Sweat Gland Activity Research Articles

Estimation of the Number of Active Sweat Glands Through Discrete Sweat Sensing

Sweat is a biomarker-rich fluid with potential for continuous patient monitoring via wearable devices. However, biomarker concentrations vary with the sweat rate per gland, posing a challenge for sweat sensing. To address this, we propose an algorithm to compute both the number of active sweat glands and their individual sweat rates. We developed models of sweat glands and a discrete sweat-sensing device to sense sweat volume. Our algorithm estimates the number of active glands by decomposing the signal into patterns generated by the individual sweat glands, allowing for the calculation of individual sweat rates. We assessed the algorithm’s accuracy using synthetic datasets for varying physiological parameters (sweat rate and number of active sweat glands) and device layouts. The results show that device layout significantly affects accuracy, with error rates below 0.2% for low and medium sweat rates (below 0.2 nL min−1 per gland). However, the method is not suitable for high sweat rates. The suitable sweat rate range can be adapted to different needs through the choice of device. Based on our findings, we provide recommendations for optimal device layouts to improve accuracy in estimating active sweat glands. This is the first study to focus on estimating the sweat rate per gland, which essential for accurate biomarker concentration estimation and advancing sweat sensing towards clinical applications.

Monitoring surgical nociception using multisensor physiological models

Monitoring nociception, the flow of information associated with harmful stimuli through the nervous system even during unconsciousness, is critical for proper anesthesia care during surgery. Currently, this is done by tracking heart rate and blood pressure by eye. Monitoring objectively a patient's nociceptive state remains a challenge, causing drugs to often be over- or underdosed intraoperatively. Inefficient management of surgical nociception may lead to more complex postoperative pain management and side effects such as postoperative cognitive dysfunction, particularly in elderly patients. We collected a comprehensive and multisensor prospective observational dataset focused on surgical nociception (101 surgeries, 18,582 min, and 49,878 nociceptive stimuli), including annotations of all nociceptive stimuli occurring during surgery and medications administered. Using this dataset, we developed indices of autonomic nervous system activity based on physiologically and statistically rigorous point process representations of cardiac action potentials and sweat gland activity. Next, we constructed highly interpretable supervised and unsupervised models with appropriate inductive biases that quantify surgical nociception throughout surgery. Our models track nociceptive stimuli more accurately than existing nociception monitors. We also demonstrate that the characterizing signature of nociception learned by our models resembles the known physiology of the response to pain. Our work represents an important step toward objective multisensor physiology-based markers of surgical nociception. These markers are derived from an in-depth characterization of nociception as measured during surgery itself rather than using other experimental models as surrogates for surgical nociception.

Electrodermal activity in pain assessment and its clinical applications

Electrodermal activity (EDA) measures skin conductivity, reflecting sweat gland activity, and is considered a noninvasive measure of the sympathetic nervous system (SNS). Consequently, EDA has emerged as an informative physiomarker in clinical and nonclinical applications in assessing dynamics of SNS functions. With recent proliferation of the abuse of pain medications, there is a pressing need for objective pain assessment given that a self-pain rating is the only metric doctors use for prescribing medications. To overcome this limitation, there has been increased attention on the use of EDA due to close association between pain and the SNS. With advancements in wearable sensors combined with signal processing and machine learning, it has become more feasible to objectively assess pain using EDA. This paper provides a comprehensive review of recent research related to the use of EDA for objective pain assessment and its clinical applications. Furthermore, this paper discusses the use of recent new developments in signal processing and machine learning techniques, and examines current challenges and future directions that can enable better quantitative assessment of pain using EDA.

Kegiatan Skrining Kadar Air Dan Minyak Kulit Pada Populasi Lanjut Usia

The largest organ in the human body, the epidermis, serves as the primary barrier against environmental factors that may arise from the outside. Xerosis cutis is a skin condition that causes dry skin. It's caused by a number of things, including the activity of sebaceous and sweat glands decreasing with age, which lowers the amount of water in the stratum corneum and causes moisture loss. This can lead to disturbances in daily activities and a decline in sleep quality. In France, mild to moderate-severe dry skin is prevalent at a rate of 55.65%, while its prevalence is 9%. At Hana Nursing Home, sixty people attended the geriatric population screening activity, with a mean age of 78 years. During this activity, the left hand demonstrated an average water and oil content of 36.6% and 16.4%, respectively. In contrast, the right hand displayed an average water and oil content of 33.7% and 15.1%, respectively. The aim of this activity is to enhance participants' understanding of the significance of maintaining an optimal level of hydration in their epidermis.

The effect of 8-day oral taurine supplementation on thermoregulation during low-intensity exercise at fixed heat production in hot conditions of incremental humidity

PurposeTo determine the effect of taurine supplementation on sweating and core temperature responses, including the transition from compensable to uncompensable heat stress, during prolonged low-intensity exercise of a fixed-heat production (~ 200W/m2) in hot conditions (37.5 °C), at both fixed and incremental vapour-pressure.MethodsFifteen females (n = 3) and males (n = 12; 27 ± 5 years, 78 ± 9 kg, V˙\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\dot{V}$$\\end{document}O2max 50.3 ± 7.8 mL/kg/min), completed a treadmill walking protocol (~ 200W/m2 heat production [Ḣprod]) in the heat (37.5 ± 0.1 °C) at fixed-(16-mmHg) and ramped-humidity (∆1.5-mmHg/5-min) following 1 week of oral taurine supplementation (50 mg/kg/bm) or placebo, in a double-blind, randomised, cross-over design. Participants were assessed for whole-body sweat loss (WBSL), local sweat rate (LSR), sweat gland activation (SGA), core temperature (Tcore), breakpoint of compensability (Pcrit) and calorimetric heat transfer components. Plasma volume and plasma taurine concentrations were established through pre- and post-trial blood samples.ResultsTaurine supplementation increased WBSL by 26.6% and 5.1% (p = 0.035), LSR by 15.5% and 7.8% (p = 0.013), SGA (1 × 1 cm) by 32.2% and 29.9% (p < 0.001) and SGA (3 × 3 cm) by 22.1% and 17.1% (p = 0.015) during the fixed- and ramped-humidity exercise periods, respectively. Evaporative heat loss was enhanced by 27% (p = 0.010), heat-storage reduced by 72% (p = 0.024) and Pcrit was greater in taurine vs placebo (25.0-mmHg vs 21.7-mmHg; p = 0.002).ConclusionTaurine supplementation increased sweating responses during fixed Ḣprod in hot conditions, prior to substantial heat strain and before the breakpoint of compensability, demonstrating improved thermoregulatory capacity. The enhanced evaporative cooling and reduced heat-storage delayed the subsequent upward inflection in Tcore—represented by a greater Pcrit—and offers a potential dietary supplementation strategy to support thermoregulation.

Analysis of potential influencing factors for acoustic quality in patients with ectodermal dysplasia

Subjects with ectodermal dysplasia (ED) suffer from an inherited disorder in the development of ectodermal structures. They show a significantly reduced formation of teeth, hair, and a reduced number and activity of sweat and salivary glands. Recently, the voice of ED subjects has come into focus. It is assumed that the generally reduced glandular function is responsible for the altered vocal sound, although no specific cause has been identified. Previous findings included significant changes in the acoustic quality, the parameters derived from high-speed videoendoscopy, the laboratory analysis and rheological analysis of saliva samples as a substitute for laryngeal mucus. Based on these findings, we performed an extended statistical analysis directed towards the correlations between the different affected domains in order to reveal the contributing factors for the resulting acoustic voice quality. Although there were distinct statistical differences between ED males and male controls in the individual domains, only few statistical correlations were found between the subdomains i.e., acoustics, vocal fold vibrations and saliva composition/consistency. These results do not yet allow any definitive conclusions on the influencing factors of voice quality. A larger group of test subjects and analyses of the laryngeal mucus are required.

Ab. No. 162 Autonomic Tone (Galvanic Skin Response) During Vertical Height Tolerance (VHT) Using Stairs in Young Adults: A Cross-Sectional Study

Introduction: Autonomic tone influences segmental dissociation, balance strategies and the control of the centre of gravity during activities of daily living (ADL). Stair climbing is a common ADL which has been noted to be challenging and linked to fear avoidance. It is vital to understand the activity of the autonomic nervous system (ANS) during stair climbing in the normal population, to optimize therapies for the patient population. The GSR is an objective measure of the ANS that detects changes in electrical conductivity of the skin due to increased sweat gland activity, seen in fearful individuals. The study aims to understand the changes in the autonomic tone measured by galvanic skin response (GSR) during VHT using stairs in young adults. Methods: 34 young adults (18 to 25 years) were recruited based on the eligibility criteria using convenience sampling. A cross-sectional study was performed. Baseline GSR was recorded for 20 seconds in both sitting and standing positions. Participants were then required to stand at the edge of 4 steps with uniform height increments. GSR values were recorded on each step with eyes open and eyes closed for 20 seconds each. Result: ANOVA showed statistically significant difference between each task position (χ 2=175, p&lt;0.001). Statistically significant difference was seen in DSCF Pairwise comparisons between baseline sitting &amp; all positions (p&lt;0.001), step 1 &amp; step 3 (w=4.8, p&lt;0.003) and step 1 &amp; step 4 (w=5.9, p&lt;0.001). Conclusion: VHI using stairs generates significant changes in the autonomic tone in young adults. Implications: Understanding the sensitivity of the GSR response during ADLs such as stair climbing in normal populations may help optimize treatment techniques in the patient population having a fear of falls

Aspects of the skin morphology in the sub-Antarctic fur seal Arctocephalus tropicalis

The present study examined whether sweat glands are present in the skin of sub-Antarctic fur seals, Arctocephalus tropicalis, using standard histological procedures and light microscopy. Aspects of the microanatomy and histology of skin were described to elucidate structure and function. Sweat glands were present both in the furred areas of the body trunk, as well as in naked skin areas of the flippers. The density of the apocrine sweat glands appeared higher in fur-covered areas than in naked areas, while the size of sweat glands was similar amongst naked and fur-covered skin. The superficial position of sweat glands in the dermis of naked skin areas and the large, coiled, tubular nature of the secretory portion seem to indicate sweat gland activity in contrast to the deep lying, narrow sweat glands in fur-covered areas.

Electrodermal signal analysis using continuous wavelet transform as a tool for quantification of sweat gland activity in diabetic kidney disease.

Sympathetic innervation of the sweat gland (SG) manifests itself electrically as electrodermal activity (EDA), which can be utilized to measure sudomotor function. Since SG exhibits similarities in structure and function with kidneys, quantification of SG activity is attempted through EDA signals. A methodology is developed with electrical stimulation, sampling frequency and signal processing algorithm. One hundred twenty volunteers participated in this study belonging to controls, diabetes, diabetic nephropathy, and diabetic neuropathy. The magnitude and time duration of stimuli is arrived by trial and error in such a way it does not influence controls but triggers SG activity in other Groups. This methodology leads to a distinct EDA signal pattern with changes in frequency and amplitude. The continuous wavelet transform depicts a scalogram to retrieve this information. Further, to distinguish between Groups, time average spectrums are plotted and mean relative energy (MRE) is computed. Results demonstrate high energy value in controls, and it gradually decreases in other Groups indicating a decline in SG activity on diabetes prognosis. The correlation for the acquired results was determined to be 0.99 when compared to the standard lab procedure. Furthermore, Cohen's d value, which is less than 0.25 for all Groups indicating the minimal effect size. Hence the obtained result is validated and statistically analyzed for individual variations. Thus this has the potential to get transformed into a device and could prevent diabetic kidney disease.

Novel Insights to Assess Climate Resilience in Goats Using a Holistic Approach of Skin-Based Advanced NGS Technologies.

A novel study was conducted to elucidate heat-stress responses on a number of hair- and skin-based traits in two indigenous goat breeds using a holistic approach that considered a number of phenotypic and genomic variables. The two goat breeds, Kanni Aadu and Kodi Aadu, were subjected to a simulated heat-stress study using the climate chambers. Four groups consisting of six goats each (KAC, Kaani Aadu control; KAH, Kanni Aadu heat stress; KOC, Kodi Aadu control; and KOH, Kodi Aadu heat stress) were considered for the study. The impact of heat stress on caprine skin tissue along with a comparative assessment of the thermal resilience of the two goat breeds was assessed. The variables considered were hair characteristics, hair cortisol, hair follicle quantitative PCR (qPCR), sweating (sweating rate and active sweat gland measurement), skin histometry, skin-surface infrared thermography (IRT), skin 16S rRNA V3-V4 metagenomics, skin transcriptomics, and skin bisulfite sequencing. Heat stress significantly influenced the hair fiber characteristics (fiber length) and hair follicle qPCR profile (Heat-shock protein 70 (HSP70), HSP90, and HSP110). Significantly higher sweating rate, activated sweat gland number, skin epithelium, and sweat gland number (histometry) were observed in heat stressed goats. The skin microbiota was also observed to be significantly altered due to heat stress, with a relatively higher alteration being noticed in Kanni Aadu goats than in Kodi Aadi goats. Furthermore, the transcriptomics and epigenetics analysis also pointed towards the significant impact of heat stress at the cellular and molecular levels in caprine skin tissue. The higher proportion of differentially expressed genes (DEGs) along with higher differentially methylated regions (DMRs) in Kanni Aadu goats due to heat stress when compared to Kodi Aadu goats pointed towards the better resilience of the latter breed. A number of established skin, adaptation, and immune-response genes were also observed to be significantly expressed/methylated. Additionally, the influence of heat stress at the genomic level was also predicted to result in significant functional alterations. This novel study thereby highlights the impact of heat stress on the caprine skin tissue and also the difference in thermal resilience exhibited by the two indigenous goat breeds, with Kodi Aadu goats being more resilient.

Elevations in sweat sodium concentration following ischemia-reperfusion injury during passive heat stress.

Renal ischemia-reperfusion (I/R) injury results in damage to the renal tubules and causes impairments in sodium [Na+] reabsorption. Given the inability to conduct mechanistic renal I/R injury studies in vivo in humans, eccrine sweat glands have been proposed as a surrogate model given the anatomical and physiological similarities. We tested the hypothesis that sweat Na+ concentration is elevated following I/R injury during passive heat stress. We also tested the hypothesis that I/R injury during heat stress will impair cutaneous microvascular function. Fifteen young healthy adults completed ∼160 min of passive heat stress using a water-perfused suit (50°C). At 60 min of whole body heating, one upper arm was occluded for 20 min followed by a 20-min reperfusion. Sweat was collected from each forearm via an absorbent patch pre- and post-I/R. Following the 20-min reperfusion, cutaneous microvascular function was measured via local heating protocol. Cutaneous vascular conductance (CVC) was calculated as red blood cell flux/mean arterial pressure and normalized to CVC during local heating to 44°C. Na+ concentration was log-transformed and data were reported as a mean change from pre-I/R (95% confidence interval). Changes in sweat sodium concentration from pre-I/R differed between arms post-I/R (experimental arm: +0.97 [+0.67 - 1.27] [LOG] Na+; control arm: +0.68 [+0.38 - 0.99] [LOG] Na+; P < 0.01). However, CVC during the local heating was not different between the experimental (80 ± 10%max) and control arms (78 ± 10%max; P = 0.59). In support of our hypothesis, Na+ concentration was elevated following I/R injury, but likely not accompanied by alterations in cutaneous microvascular function.NEW & NOTEWORTHY In the present study, we have demonstrated that sweat sodium concentration is elevated following ischemia-reperfusion injury during passive heat stress. This does not appear to be mediated by reductions in cutaneous microvascular function or active sweat glands, but may be related to alterations in local sweating responses during heat stress. This study demonstrates a potential use of eccrine sweat glands to understand sodium handling following ischemia-reperfusion injury, particularly given the challenges of in vivo studies of renal ischemia-reperfusion injury in humans.

Chapter 13 - Electrophysiological assessment of peripheral and central autonomic disorders

The autonomic nervous system (ANS) coordinates multiple reflex actions which are essential for life. The tests employed to evaluate the ANS provide valuable information of the functional state of these reflex arcs. The ideal test should be simple to perform, noninvasive, reproducible, sensitive, specific, safe, and appropriate for longitudinal studies. The availability of computer-based techniques has facilitated the electrophysiological assessment of ANS-mediated reflexes. The information provided by autonomic testing must be analyzed in combination with the clinical history and physical examination of the patient, allowing for a hypothesis that can be tested. Properly performed and interpreted, ANS testing can be used to confirm the presence of an ANS disturbance and the involved functional pathways, as well as the extent, intensity, and site of injury. This chapter describes the most important electrophysiological tests used to evaluate the ANS control of cardiovascular reflexes and sweat gland activity.

Effect of Boron on Sympathetic Skin Response in Rats.

Boron effects on reproduction and growth have been extensively studied in animals. Electrodermal activity (EDA) reflects the activity of eccrine sweat glands stimulated by the release of acetylcholine from sympathetic nerves. In the presen study, it was aimed to examine the effect of boron, which was turned into cream, on sweat glands. A cream form mixed with thyme oil was prepared for EDA recording. Our groups were formed as EDA recording gel (Group 1), cream with thyme oil (Group 2), cream containing 10% boron (Group 3) and cream containing 30% boron (Group 4). In each group, 3 months old, 10 male rats were used, and creams were applied to the soles of the hind extremities of the rats, EDA was recorded from this region after half an hour, and skin conductivity levels (SCL) were recorded as tonic (at rest) and phasic (with auditory sound stimulation). EDA results recorded in the morning were analysed with tonic and phasic recordings. In the morning SCL measurements, tonic SCL value of Group 4 was higher than the other groups (P < 0.001). Although the phasic SCL value was measured, it was significantly higher in Group 4 than in all groups (P < 0.0s). EDA measurements showed that boron increased sweat gland activity by increasing sympathetic nerve activity.

Contactless GSR Sensing Using mmWave Radar

The galvanic skin response (GSR), which is a manifestation of the activity in eccrine sweat glands, has always been an important psychological test to evaluate emotional arousal and mental stress. Although researches have focused on the radio reflections of skin and revealed that sweat gland activity can change the reflection signal of skin, the complicated experimental settings including vector network analyzer (VNA) and even optical path design limit further daily life application. In this article, we demonstrate the potential of using commodity millimeter-wave (mmWave) multiple-input multiple-output (MIMO) radar for contactless GSR sensing. To simulate the reflected signals of the frequency-modulated continuous-wave (FMCW) radar to the skin of different individuals, a four-layered skin model focused on the sweat duct is used and the change in conductivity in sweat ducts is regarded as mapping of sweat gland activity. Extensive experiments are conducted, consisting of three different physiological statuses: relaxing status, mental stress status, and physical stress status. We design a beamformer to transform the raw signal to the space domain so that the reflection signals from the palm are separated. The principal components of the processed signal are extracted to eliminate the interference caused by breathing and random noise. We evaluate the performance in terms of the correlation between the radar signal and the GSR before and after stress-induced events. The experimental results preliminarily verify the feasibility of contactless GSR sensing.

Coffee intake may promote sudomotor function activation via the contribution of caffeine.

To determine whether drinking coffee with caffeine accelerates the sympathetic response to acetylcholine (ACh). Tests were performed twice at 1-week intervals following the intake of coffee. Subjects were randomly divided into two groups: Group A was administered 16 fluid oz of water (CON), while Group B was given 16 fluid oz of coffee (Coffee). After 1 week, Group A was administered 16 fluid oz of coffee (Coffee), while Group B was given 16 fluid oz of water (CON). The quantitative sudomotor axon reflex test (QSART) was performed after intake of coffee and water and a 40 min break. QSART with iontophoresis and 10% ACh was performed to determine axon reflex (AXR) mediated with and without iontophoresis [AXR (1) and AXR (2), respectively], and directly activated sweating (DIR). The sweat onset time of the AXR was shorter in the Coffee compared with the CON (p < 0.05). The sweat rates in AXR (1) AXR (2) and DIR were significantly higher in the Coffee than in the CON (p < 0.05, p < 0.05, p < 0.01, respectively). In addition, the Coffee showed significantly higher density of activated sweat glands and activated sweat gland output than the CON (p < 0.05, p < 0.01, respectively). The overall results of this study showed that coffee intake could stimulate higher activation in both AXR and DIR sweat responses. Coffee intake can improve sweating sensitivity in both the AXR and DIR by the contribution of caffeine contained in coffee. This suggests that other compounds in coffee may not inhibit the sympathetic response to ACh. Therefore, coffee may be clinically worth considering as a supplement for the activation of the cholinergic and sudomotor function.

Measurement of thermal sweating at rest and steady-state exercise in healthy adults: Inter-day reliability and relationships with components of partitional calorimetry.

Inter-day reliability of sweat measurements, including the absorbent patch and modified iodine-paper techniques, at rest and exercise were evaluated. We further evaluated the effect of iodine paper size and the method of establishing sweat gland activation (sweat gland counting or surface area covered) on reliability. Furthermore, the relationships between all measurement techniques and metabolic heat production [Ḣprod] and evaporative requirement for heat balance [Ėreq] were determined. Twelve participants were assessed for whole-body sweat loss (WBSL), local sweat rate (LSR; absorbent patch) and sweat gland activation (SGA; iodine-paper) during rest and sub-maximal cycling at ~200, ~250 and ~300 W/m2 Ḣprod in the heat. Variations in iodine paper (1 x 1 cm-9 x 9 cm) were used to quantify SGA by counting sweat glands or surface area covered. The 'optimal' area of SGA was also determined based on the highest density of recruited glands. All measures of the sweating response were positively related with Ḣprod and Ėreq (r = 0.53-0.84), with the 9 x 9 cm and 6 x 6 cm iodine paper sizes being the strongest (r = 0.66-0.84) for SGA. Superior inter-day reliability was found for all measures during exercise (CV% = 6-33.2) compared to rest (CV% = 33.5-77.9). The iodine-paper technique was most reliable at 9 x 9 cm (CV% = 15.9) or when the 1 x 1 cm (CV% = 17.6) and 3 x 3 cm (CV% = 15.5) optimal SGA was determined, particularly when measuring the sweat gland number. WBSL, LSR and SGA measurement techniques are sufficiently reliable to detect changes in thermal sweating typically reported. We recommend 9 x 9 cm paper sizes or 1 x 1 cm-3 x 3 cm optimal areas, using either gland counting or surface area to determine SGA.

The Role of Essential Oils on Improving Elderly Skin Hydration

Skin hydration has an important role in various diseases of the elderly. Skin hydration is determined by two factors, namely the ability of the stratum corneum (SC) to retain water due to natural moisturizing factors and the barrier function of the intercellular lipid lamellar structure and tight junctions. Several parameters are usually used for skin hydration, such as surface water content (SWC) and trans-epidermal water loss (TEWL). With age, several changes in the skin affect hydration, including changes in the cellular and intercellular lipid matrix, skin pH, SC protease enzymes, decreased sebaceous and sweat gland activity, and decreased estrogen levels in women. Therefore, a moisturizer is needed to minimize the unwanted effects of some of these changes. Selection of the type of moisturizer is very important for the elderly, especially moisturizers with antiseptic, antibacterial, and antioxidant effects are highly recommended. The ability of essential oils as components of moisturizers has been proven in various studies. Essential oils can improve the function of the epidermal barrier and help prevent transepidermal water loss. Therefore, this literature review discusses the role of various essential oils, namely green tea oils (Camellia sinensis or Camellia assamica), virgin coconut oils (Cocos nucifera L.), evening primrose oils (Oenothera paradoxa), grape seed oils (Vitis vinifera L.) .), rosemary oils (Rosmarinus officinalis L.), immortelle oils (Helichrysum italicum), and cannabis seeds oils (Cannabis sativa L.) on improving skin hydration in the elderly.

Separate extraction of human eccrine sweat gland activity and peripheral hemodynamics from high- and low-quality thermal imaging data

Sweat gland activity and peripheral hemodynamics, which characterize the function of sympathetic cholinergic nerve fibers and the manifestation mechanisms of vascular tone regulation, respectively, can be detected via dynamic thermography of the skin. Thus, they are useful parameters for diagnosing various forms of neuropathy and functional circulatory disorders. Both parameters affect the dynamics of the skin temperature; therefore, for an adequate description of thermographic data, it is necessary to build models that consider both these coexisting components simultaneously. PurposeThe objective of this study was to determine the spatiotemporal and statistical features of dynamic thermograms of skin areas with sweat glands and to develop methods for the extraction of temperature components mediated by sweat gland activity (Tsweat) separately from hemodynamics (Tblood) based on thermograms of high and low temperature resolutions. MethodsTo separate the Tsweat and Tblood components, simultaneous thermographic and photoplethysmographic (PPG) measurements were performed in the area of the fingers during a deep inspiratory gasp (DIG). PPG data, which were obtained solely by hemodynamics, were converted into a temperature signal (Tblood) using the spectral filtering approach. By calculating the difference between the skin (Tskin) and blood (Tblood) temperature components, the Tsweat component was determined, which characterizes sweat gland activity and the integrity of the cholinergic sympathetic nerve fibers that innervate them. The Tsweat component was compared with the active sweat pore count curve, which was determined by the adaptive detection of local temperature minima. Thermographic and PPG measurements were performed for 3 min on a group of 15 volunteers during the DIG test. The skin temperature was measured using a cooled thermal imaging camera in the spectral range of 8–9 μm with a temperature sensitivity of 0.02 °C. PPG measurements were performed using a reflectance sensor with a central wavelength of 800 nm. Wavelet analysis with the Morlet basis function was used to preliminarily determine the spectrum of spontaneous temperature oscillations in an area of the skin with and without sweat pores. Statistical parameters of the histogram, such as the standard deviation and the statistical pore activation index (SPAI) - which is proposed in this paper were used in the DIG test to detect sweat gland activity with low-temperature resolution thermograms. The temporal dynamics of the statistical parameters were compared with the dynamics of the sweat pore count. ResultsThe Tsweat component was correlated with the sweat pore count on the thermogram with a coefficient of 0.75, confirming the dependence of this temperature component on the sweat gland activity and the need for considering this activity in the analysis of the spatiotemporal dynamics of the human skin temperature. The use of the proposed SPAI and standard deviation allows the detection of sweat gland activity even with thermograms of a low temperature resolution. The use of an integrated map of the sweat gland activity will help the specialist to assess the degree of integrity of the innervation of skin areas in a single image. The primary assessment of the spectrum of temperature oscillations at rest indicated that spontaneous sweat gland activity is accompanied by high-frequency oscillations in the skin temperature localized in the area of sweat pores, within the frequency range of 0.07–0.3 Hz. This suggests the possibility of spectral separation of the temperature component mediated by sweat gland activity from the hemodynamic component, which dominates in the region of <0.1 Hz. The proposed two-component approach for the analysis of skin temperature dynamics allows separate assessment of sympathetic innervation and rhythms of hemodynamic regulation using dynamic thermograms.

A Simple Non-Contact Optical Method to Quantify In-Vivo Sweat Gland Activity and Pulsation.

Most methods for monitoring sweat gland activity use simple gravimetric methods, which merely measure the average sweat rate of multiple sweat glands over a region of skin. It would be extremely useful to have a method which could quantify individual gland activity in order to improve the treatment of conditions which use sweat tests as a diagnostic tool, such as hyperhidrosis, cystic fibrosis, and peripheral nerve degeneration. An optical method using an infrared camera to monitor the skin surface temperature was developed. A thermodynamics computer model was then implemented to utilize these skin temperature values along with other environmental parameters, such as ambient temperature and relative humidity, to calculate the sweat rates of individual glands using chemically stimulated and unstimulated sweating. The optical method was also used to monitor sweat pulsation patterns of individual sweat glands. In this preliminary study, the feasibility of the optical approach was demonstrated by measuring sweat rates of individual glands at various bodily locations. Calculated values from this method agree with expected sweat rates given values found in literature. In addition, a lack of pulsatile sweat expulsion was observed during chemically stimulated sweating, and a potential explanation for this phenomenon was proposed. A simple, non-contact optical method to quantify sweat gland activity in-vivo was presented. This method allows researchers and clinicians to investigate several sweat glands simultaneously, which has the potential to provide more accurate diagnoses and treatment as well as increase the potential utility for wearable sweat sensors.

Tonic Electrodermal Activity is a Robust Marker of Psychological and Physiological Changes during Induction of Anesthesia.

Electrodermal activity (EDA), which tracks sweat gland activity as a proxy for sympathetic activation, has the potential to be a biomarker of physiological and psychological changes in the clinic. To show this, in this study, we demonstrate that the tonic component of EDA responds consistently and robustly during induction of anesthesia in the operating room in 8 subjects during surgery. This response is seen bilaterally. The response shows a significant increase in EDA in anticipation of induction and then a gradual decrease in response to the administration of medication, which agrees with both the expected psychological effects of stress and anxiety and the physiological effects of anesthetic medication on sweat glands. The results also show a slightly faster response to drug in the arm directly receiving the medication intravenously compared to the opposite, though the magnitude of the effect evens out over time. Clinical Relevance- EDA can serve as a robust non-invasive biomarker in the clinic to track both psychologically and physiologically induced autonomic changes.