responses indicated high device usability (mean SUS score: 85.3 ± 12.9 out of 100) and low task-related demands, effort, and frustration (mean NASA-TLX domain scores: ≤3.9 out of 20). Seven paramedics stated they would use the device in daily practice. They expressed concerns related to display screen clarity, interference with standard procedures, cable management, device fragility, and patient discomfort. Suggested improvements included adding indicators of device performance and refining the cuff design. Conclusions: While the device was considered easy to use, paramedics also identified important areas of improvement. With a small, localized study sample, our findings are primarily applicable to the refinement of the RICovery system for use in future clinical trials in the same healthcare setting. However, feedback on the importance of mitigating potential interference of newly introduced procedures with those already established, robustness of equipment, and effective paramedic–patient communication may also help inform the design of other pre-hospital interventions.

An Empirical Study on Social Anxiety in a Virtual Environment through Mediating Variables and Multiple Sensor Data

Social anxiety disorder is a psychological condition characterized by excessive nervousness in social situations, such as interpersonal interactions. Exposure therapy has shown benefits in its treatment, and virtual reality (VR) technology has gained much attention for reducing physical and psychological distance and providing additional quantitative evidence from the data generated by standard VR devices (e.g., head-mounted display). Clinical psychology studies have highlighted the importance of mediating variables of social anxiety; however, existing VR-based social anxiety studies have neglected such variables with respect to user experience and data analysis in the context of VR, although these variables could provide insights into the design and use of VR for the treatment of social anxiety. In this study, we focused on two representative mediating variables of social anxiety: (1) the gap between self-presentation motivation and expectancy , and (2) self-focused attention . We used sensor data (e.g., head movement, eye movement, eye gaze, and psychological signals) to investigate the impact of these variables on users' anxiety responses in VR. We developed <u>VR</u>-based <u>S</u>ocial Anxiety Support <u>T</u>ool (VRST) that reflects the theoretical design elements of effective anxiety provocation. Based on the results of a user study with 30 participants, we confirmed that the mediating variables were associated with social anxiety in the VR environment. We also found that the mediating variables were associated with eye gaze, eye pupil, head movement, and body temperature. Our study results provide researchers, designers, and practitioners with empirical evidence and implications for the use of VR technology and sensor data in the mental health context.

"I see it as a wellspring for my positive and upward journey in life.": Understanding Current Practices of Assistive Technology's Customized Modification in China

Due to the significant differences in physical conditions and living environments of people with disabilities, standardized assistive technologies (ATs) often fail to meet their needs. Modified AT, especially DIY (Do It Yourself) ATs, are a popular solution in many high-income countries, but there is a lack of documentation for low- and middle-income areas, especially in China, where the culture of philanthropy is undeveloped. To understand the current situation in this paper, we conducted semi-structured interviews with 10 individuals with disabilities using modified ATs and 10 individuals involved in providing these including family members, standard assistive device manufacturers, and individuals employed for their modification skills, etc. Based on the results of the thematic analysis, we have summarized the general process of modified ATs for people with disabilities in China and the benefits these devices bring. We found that modified ATs not only make the lives of people with disabilities more comfortable and convenient but also bring them confidence, reduce social pressure, and even help them achieve self-realization. Additionally, we summarized the challenges they encountered before, during, and after the modification, including awareness gaps, family resistance, a lack of a business model, and so on. Specifically, we conducted a special case study about the typical business models and challenges currently faced by AT Modification Organizations in China. Our research provides important design foundations and research insights for the future of universal and personalized production of AT.

A novel micro ohmic heating cell for microorganism destruction kinetic studies: Performance validation

Ohmic heating cells used for microbial destruction are typically large compared with conventional capillary tubes. Limitations of commonly used large cells include large mass, high come-up-time (CUT), lack of uniform heating, and operation at atmospheric pressure. A new 3 mL Micro Ohmic Cell (MOC) was designed and fabricated for the kinetic study of microbial spore destruction. Two tiny titanium electrodes, mounted horizontally on a T-shaped cylindrical cell with a 3 cm gap, generate a rapid heating rate up to 140 °C. Fibre optic temperature sensors were used for direct temperature monitoring during CUT and holding time. Model solutions were heated under voltage gradients up to 90 V/cm. Uniform heating was achieved under stirring conditions with less than 1 °C variation across the cell volume, and the coldest spot was identified as the liquid-air interface. CUT was evaluated as influenced by both system and product parameters, resulting in less than 50 s comparable to those obtained using capillary tubes. The newly developed MOC was validated for microbial destruction kinetic study under ohmic heating conditions using Clostridium sporogenes spores in buffer and concentrated maple sap. With its small volume, short CUT, and uniform temperature similar to capillary tubes in conventional heating, the MOC has the potential to be considered as a standard device for kinetic studies under ohmic heating.

Multi-objective optimization of the appendages of a sailing yacht using the normal boundary intersection method

In this paper, a multidisciplinary design optimization algorithm, the Normal Boundary Intersection (NBI) method, is applied to the design of some devices of a sailing yacht. The full Pareto front is identified for two different design problems, and the optimal configurations are compared with standard devices. The great efficiency of the optimization algorithm is demonstrated by the wideness and density of the identified Pareto front.

Improved inverse design of polarization splitter with advanced Bayesian optimization

As many silicon nanophotonic devices are polarization-dependent, a polarization beam splitter that divides TE and TM modes is an essential component for photonic integrated circuits. Various structures have been proposed for polarization splitters, but it is still challenging to simultaneously achieve low insertion loss, high extinction ratio, compact size and simplicity of fabrication. In this paper, we combine new machine learning methods with the principle of multimode interference to propose a novel design for a polarization beam splitter. Our design has low insertion loss (-0.17dB/-0.42dB) and high extinction ratio (-23.1dB/-23.4dB) at the central wavelength of 1550nm for TE/TM modes, with compact size of 2×19μm2 and fabrication constraints strictly satisfied. Furthermore, our design is a standard 220nm-thick single-layer device for the silicon-on-insulator platform, without any auxiliary structures, making it easy for fabrication. Since our design cannot be optimized by the most commonly used methods, we adopt several specialized techniques to Bayesian optimization for inverse design. In this paper, we also share these skills which are simple but effective, possible to solve much more complicated design problems than others.

Molecular engineering of oxadiazole-based small organic-functional molecules as hole transporting materials for dopant-free perovskite solar cells

The present investigation concerns the synthesis and characterization of new hole-transporting materials (HTMs) for dopant free perovskite solar cells (PSCs). In this work, emphasis is placed on three new HTMs, specifically materials P-H, P-OMe, and P-CN, whose center-core is 2,2'-(4,8-bis(octyloxy)benzo[1,2-b:4,5-b']dithiophene (OBDT) and combined with two donor units of substituted triphenylamine as at both ends along with oxadiazole acceptor units in between donor and OBDT. The fabrication of perovskite solar cell devices using new HTMs and compared the power conversion performance with the standard spiro-OMeTAD HTM. Several spectroscopic techniques were utilized to characterize the properties of the new HTMs, such as FESEM analysis of thin-film morphologies, time-dependent photoluminescence (PL) spectra, and mobility measurements. The HTMs P-OMe established a compressed and steady protective layer on the perovskite layer. This layer contributed to the development of open-circuit voltage (VOC) and short-circuit current density (JSC), both of which are crucial for accomplishing high power conversion efficiency (PCE) in PSCs. The PSC device integrating the P-OMe HTM displayed a superior PCE of 21.14 % over an active area of 0.22 cm2. This activity was related to the standard device that utilized the standard Spiro-OMeTAD HTM, which accomplished a PCE of 17.46 %. The improved devices with the P-OMe HTM continued about 90 % of their initial PCE throughout maximum power point tracking (MPPT) for 90 days. Furthermore, these devices engaged in their activity over a further 2160 h under various temperature settings (25 °C and 35 °C), probably because of the hydrophobic property of the HTM.

Diagnostics of porcelain insulators by partial discharges characteristics

RELEVANCE of the research is in the development of a non-destructive method for diagnosing porcelain insulators of high-voltage electrical equipment based on analysis of the characteristics of partial discharges (PDs). The problem of the final stage of breakdown of both the discharge gap and porcelain insulators recognizing is currently has not solved. THE PURPOSE. Recognition of PDs in solid insulation, study of PDs characteristics in a pre- breakdown situation, recognition of defective insulators based on PDs characteristics analysing. METHODS. The study of PDs characteristics for a defective and functional porcelain insulator were carried out. To study the characteristics of various types of PDs, including in the pre-breakdown situation, a system of surface-needle electrode system was used. RESULTS. The article describes compares the PDs characteristics obtained using standard R-400 device and a digital storage oscilloscope (DSO) using a telescopic antenna. A technique for recognizing the development of the pre-breakdown situation of the surface-needle discharge gap and the porcelain insulator was developed. The technique for recognizing a defective porcelain insulator from the amplitude-phase diagrams (APD) of PDs was developed. The method for assessing the breakdown voltage of porcelain insulators based on the characteristics of partial discharges was developed. CONCLUSION. At the moment of transition to the pre-breakdown stage were observed a sharp increase in the counter-movement of charges of opposite polarity. In the stage immediately before the breakdown, near zero values of the applied voltage of negative polarity, ordered PDs of the same polarity as the applied voltage were recorded in large numbers. These discharges led to an increase in leakage current and were interpreted as initial corona discharges. These discharges were recorded both by a telescopic antenna in a surface-needle system and in porcelain insulators.

Evaluating the feasibility of upper arm ECG for cardiac monitoring

Abstract Background Ambulatory electrocardiogram (ECG) monitoring is essential for detecting paroxysmal cardiac events and tracking long-term physiological parameters. However, traditional Holter devices are cumbersome, restrict movement, and can cause skin irritation, resulting in sub-optimal patient compliance during extended monitoring periods. Wearable devices utilizing non-conventional form factors are emerging as promising non-intrusive alternatives for ECG monitoring. Purpose To determine the optimal location for single-lead ECG acquisition on the upper arm and assess the feasibility of using dry electrode armbands for cardiac monitoring when coupled with robust ECG processing software. Methods Stationary ECGs from 20 healthy adult participants were recorded across a two-phase data collection protocol and processed with clinically validated ECG software. In the first phase, the average signal amplitudes of wet-electrode ECGs obtained from 30 different configurations across the mid-brachial and proximal-brachial regions of the upper arm were assessed. In the second, the performance of two proprietary dry-electrode armbands, featuring either a single-point or three-point electrode strap, were evaluated on the optimal upper arm configuration using QRS detection and heart rate (HR) metrics. Comparative analysis was performed throughout using data simultaneously acquired on a gold standard Holter device in modified lead III (MLIII) configuration. Performance metrics were calculated relative to manually generated signal annotations. Results Wet-electrode-acquired ECGs from the proximal-brachial region exhibited significantly higher average signal amplitudes (0.12 ± 0.06 mV) compared to those from the mid-brachial region (0.05 ± 0.04 mV) of the upper arm (p < 0.05). The optimal configuration (A-F), positioned at the lateral and medial extents of the proximal-brachial region, demonstrated comparable average signal amplitudes (0.16 ± 0.07 mV, 0.16 ± 0.06 mV, 0.19 ± 0.08 mV) for single-point dry, three-point dry, and wet-electrode setups, respectively. Upon processing with ECG software, data from optimal dry-electrode configurations showed excellent average QRS sensitivity and specificity of 98.2% and 98.9% for the one-point strap, and 98.9% and 99.8% for the three-point strap, respectively. HR metrics from the optimized dry-electrode setups were comparable in accuracy to those derived from the reference Holter device, with the average HR error being similar across the three-point dry electrode strap (0.57% ± 0.28%), one-point dry electrode strap (1.16% ± 1.46%), and Holter device (0.74% ± 1.50%). Conclusion(s) Optimized upper arm single-lead ECG with dry electrodes can yield signals with sufficient amplitude and quality for automated ECG analysis. Coupled with robust ECG signal processing software, the cardiac metrics obtained from the optimized upper arm setups exhibited comparable performance to those derived from medical Holter data.

Indigenous Development of MIC-Based C-Band Dual Chain Down Converter Unit for GEOSAT- Spacecraft Checkout System

As part of miniaturization, the development work for the C-band dual-chain down converter, which is extensively used in TM (Telemetry) data acquisition system in GEOSAT spacecraft checkout system has been taken up in MIC (Microwave Integrated Circuit) approach using microstrip line structure. A prototype unit is realized using standard surface mount devices (SMD) and few indigenously developed MIC components namely, the directional couplers, the power dividers etc. The MIC-based down converter module, which forms the heart of the unit is housed in an Aluminium milled box having the dimension of 150 x 150 x 25 mm3. Except internal Local Oscillator (LO), RF Switches and Power supply, all other circuitry are mounted withinthis milled box which is housed in 1U chassis. It meets all the requirements of a conventional down converter. The paper describes the salient features of the unit, its detailed design approach and realization plan and finally the test and evaluation results of the prototype unit developed indigenously.

Comparing the Effect of Granisetron with Meperidine on Post-Shivering in Elective Cesarean Section under Spinal Anesthesia

Background: Post-operative shivering after spinal anesthesia is a common issue in women undergoing cesarean section, then its management is necessary to increase patients’ satisfaction. Therefore, the current study aimed to compare the prophylactic effect of Granisetron and meperidine on post-spinal shivering in elective cesarean section. Methods: In this double-blinded clinical trial study, 100 women under elective cesarean section using block randomization were divided into two groups. The spinal anesthesia was performed in all women with 10 mg hyperbaric bupivacaine 0.5 %. Then, after the birth of the baby, the patients received 0.04 mg/kg Granisetron or 0.4 mg/kg meperidine intravenously. Mean Arterial Pressure (MAP), Heart Rate (HR), and percentage of arterial blood oxygen saturation (SpO2) were measured before intervention and 60 minutes after surgery using a standard monitoring device. Shivering was evaluated 30 minutes after the surgery in the recovery room according to the clinical examinations. Results: The changes in hemodynamics parameters were similar between the two groups. There was a statistically significant difference in the rate of shivering between the two groups. The rate of shivering in the Granisetron group was higher than in the meperidine group. Thus, 13 patients (26%) and 5 patients (10%) had shivering in the Granisetron and meperidine groups, respectively (p=0.037). Conclusion: Granisetron was not more effective than meperidine as routine treatment in preventing shivering after spinal anesthesia in women under elective cesarean section.

The Potential of Tele-Ultrasound, Handheld and Self-Operated Ultrasound in Pregnancy Care: A Systematic Review.

To explore the use of tele-ultrasound and handheld or self-operated ultrasound in pregnancy. A systematic search provided 31 studies. The risk of bias for each study was assessed. Results were analyzed and presented in a narrative overview in four domains: tele-ultrasound, patient-operated ultrasound, handheld devices and low- and middle-income countries (LMIC). The quality of studies was generally low or fair based on the NIH Quality Assessment Tools. Fetal tele-ultrasound services (11 studies) are feasible and especially helpful in rural areas or with increased centralization of specialist care. Three studies with patient-operated ultrasound concluded its feasibility with good-to-high experiences. The use of handheld devices in pregnancy (eight studies) showed similar ultrasound results when compared to standard devices. In LMICs, innovative use of ultrasound (nine studies) can facilitate access to obstetric care performed by trained as well as unskilled caregivers combined with remote evaluation by an expert. Innovations in ultrasound in pregnancy care have shown promising results for application. Although most studies demonstrated benefits for pregnant women or care providers, high-level evidence is scarce. High-quality studies on innovations are needed to assess medical outcomes, patient and provider experiences and costs.

Glycolic acid doped PFN-Br as cathode interface to achieve high-efficiency in organic solar cells

Small compounds are often utilized to adjust the cathode interface of organic solar cells (OSCs) due to their low batch change, easy synthesis, unambiguous chemical structure, and low cost. In this work, the alcohol-soluble small molecule material Glycolic acid was doped into the electron transport material Poly(9, 9-bis(3′-(N, N-dimethyl)-N-ethylammoniumpropyl-2, 7-fluorene)-alt-2, 7-(9, 9-dioctylfluorene)) dibromide (PFN-Br) to modify the performance of the cathode interface layer (CIL). The CIL doped with Glycolic acid has better surface morphology, which is conducive to charge transport and extraction. In addition, the introduction of Glycolic acid improves the hydrophilicity of CIL, makes the metal electrode have good contact with CIL, and helps to improve the stability of the OSCs. Additionally, it suppresses the device's trap-assisted recombination and bimolecular recombination, hastening exciton dissociation and charge collection. As a result, the power conversion efficiency (PCE) of OSCs based on PM6: Y6 blend film has risen from 15.26 % to 15.91 %. After 312 hours of stability testing, the aforementioned doped devices still have device performance higher than standard device. Furthermore, based on PBDB-T: IT-M mix film, the PCE of the doped device and reference device was 11.29 % and 10.55 %, respectively. This study suggests that using the alcohol-soluble small-molecule material Glycolic acid can increase the organic solar cells' (OSCs') efficiency. This study provides a new method for manufacturing high-performance OSCs.

Safety of Magnetic Resonance Imaging in Patients with Cardiac Implantable Electronic Devices.

MRI (magnetic resonance imaging) represents the diagnostic image modality of choice in several conditions. With an increasing number of patients requiring MRI for diagnostic purposes, the issue of safety in patients with cardiac implantable electronic devices (CIED) undergoing this imaging modality will play an ever more important role. The purpose of this study was to assess the safety and device function following MRI in an unrestricted real-world cohort of patients with a wide array of cardiac devices. We conducted a retrospective single-center study including 1010 MRI studies conducted in adult patients (≥18 years) with an implanted CIED treated in the University Hospital of Munich (LMU) between July 2012 and March 2024. Patients with non-MR conditionally labeled leads, abandoned or epicardial leads, as well as lead fragments, were included for analysis. Across a total of 1010 MRIs (920 total MR-conditional device generators) performed in patients with an implanted CIED, there were no deaths, reports of discomfort, palpitations, heating, or ventricular arrythmias in the 24 h following MRI. Only 2/1010 MRIs were followed by a reported atrial arrhythmia within 24 h, both in patients with an MR-conditional pacemaker (PM) device without an abandoned lead. No significant changes in device function following MRI from baseline were observed across all included CIEDs. Lastly, no instances of severe malfunction, such as generator failure, loss of capture, electrical reset, or inappropriate inhibition of pacing, were found in post-MRI interrogation reports across all MRI studies. Based on the analysis of 1010 MRIs undergone by patients with CIEDs, following standardized device interrogation, manufacturer-advised device programming, monitoring of vital function, and manufacturer-advised reprogramming, MRI can be performed safely and without adverse events or changes in device function.

Trauma Compendium: Management of the Entrapped Patient – a position statement and resource document of NAEMSP

ABSTRACT Entrapped patients may be simply entombed or experiencing crush injury or entanglement. Patients with trauma who are entrapped are at higher risk of significant injury than patients not entrapped. Limited access and prolonged scene times further complicate patient management. Although patient entrapment is a significant focus of specialty teams, such as urban search & rescue (US&R) teams that operate as local, regional, and/or national resources in response to complex scenes and disaster scenarios, entrapment is a regular occurrence in routine EMS response. Therefore, all EMS clinicians must have the training and skills to manage entrapped patients and to support medically-directed rescue throughout the extrication process. NAEMSP recommends: EMS clinicians must perform a timely and thorough primary and secondary assessment and reassessments in parallel with dynamic extrication planning; the environment may require adaption of standard assessment techniques and devices. EMS clinicians should establish early, clear, and ongoing communications with rescue personnel to ensure a coordinated patient-centered medically directed approach to extrication. Communication with the patient should be frequent, clear, and reassuring. EMS clinicians should immediately take measures to effectively prevent and manage hypothermia. EMS clinicians should recognize airway management in the entrapped patient is always challenging. When required, advanced airway placement should be performed by the most experienced operator with proficiency in multiple modalities and alternative techniques in limited access situations. In entrapped patients who are experiencing or are at risk for crush syndrome, EMS clinicians should initiate large-volume (i.e., 1-1.5 liters/hour for adults and 20 milliliters/kilogram/hour for pediatric patients for the initial 3-4 hours) fluid resuscitation with crystalloid, preferably normal saline, as early as possible and prior to extrication. In entrapped patients who are experiencing or are at risk for crush syndrome, EMS clinicians should administer medications to mitigate risks of hyperkalemia, infection, and renal failure, early and prior to extrication. Tourniquet application should be considered in the setting of the crushed extremity as a potential adjunct to medical optimization before extrication of some patients. Patients with prolonged entrapment with the potential for severe injuries require complex resuscitation and may benefit from EMS physician management on scene. EMS systems should consider an early EMS physician response to entrapped patients.

Evaluating the accuracy and reliability of non-piezo portable ultrasound devices in postpartum care.

The early diagnosis of hemorrhage viapostpartum ultrasound is crucial to initiate therapy and, thus, prevent maternal death. In these critical situations rapid availability and simple transport of ultrasound devices is vital, paving the way for a new generation of portable handheld ultrasound devices (PUD) consisting of transducers and tablets or smart phones. However, evidence to confirm the diagnostic accuracyof these new devices is still scarce. The accuracy and reliability of these new devices in relation to established standard ultrasound devices is analyses in this pilot study by comparing diagnoses and by applying statistical analysis via Bland-Altman plots, intraclass correlation coefficients (ICC), and Pearson correlation coefficients (PCC). One hundred patients of a university hospital were included in this study. In all cases, the same diagnosis was made regardless of the applied ultrasound device, confirming high accuracy. There was a high correlation (PCC 0.951) and excellent agreement (ICC 0.974) in the assessment of the cavum, while the assessment of the diameters of the uterus showed only a good correlation and a goodagreement. Subgroup analysis for maternal weight, mode of delivery and day after deliverywasperformed CONCLUSION: Thesame diagnosis independent ofthe used devices and excellent results of the cavum assessment promote the use of PUDs in a clinical setting. The slightly lower accuracy in the measurement of the uterus may be caused by the PUD's small acoustic window, reflecting one of its weaknesses.Therefore, the patient may benefit from the short time to diagnosis and the unbound location of examination, either in the delivery room, on the ward, or at home.

A systematic literature review of neuroimaging coupled with machine learning approaches for diagnosis of attention deficit hyperactivity disorder

ProblemAttention deficit hyperactivity disorder (ADHD) is the most commonly found neurodevelopmental condition among children with an estimated 2.5% to 9% global prevalence. While ADHD has been regarded as a lifelong condition, its early diagnosis elevates the probability of recovery and normal life for children. Despite clinical diagnosis being the primary one, substantial developments in ADHD diagnosis have been made during the past decade.AimSeveral imaging-based technologies and approaches have been presented in the existing literature including magnetic resonance imaging (MRI) and functional MRI (fMRI). In addition, the deployment of machine learning and deep learning models has paved the way for automated diagnosis of ADHD which increases both accuracy and robustness of ADHD detection. A comprehensive and systematic literature review (SLR) of imaging technologies and machine learning approaches is highly desired to comprehend the current status of such approaches concerning their potential and challenges to outline future directions. Although a substantial body of literature exists on imaging-based ADHD diagnosis, comprehensive SRL on such approaches is scarce. This SLR aims to provide a comprehensive overview of imaging-based ADHD diagnosis with emphasis on machine learning approaches, reveals their pros and cons, and provides potential future research directions thereby contributing to the scientific community to accelerate further research for ADHD diagnosis.MethodsThis SRL focuses on analyzing recently published studies between 2010 and 2023. For this purpose, preferred reporting items for systematic review and meta-analyses (PRISMA) approach is performed in this study. Five eminent academic databases Web of Science, ACM, Springerlink, Elsevier, and PubMed are selected for article search. The SLR follows a systematic methodology comprising article search, selection based on inclusion and exclusion criteria, and rigorous assessment for categorization.ResultsIt is found that MRI and fMRI are the dominant approaches integrated with machine learning models for ADHD detection and function near-infrared spectroscopy is also adopted by a few studies. Predominantly, the ATHENA preprocessing approach is used to preprocess MRI data before model training. Due to the public availability of the ADHD-200 dataset, it is widely used in the existing literature while a few studies utilized their self-collected datasets. Machine learning models are the choice of the majority of the studies, particularly, the support vector machines model has been widely used for ADHD detection. Feature fusion is observed to be a better choice for obtaining more accurate results.ConclusionMachine learning and deep learning models provide automated ADHD detection with better accuracy and robustness, however, such models are not generalizable and their performance varies concerning the locality of data used for experiments. In addition, the heterogeneity of data collection from various devices is a challenge, and the use of a standard device may provide better solutions. The lack of labeled data also adds difficulties to training models. Besides the use of MRI and fMRI, other novel technologies should be explored for better ADHD detection performance.

Efficacy of Wearable Single-Lead ECG Monitoring during Exercise Stress Testing: A Comparative Study

Background and Objectives: Few comparative studies have evaluated wearable single-lead electrocardiogram (ECG) devices and standard multi-lead ECG devices during exercise testing. This study aimed to validate the accuracy of a wearable single-lead ECG monitor for recording heart rate (HR) metrics during graded exercise tests (GXTs). Methods: A cohort of 50 patients at a tertiary hospital underwent GXT while simultaneously being equipped with wearable single- and conventional multi-lead ECGs. The concordance between these modalities was quantified using the intraclass correlation coefficient and Bland–Altman plot analysis. Results: The minimum and average HR readings between the devices were generally consistent. Parameters such as ventricular ectopic beats and supraventricular ectopic beats showed strong agreement. However, the agreement for the Total QRS and Maximum RR was not sufficient. HR measurements across different stages of the exercise test showed sufficient agreement. Although not statistically significant, the standard multi-lead ECG devices exhibited higher noise levels compared to the wearable single-lead ECG devices. Conclusions: Wearable single-lead ECG devices can reliably monitor HR and detect abnormal beats across a spectrum of exercise intensities, offering a viable alternative to traditional multi-lead systems.

Enhancing possum capture rates with chain springs on leghold traps

ABSTRACT Leghold traps are an essential tool for managing brushtail possums (Trichosurus vulpecula) in New Zealand. However, the currently used trap design (No 1 double coil spring traps, often called Victor-type traps) has escape rates of up to 26%. This study focussed on addressing the high escape rate to improve the usefulness and acceptability of these traps. Specifically, modifications were made to the anchoring chain of the standard No 1 trap by adding one or two springs. These springs were designed to reduce the forces exerted by an animal during escape attempts. Over approximately 300 trap nights per trap configuration (unmodified No-Spring, 1-Spring, 2-Springs), the capture rates (proportion of animals caught and held until inspection) were measured. The results showed that traps with one or two springs achieved a significantly higher capture rate of 92%, compared to only 74% for the standard devices. The chain springs increased the capture rate by 24% due to a 69% reduction in escape rate. This study demonstrates that a minor modification (addition of one or two springs) to the restraining chain of No 1 double coil spring leghold traps greatly enhances their efficacy for capturing and managing possums.

Low-frequency noise in the Double SOI (DSOI) MOSFETs with back-gate control

In this paper, the impact of the back-gate voltage (Vb ) on the low-frequency (1/f) noise is evaluated for the 180 nm double silicon-on-insulator (DSOI) NMOS, fabricated with various thicknesses of first buried oxide (BOX1) layer (145/50 nm). Both positive and negative Vb increased the measured normalized drain current power spectral density (PSD) for more than ten-fold in DSOI standard devices with 145 nm BOX1, while the normalized PSD decreases with Vb going up in devices with 50 nm BOX1. By comparing with CNF+CMF model, interface trap density and the Coulomb scattering coefficient are extracted with the back-gate voltage applied. The interface trap density increases in standard devices for both positive and negative Vb , but decreases with increasing back-gate biasing from -10 V to 10 V in devices with 50 nm BOX1. The interface trap density shows a similar back-gate coupling effect with threshold voltage under the influence of different thickness of BOX1. The CNF and CMF noise variation under back-gate voltage can be explained by the significant fluctuation in drain current.